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diff --git a/57543-0.txt b/57543-0.txt index 540dc32..ad46ec9 100644 --- a/57543-0.txt +++ b/57543-0.txt @@ -1,9692 +1,9692 @@ -The Project Gutenberg eBook of The Health Master, by Samuel Hopkins Adams
-
-This eBook is for the use of anyone anywhere in the United States and
-most other parts of the world at no cost and with almost no restrictions
-whatsoever. You may copy it, give it away or re-use it under the terms
-of the Project Gutenberg License included with this eBook or online at
-www.gutenberg.org. If you are not located in the United States, you
-will have to check the laws of the country where you are located before
-using this eBook.
-
-Title: The Health Master
-
-Author: Samuel Hopkins Adams
-
-Release Date: August 2, 2018 [eBook #57543]
-[Most recently updated: April 14, 2021]
-
-Language: English
-
-Character set encoding: UTF-8
-
-Produced by: David Widger
-
-*** START OF THE PROJECT GUTENBERG EBOOK THE HEALTH MASTER ***
-
-
-
-
-THE HEALTH MASTER
-
-By Samuel Hopkins Adams
-
-Associate Fellow of the American Medical Association
-
-Boston And New York Houghton Mifflin Company
-
-1913
-
-
-
-
-_To George W. Goler, M.D., a type of the courageous, unselfish, and
-far-sighted health official, whom the enlightened and progressive city
-of Rochester, N. Y., hires to keep it well, on the “Chinese plan,” this
-book is inscribed, with the hope that it may, by exercising some
-influence in the hygienic education of the public, aid the work which
-he and his fellow guardians of the public health are so laboriously and
-devotedly performing throughout the nation._
-
-
-Contents
-
- INTRODUCTORY NOTE
- I. THE CHINESE PLAN PHYSICIAN
- II. IN TIME OF PEACE
- III. REPAIRING BETTINA
- IV. THE CORNER DRUG-STORE
- V. THE MAGIC LENS
- VI. THE RE-MADE LADY
- VII. THE RED PLACARD
- VIII. HOPE FOR THE HOPELESS
- IX. THE GOOD GRAY DOCTOR
- X. THE HOUSE THAT CAUGHT COLD
- XI. THE BESIEGED CITY
- XII. PLAIN TALK
-
-
-
-
-INTRODUCTORY NOTE
-
-
-To dogmatise on questions of medical practice is to invite controversy
-and tempt disaster. The highest wisdom of to-day may be completely
-refuted by to-morrow’s discovery. Therefore, for the simple principles
-of disease prevention and health protection which I have put into the
-mouth of my Health Master, I make no claim of finality. In support of
-them I maintain only that they represent the progressive specialized
-thought of modern medical science. So far as is practicable I have
-avoided questions upon which there is serious difference of belief
-among the authorities. Where it has been necessary to touch upon these,
-as, for example, in the chapter on methods of isolation in contagious
-diseases, a question which arises sooner or later in every household, I
-have advocated those measures which have the support of the best
-rational probability and statistical support.
-
-Not only has the book been prepared in consultation with the recognized
-authorities on public health and preventive medicine, but every chapter
-has been submitted to the expert criticism of specialists upon the
-particular subject treated. My own ideas and theories I have advanced
-only in such passages as deal with the relation of the physician and of
-the citizen to the social and ethical phases of public health. To the
-large number of medical scientists, both public and private, whose
-generous aid and counsel have made my work possible, I gratefully
-acknowledge my debt. My thanks are due also for permission to reprint,
-to the _Delineator_, in which most of the chapters have appeared
-serially; to _Collier’s Weekly_, and to the _Ladies’ Home Journal_.
-
-The Author.
-
-
-
-
-I.
-THE CHINESE PLAN PHYSICIAN
-
-
-THE eleven-o’clock car was just leaving Monument Square when Mr. Thomas
-Clyde swung aboard with an ease and agility worthy of a younger and
-less portly man. Fortune favored him with an unoccupied seat, into
-which he dropped gratefully. Just in front of him sprawled a
-heavy-shouldered young man, apparently asleep. Mr. Clyde was
-unfavorably impressed both by his appearance and by the manner of his
-breathing, which was as excessive as it was unusual. As the car swung
-sharply around a curve the young man’s body sagged at the waist, and
-lopped over toward the aisle. Before Mr. Clyde’s restraining hand could
-close upon his shoulder, he had tumbled outward to the floor, and lay
-quiet, with upturned face. There was a stir through the car.
-
-“The horrid drunken creature!” exclaimed a black-clad woman opposite
-Mr. Clyde. “Why do they allow such people on the cars?”
-
-The conductor hurried forward, only to find his way blocked by a very
-tall, slender man who had quietly stepped, from a seat next the window,
-over an intervening messenger boy and the box he was carrying. The new
-arrival on the scene of action stooped over the prostrate figure. One
-glance apparently satisfied him. With a swift, sharp motion he slapped
-the inert man forcefully across the cheek. The sound of the impact was
-startlingly loud. The senseless head rolled over upon the left
-shoulder, only to be straightened out by another quick blow. A murmur
-of indignation and disgust hummed and passed, and the woman in black
-called upon the conductor to stop the assault. But Mr. Thomas Clyde,
-being a person of decision and action, was before the official. He
-caught the assailant’s arm as it swung back again.
-
-“Let him alone! What do you mean by beating a helpless man that way!”
-
-“Do you know more about this affair than I do?” The crisp query was
-accompanied by a backward thrust of the tall man’s elbow which broke
-Mr. Clyde’s hold, and—smack! smack!—the swift double blow rocked the
-victim’s head again. This time the man groaned. The car was in an
-uproar. Mr. Clyde instantly and effectively pinned the tall man’s
-elbows from behind. Some one pulled the bell, and the brakes ground,
-throwing those forward who had pressed into the aisle. Against this
-pressure, Mr. Clyde, aided by the conductor, began dragging his man
-backward. The stranger was helpless to resist this grip; but as he was
-forced away he perpetrated a final atrocity. Shooting out one long leg,
-he caught the toe of his boot under the outstretched man’s jawbone and
-jerked the chin back. This time, the object of the violence not only
-groaned, but opened his eyes.
-
-“I’ll have you in jail for that!” panted Mr. Clyde, his usually placid
-temper surging up.
-
-Other passengers began to lift the victim.
-
-“Drop him!” snapped the tall man, with such imperative decisiveness,
-that the helping hands involuntarily retracted. “Let him lie, you
-fools! Do you want to kill him?”
-
-Misgivings beset and cooled Mr. Thomas Clyde. He had now reached the
-rear platform, still holding in his powerful and disabling grasp the
-unknown man, when he heard a voice from an automobile which had been
-halted by the abrupt stop of the car.
-
-“Can I be of any help?”
-
-“Dr. Magruder!” exclaimed Mr. Clyde, “come in here, will you, and look
-at a sick man?”
-
-As the doctor stepped aboard, the captive with a violent wrench freed
-himself from Mr. Clyde’s relaxing hold and dropped from the platform
-into the darkness. Dr. Magruder forced his way through the crowd, took
-one look at the patient, and, right and left, struck him powerfully
-across the cheeks time and again, until the leaden-lidded eyes opened
-again. There was a quick recourse to the physician’s little satchel;
-then—
-
-“All right,” said the doctor cheerfully. “He’ll do now. But, my friend,
-with that heart of yours, you want to sign the pledge or make your
-will. It was touch and go with you that time.”
-
-Waiting to hear no more, Mr. Thomas Clyde jumped from the rear step and
-set off at a rapid pace, looking about him as he ran. He had not gone a
-block when he saw, by the radiance of an electric light, a tall figure
-leaning against a tree in an attitude of nerveless dejection. The
-figure straightened up.
-
-“Don’t try to man-handle me again,” advised the man, “or you may meet
-with a disappointment.”
-
-“I’ve come to apologize.”
-
-“Very well,” returned the other coolly; “I appreciate it. Many a fool
-wouldn’t go even so far.” Mr. Clyde smiled. “I own to the soft
-impeachment. From what Dr. Magruder said I judge you saved that fellow
-from the hospital.”
-
-“I judge I did—no thanks to you! You’ve a grip like a vise.”
-
-“Yes; I keep in good training,” said the other pleasantly. “A man of my
-age has to, if he is to hold up his work.” He looked concernedly at the
-stranger who had involuntarily lapsed against the tree again. “See
-here,” he added, “I don’t believe you’re well.”
-
-“No; I don’t believe I am,” answered the tall man in uncompromising
-tones; “but I do believe that it is peculiarly my own affair whether I
-am or not.”
-
-“Nonsense! Man, your nerves are on the jump. You used yourself up on
-that chap in the street car. Come across to my club and take something
-to brace you up.”
-
-People usually found it hard to resist Mr. Clyde’s quiet
-persuasiveness. The stranger, after a moment of consideration, smiled.
-
-“Begin with a fight and end with a drink?” he asked. “That’s a reversal
-of the usual process. If your cuisine runs to a cup of hot milk as late
-as this, I’d be glad to have it.”
-
-As they entered the club, Mr. Clyde turned to his guest.
-
-“What name shall I register?”
-
-The stranger hesitated. “Strong,” he said finally.
-
-“Dr. Strong?”
-
-“Well—yes—Dr. Strong if you will.”
-
-“Of what place?”
-
-“Any place—Calcutta, Paris, Mexico City, Philadelphia, Rio. I’ve tried
-‘em all. I’m a man without a country, as I am without a profession.” He
-spoke with the unguarded bitterness of shaken nerves.
-
-“Without a profession! But you said ‘Doctor.’”
-
-“A title isn’t a profession,” returned the guest shortly.
-
-Turning that over in his mind, Mr. Clyde led the way to a quiet table
-in the corner of the diningroom, where he gave his order. Observing
-that his new acquaintance was _distrait_, he swung into the easy
-conversational flow of a cultured man of the world, at the same time
-setting his keen judgment of men to work upon the other. There was much
-there to interest a close observer. The face indicated not much over
-thirty years; but there were harsh lines in the broad and thoughtful
-forehead, and the hair that waved away from it was irregularly blotched
-with gray. The eyes, very clear and liquid, were marred by an
-expression of restlessness and stress. The mouth was clear-cut, with an
-expression of rather sardonic humor. Altogether it was a face to remark
-and remember; keen, intellectual, humorous, and worn. Mr. Thomas Clyde
-decided that he liked the man.
-
-“You’ve been a traveler, Doctor?” he asked.
-
-“Yes. I’ve seen life in many countries—and death.”
-
-“And traced the relations between them, I suppose?”
-
-“Oh, I’ve flashed my little pin-point lantern at the Great Darkness in
-the fond hope of discovering something,” returned the other cynically.
-
-“In a way, I’m interested in those matters,” continued Mr. Clyde.
-“They’ve organized a Public Health League here, and made me president
-of it. More from finance than fitness,” he added, humorously.
-
-“Finance has its part, too,” said the other. “Give me millions enough
-and I’ll rid any city of its worst scourge, tuberculosis.”
-
-“Then I wish to Heaven you had the millions to spend here in
-Worthington! We’re in a bad way. Two years ago we elected a reform
-administration. The Mayor put in a new Health Officer and we looked for
-results. We’ve had them—the wrong kind. The death rate from
-tuberculosis has gone up twenty-five per cent, and the number of cases
-nearly fifty per cent since he took office.”
-
-“You don’t say so!” said the stranger, showing his first evidence of
-animation. “That’s good.” Mr. Clyde stared. “You think so? Then you’ll
-undoubtedly be pleased to learn that other diseases are increasing
-almost at the same rate: measles, scarlet fever, and so on.”
-
-“Fine!” said Dr. Strong.
-
-“And finally, our general mortality rate has gone up a full point. We
-propose to take some action regarding it.”
-
-“Quite right. You certainly ought to.” Something in his guest’s tone
-made Mr. Clyde suspicious. “What action would you suggest, then? he
-asked.
-
-“A vote of confidence in your Health Officer.”
-
-“You propose that we indorse the man who is responsible for a marked
-rise in our mortality figures?”
-
-“Certainly.”
-
-“In the name of all that’s absurd, why?”
-
-“Let me answer that by another question. If disease appears in your
-household, do you want your doctor to conceal it or check it?”
-
-Mr. Clyde took that under advisement. “You mean that this city has been
-concealing its diseases, and that Dr. Merritt, our new Health Officer,
-is only making known a condition which has always existed?” he asked
-presently.
-
-“Haven’t you just told me so?”
-
-“When did I tell you anything of the sort?” The younger man smiled.
-“That’s five questions in a row,” said he. “Time for an answer. You
-said that deaths from tuberculosis had increased twenty-five per cent
-since the new man came in.”
-
-“Well?”
-
-“You’re wrong. Tuberculosis doesn’t increase in sudden leaps. It isn’t
-an epidemic disease, rising and receding in waves. It’s endemic, a
-steady current.”
-
-“But look at the figures. Figures don’t lie, do they?”
-
-“Usually, in vital statistics,” was the imperturbable reply. “In this
-case, probably not. That is, they don’t lie to me. I’m afraid they do
-to you.” Mr. Clyde looked dubiously at the propounder of this curious
-suggestion and shook his head.
-
-“Don’t get it?” queried Dr. Strong. “Perhaps you recall the saying of
-Thoreau—I think it the profoundest philosophical thought of the New
-World—that it takes two to tell the truth, one to speak and one to hear
-it.”
-
-“You mean that we’ve misinterpreted the figures? Why, they’re as plain
-as two and two.”
-
-“Truth lies behind figures, not in them,” said Dr. Strong. “Now, you’re
-worried because of a startling apparent swelling of the tuberculosis
-rate. When you find that sort of a sudden increase, it doesn’t signify
-that there’s more tuberculosis. It signifies only that there’s more
-knowledge of tuberculosis. You’re getting the disease more honestly
-reported; that’s all. Dr. Merritt—did you say his name is?—has stirred
-up your physicians to obey the law which requires that all deaths be
-promptly and properly reported, and all new cases of certain
-communicable diseases, as well. Speaking as a doctor, I should say
-that, with the exception of lawyers, there is no profession which
-considers itself above the law so widely as the medical profession.
-Therefore, your Health Officer has done something rather unusual in
-bringing the doctors to a sense of their duty. As for reporting, you
-can’t combat a disease until you know where it is established and
-whither it is spreading. So, I say, any health officer who succeeds in
-spurring up the medical profession, and in dragging the Great White
-Plague out of its lurking-places into the light of day ought to have a
-medal.”
-
-“What about the other diseases? Is the same true of them?”
-
-“Not to the same extent. No man can tell when or why the epidemic
-diseases—scarlet fever, measles, whooping-cough, and diphtheria—come
-and go. By the way, what about your diphtheria death rate here?”
-
-“That is the exception to the rule. The rate is decreasing.”
-
-Dr. Strong brought his hand down flat on the table with a force which
-made his cup jump in its saucer. “And your misnamed Public Health
-League proposes to take some action against the man who is shown, by
-every evidence you’ve suggested thus far, to be the right man in the
-right place!”
-
-“How does the diphtheria rate show in his favor any more than the other
-death rates against him?”
-
-“Because diphtheria is the one important disease which your medical
-officer can definitely control, and he seems to be doing it.”
-
-“The only important one? Surely smallpox is controllable?”
-
-“Smallpox is the poisoned arrow of the fool-killer. It is controllable;
-but it isn’t important, except to fools and anti-vaccination bigots.”
-
-Mr. Thomas Clyde softly rubbed his cleanshaven chin, a sign and token
-with him that his mind was hard at work.
-
-“You’re giving me a new view of a city in which I’ve lived for the
-first and last forty-five years of my life,” he said presently. “Are
-you familiar with conditions here?”
-
-“Never have been here before, and have no reason to suppose that I
-shall ever return. Traveling at night is too much for me, so I stopped
-over to have a look at a town which has been rather notorious among
-public health officials for years.”
-
-“Notorious!” repeated Mr. Clyde, his local pride up in arms.
-
-“For falsifying its vital statistics. Your low mortality figures are a
-joke. Worthington has been more jeered at, criticized, and roasted by
-various medical conventions than any other city in the United States.”
-
-“Why, I’ve never seen anything of that sort in the papers.”
-
-Dr. Strong laughed. “Your newspapers print what you want to read; not
-what you don’t want to read. They follow the old adage, ‘What you don’t
-know won’t hurt you.’ It’s a poor principle in matters of hygiene.”
-
-“So one might suppose,” returned the host dryly. “Still you can
-scarcely expect a newspaper to run down its own city. I’ve known
-business to suffer for a year from sensational reports of an epidemic.”
-
-The other grunted. “If a pest of poisonous spiders suddenly bred and
-spread in Worthington, the newspapers would be full of it, and
-everybody would commend the printing of the facts as a necessary
-warning and safeguard. But when a pest of poisonous germs breeds and
-spreads, Business sets its finger to its lips and says, ‘Hush!’ and the
-newspapers obey. You’re a business man, I assume, Mr. Clyde? Frankly, I
-haven’t very much sympathy with the business point of view.”
-
-He rose and pushed his chair back.
-
-“Wait a moment,” said the other. “Sit down. I have something that may
-be of importance to suggest to you. It occurs to me that Worthington
-would be the better for having a man with your ideas as a citizen. Now,
-supposing the Public Health League should offer you—”
-
-“I am not at present in medical practice,” broke in the other.
-
-“Even at that, I was thinking that you would be of use as an advisory
-physician and scientific lookout.”
-
-For a moment, the other’s face brightened, an indication which Mr.
-Clyde was quick to note. But instantly the expression of eagerness died
-out.
-
-“Ten hours a day?” said Dr. Strong. “It couldn’t be done properly in
-less time. And I’m a mere nervous wreck, bound for the scrap-heap.”
-
-“Would you mind,” said Mr. Clyde very gently, “telling me what’s wrong?
-I’m not asking without a purpose.”
-
-Dr. Strong held out his long arms before him. “I’m a surgeon without a
-right hand, and a bacteriologist without a left.” The sinewy and pale
-hands shook a little. “Neuritis,” he continued. “One of the diseases of
-which we doctors have the most fear and the least knowledge.”
-
-“And with the loss of your occupation, general nervous collapse?” asked
-Mr. Clyde. Being himself a worker who put his heart into his work, he
-could guess the sterile hopelessness of spirit of the man banned from a
-chosen activity.
-
-Dr. Strong nodded. “I may still be fit for the lecture platform as a
-dispenser of other men’s knowledge. Or perhaps I’ll end up as medical
-watchdog to some rich man who can afford that kind of pet. Pleasing
-prospect, isn’t it, for a man who once thought himself of use in the
-world?”
-
-“Good idea,” said Mr. Clyde quietly. “Will you try the position with my
-family?”
-
-The other stared in silence at his questioner.
-
-“Just consider my situation for a moment. As you know, I’m a layman,
-interested in, but rather ignorant of, medical subjects. As wealth goes
-in a city of one hundred and fifty thousand population, I’m a rich man.
-At any rate, I can afford a considerable outlay to guard against
-sickness. In the last five years I suppose disease has cost my
-household ten thousand dollars in money, and has cost me, in worry and
-consequent incapacity for work, ten times that amount. Even at a large
-salary you would doubtless prove an economy. Come, what do you say?”
-
-“You know absolutely nothing of me,” suggested the other.
-
-“I know that you are a man of quick and correct judgment, for I saw you
-in action.” The other smiled. “You are, for reasons which are your own,
-not very expansive, as to your past professional career. I’m content
-with that attitude of yours, and I’m quite satisfied to base my offer
-on what I have been able to judge from your manner and talk. Without
-boasting, I may say that I have built up a great manufacturing plant
-largely on my judgment of men. I think I need you in my business of
-raising a family.”
-
-“How much of a family?”
-
-“Five children, their mother and their grandmother. I may warn you at
-once that you’ll have a jealous rival in Grandma. She’s the household
-guardian, and pretty ‘sot’ in her ideas. But the principal thing is for
-you to judge me as I’ve judged you, and determine whether we could work
-out the plan together.”
-
-Dr. Strong set his chin in one thin, cupped hand and gazed
-consideringly upon the profferer of this strange suggestion. He saw a
-strong-built, clear-skinned man, whose physical aspect did not suggest
-the forty-five years to which he had owned. Mr. Clyde recommended
-himself at first sight by a smooth-voiced ease of manner, and that
-unostentatious but careful fitness of apparel which is, despite wise
-apothegms to the contrary, so often an index of character. Under the
-easy charm of address, there was unobtrusively evident a quick
-intelligence, a stalwart self-respect, and a powerful will.
-
-Yet, the doctor noted, this man had been both ready and fair in
-yielding his judgment, under the suggestion of a new point of view.
-Evidently he could take orders as well as give them.
-
-“Well,” said Mr. Clyde, “have you appraised me?”
-
-The weary eyes of the other twinkled a little. “Physically you disclose
-some matters plainly enough, if one wishes to show off in the Sherlock
-Holmes manner. For instance, you’ve recently been in the tropics; your
-eyesight is better than your hearing, you drink lightly if at all, and
-don’t use tobacco in any form; you’ve taken up athletics—handball
-principally—in recent years, as the result of a bad scare you got from
-a threatened paralytic attack; and your only serious illness since then
-has been typhoid fever.”
-
-Mr. Clyde laughed outright. “If you had started our acquaintance that
-way,” he said, “I’d have thought you a fortune-teller. Part of it I can
-follow. You noticed that I kept my left ear turned, of course; and the
-fact that my nose shows no eyeglass marks would vouch for my eyesight.
-Did you judge me a non-smoker because I forgot to offer you a
-cigar—which deficiency I’ll gladly make up now, if it isn’t too late.”
-
-“Partly that—no, thank you. I’m not allowed to smoke—but principally
-because I noticed you disliked the odor of my hot milk. It is
-offensive, but so faint that no man without a very keen sense of smell
-would perceive it across a table; no tobacco-user preserves his sense
-of smell to any such degree of delicacy. As for the drink, I judged
-that from your eyes and general fitness.”
-
-“And the handball, of course, from my ‘cushioned’ palms.”
-
-“Obviously. A man at the heart of a great business doesn’t take up
-violent indoor exercise without some special reason. Such a reason I
-saw on the middle finger of your left hand.”
-
-Holding up the telltale member, Mr. Clyde disclosed a small dark area
-at the side of the first joint.
-
-“Leaky fountain-pen,” he remarked.
-
-“As you are right-handed naturally, but write with your left hand, it’s
-clear that you’ve had an attack of writer’s paralysis—”
-
-“Five years ago,” put in Mr. Clyde.
-
-“And that your doctor made good use of the salutary scare it gave you,
-to get you to take up regular exercise.”
-
-“And, incidentally, to cut out my moderate, occasional cocktail. Now,
-as to the tropics and the typhoid?”
-
-“The latter is a guess; the former a certainty. Under your somewhat
-sparse long hair in front there is an outcropping of very fine hairs.
-Some special cause exists for that new growth. The most likely cause,
-at your age, is typhoid. As you’ve kept in good training, it isn’t
-likely that you’d have had any other serious ailment recently. On that
-I took a chance. The small scars at the back of your ears could be
-nothing but the marks of that little pest of the tropics, the _bête
-rouge_. I’ve had him dug out of my skin and I know something of him.”
-
-“Right on every count,” declared Mr. Clyde. “You’ve given me cumulative
-proof of your value to me. I’ll tell you. Forget formalities. Let me
-‘phone for a cab; we’ll go to your hotel, get your things, and you come
-back with me for the night. In the morning you can look the ground
-over, and decide, with the human documents before you, whether you’ll
-undertake the campaign.”
-
-The younger man smiled a very pleasant and winning smile. “You go
-fast,” said he. “And as in all fast motion, you create a current in
-your direction. Certainly, if I’m to consider your remarkable plan I’d
-best see the whole family. But there’s one probable and perhaps
-insurmountable obstacle. Who is your physician?”
-
-“Haven’t such a thing in the house, at present,” said Mr. Clyde
-lightly. Then, in a graver tone, “Our old family physician died six
-months ago. He knew us all inside and out as a man knows a familiar
-book.”
-
-“A difficult loss to replace. Knowledge of your patient is half the
-battle in medicine. You’ve had no one since?”
-
-“Yes. Six weeks ago, my third boy, Charley, showed signs of fever and
-we called a distant cousin of mine who has a large practice. He felt
-quite sure from the first that it was diphtheria; but he so managed
-matters that we had no trouble with the officials. In fact, he didn’t
-report it at all, though I believe it was a very light case of the
-disease.”
-
-Dr. Strong’s eyes narrowed. “At the outset, I’ll give you two bits of
-advice, gratis, Mr. Clyde. First, don’t ever call your doctor-cousin
-again. He’s an anarchist.”
-
-“Just what do you mean by that?”
-
-“It’s plain enough, isn’t it? Anarchist, I said: a man who doesn’t
-believe in law when it contravenes his convenience.”
-
-Mr. Clyde rubbed his chin again. “Hum,” he remarked. “Well! the second
-gift of advice?”
-
-“That you either respect the law yourself or resign the presidency of
-the Public Health League.” A distinct spot of red appeared on each of
-the elder man’s smooth cheeks. “Are you trying to provoke me to a
-quarrel?” he asked brusquely.
-
-Then his expression mollified. “Or are you testing me?”
-
-“Neither. I’m giving you my best and most honest advice. If you expect
-me to do as your substitute physician did, to guard your household in
-violation of the law which tries to protect the whole public equally,
-you’ve got the wrong man, and your boasted judgment has gone askew,”
-was the steady reply.
-
-Mr. Clyde turned and left the room. When he returned his hand was
-outstretched.
-
-“I’ve taken three swallows of cold air, and sent for a cab,” he said.
-“Shake hands. I think you and I will be friends. Only—train me a little
-gently at the outset. You’ll come with me?”
-
-“Yes,” said Dr. Strong, and the two men shook hands.
-
-During the drive Mr. Clyde expounded the virtues and characteristics of
-his native city to his new acquaintance, who was an excellent listener.
-Long afterward he found Dr. Strong acting on remembered and shrewdly
-analyzed information given in that first long talk. When they reached
-the big, rambling, many-windowed house which afforded the growing Clyde
-family opportunity to grow, the head of the household took his guest to
-an apartment in one of the wings.
-
-“These two rooms are yours,” he said. “I hope you’ll be like Coleridge
-who came to visit with one satchel and stayed five years.”
-
-“That remains to be seen to-morrow,” said Dr. Strong. “By the way, as I
-usually read myself to sleep, you might leave me some of your local
-health reports. Thus I can be looking the ground over.”
-
-“All I’ve got you’ll find on the shelf over the desk. Good-night!”
-
-Being of that type of man who does his thinking before and not after a
-decision, Mr. Thomas Clyde arose in the morning with an untroubled mind
-as to his new venture in household economics. Voices from the library
-attracted him thither, as he came downstairs, and, entering, he beheld
-his guest hedged in a corner by the grandmother of the Clyde household.
-
-“Don’t tell me, young man,” the old lady was saying, in her clear,
-determined voice. “You’ve not slept well for ages! I know that kind of
-an eye.”
-
-“Mrs. Sharpless has been diagnosing my case, Mr. Clyde,” called the
-guest, with a rather wry smile.
-
-“You stay here for a while,” said she vigorously, “and I’ll cocker you
-up. I don’t believe you even eat properly. Do you?”
-
-“Maybe not,” admitted the young man. “We doctors are sometimes less
-wise for ourselves than for others.”
-
-“Oh! So you’re a doctor?” asked the grandmother with a shrewd,
-estimating glance.
-
-“Dr. Strong is, I hope, going to stay with us awhile,” explained her
-son-in-law.
-
-“Good!” said Mrs. Sharpless. “And I’ll take care of him.”
-
-“It’s a strong inducement,” said Dr. Strong gracefully. “But I want a
-little more material on which to base a decision.”
-
-“Between us Grandma and I ought to be able to answer any questions,”
-said Mr. Clyde.
-
-“About sickness, then, in the family. I’ve already introduced myself to
-Mrs. Clyde and questioned her; but her information isn’t definite.”
-
-“Myra seldom is,” observed Mr. Clyde. “It’s part of her charm. But
-Grandma Sharpless has been keeping a daybook for years. Everything
-that’s ever happened, from the cat’s fits to the dressmaker’s misfits,
-is in that series. I’ve always thought it might come in handy
-sometime.”
-
-“Just the thing!” said Dr. Strong heartily. “Will you bring it, Mrs.
-Sharpless? I hope you’ve included your comment on events as well as the
-events themselves.”
-
-“My opinions are generally pronounced enough so that I can remember
-‘em, young man,” returned Mrs. Sharpless, as she departed for the
-desired volumes.
-
-“That last remark of yours sounded a little like making fun of
-Grandma,” suggested Mr. Clyde, as the door closed after her.
-
-“Far from it,” retorted Dr. Strong quickly. “Can’t you see that she’s a
-born diagnostician? She’s got the sixth sense sticking out all over
-her. Women more often have it than men. When a doctor has it, and
-sometimes when he’s only able to counterfeit it, he becomes great and
-famous.”
-
-“Now that you speak of it, I remember my wife’s saying that when she
-was a girl and lived in the country, her mother was always being sent
-for in cases of illness.”
-
-Dr. Strong nodded. “Heretical though it is to say so, I would rather
-have the diagnosis of such a woman, in an obscure case, than of many a
-doctor. She learns in the school of experience.”
-
-Here, Mrs. Sharpless returned, carrying several diaries.
-
-“These go five years back,” said she. “You’ll find ‘em pretty complete.
-We’ve had our fair share of trouble; measles, whooping-cough,—I thought
-Betsy was going to bark her poor little head off,—mumps, and
-chicken-pox. I nursed ‘em through, myself.”
-
-“All of them?”
-
-“All of ‘em didn’t have all the things because Tom Clyde sent the rest
-away when one of ‘em came down. All nonsense, I say. Better let ‘em get
-it while they’re young, and have done with it.”
-
-“One of the worst of the old superstitions,” said Dr. Strong quietly.
-
-“Don’t tell me, young man! Doctor or no doctor, you can’t teach me
-about children’s diseases. There isn’t any of those measly and mumpy
-ones that I’m afraid of. Bobs _did_ scare me, though, with that queer
-attack of his.”
-
-“Bobs,” explained Mr. Clyde, “is Robin, one of the eight-year-old
-twins.”
-
-“Tell me about the attack.”
-
-“When _was_ it?” said the grandmother, running over the leaves of a
-selected diary. “Oh, here it is. Last March. It was short and sharp.
-Only lasted three days; but the child had a dreadful fever and pretty
-bad cramps.”
-
-“Anything else?”
-
-“Why, yes; though that idiot of a cousin of Tom’s snubbed me when I
-told him about it. The boy seemed kind of numb and slow with his hands
-for some time after.”
-
-“And now?” So sharp came the question that Mr. Clyde glanced at the
-speaker, not without apprehension.
-
-“Nothing left of it that I can see.”
-
-“What had you in mind?” asked Mr. Clyde of the doctor, curiously.
-
-“Speaking technically, anterior poliomyelitis.” Grandma Sharpless
-laughed comfortably. “I’ve noticed that a very long name like that
-usually means a sore toe or a pimple behind your ear. It’s the short
-names that bring the undertaker.”
-
-“Shrewdly said, but exception noted,” said Dr. Strong.
-
-“As for Bobs, I remember two cases I saw at Clinton years ago, like
-that attack of his. One of ‘em never walked afterward, and the other
-has a shriveled hand to this day.”
-
-Dr. Strong nodded. “To come down nearer to English, that’s infantile
-paralysis, one of the mysteries of medicine. I’ll tell you some things
-about it some day. Your Bobs had a narrow escape.”
-
-“You’re sure it is an escape?” asked the father anxiously.
-
-“If Mrs. Sharpless is satisfied that there’s no trace left, I am.”
-
-“Come in to breakfast,” said Mrs. Clyde, entering the room with a child
-attached to either hand. She was a tall, fair woman with the charm of
-fresh coloring and regular features, large, intelligent eyes, and a
-somewhat restless vigor and vitality. That her husband and children
-adored her was obvious. One had to look twice to perceive that she was
-over thirty; and even a careful estimate did not suggest her real age
-of thirty-seven.
-
-During the introductory meal, Dr. Strong talked mostly to her, but he
-kept watching the children. And when it was over, he went to his study
-and made an inventory, in the order of age.
-
-GRANDMA SHARPLESS;
-_Probably 70; sound and firm as a good apple; ought to live to be 90.
-Medical demands, none._
-
-MR. CLYDE;
-_45; sturdy, restrained, active, phlegmatic: Tends to
-over-concentration; his own best physician._
-
-MRS. CLYDE;
-_35; possibly more. Quick-witted, nervously active; eager, perhaps a
-little greedy of enjoyment. Somewhat intemperate; probably in eating,
-possibly in the use of tea or candy. An invariably loving mother; not
-invariably a wise one._
-
-MAYNARD, _otherwise_ “MANNY” CLYDE;
-_14 years old; rangy, good-tempered, intelligent boy with a good
-physical equipment._ (_Note: watch his eyes._)
-
-ROBIN, _alias_ BOBS _and_ JULIA (_mysteriously_) JUNKUM;
-_8-year old twins; Bobs, quick and flashing like his mother; Julia,
-demure, thoughtful, a little lethargic, and with much of her father s
-winning quality of friendliness._ (_Note: test Bobs for reflexes. Watch
-Julia's habits of play._)
-
-CHARLES;
-_Aged 7; strong rough-and-tumble urchin, the particular pet of his
-grandmother._ (_Note: watch his hand motions._)
-
-BETTINA, _alias variously_ BETSY, TOOTS, TWINKLES, _and the_ CHERUB;
-_4 years old; a Duck_ [here the human side of the doctor broke
-through], _though a little spoiled by her father._ (_Note: a
-mouth-breather; the first case to be considered._)
-
-ADDENDUM;
-_Various servants, not yet identified or studied; but none the less
-members of our household community._
-
-
-This catalogue Dr. Strong put away, with Grandma Sharpless’s day books,
-for further notation and amplification. Then he made three visits: one
-to the Health Bureau, one to the Water Department, and one to the City
-Engineer’s office, where he spent much time over sundry maps. It was
-close upon dinner-time when he returned, and immediately looked up Mr.
-Clyde.
-
-“Well?” said that gentleman.
-
-“Assuming that I accept your offer it should be understood that I’m
-only a guardian, not, a physician.”
-
-“Meaning—”
-
-“That I shall expect, in emergency, to call in such physicians or
-others as I consider best equipped for the particular task.”
-
-“Very well. But why that phrase ‘or others’?”
-
-“I’ve suggested before that I am a heretic. In certain instances I
-might want an osteopath, or, if I were dealing with a sick soul causing
-a sick body, I might even send for a Christian Scientist.”
-
-“You have a refreshingly catholic breadth of view.”
-
-“I’m trying to map out for you, a rich man, as good treatment as a very
-poor man would have in a hospital—that is, the best technical advice
-for every hygienic emergency that may arise—plus some few extensions of
-my own. Now we come to what is likely to prove the stumbling-block.”
-
-“Set it up.”
-
-“If I’m to take this job, I must be the autocrat, in so far as my own
-department is concerned. As you know, a city health official’s powers
-are arbitrary. He can burn your house down; he can imprison you; he can
-establish a military régime; he can override or undo the laws which
-control the ordinary procedure of life. Hygienic law, like martial law,
-supersedes rights in crises. You are asking me to act as health officer
-of your house. If I’m to do my work, I must have full sway, and I shall
-expect you to see that every member of your household obeys my
-orders—except,” he added, with a twinkle, “Grandma Sharpless. I expect
-she’s too old to take orders from any one. Diplomacy must be my agent
-with her.”
-
-Mr. Clyde pondered. “That’s a pretty wide authority you’re asking.”
-
-“Yes, but I shall use it only in extreme cases. I shall deal
-extensively in advice and suggestion, which you may take or leave as
-you choose. But an order will mean a life or death matter.”
-
-“Agreed. Now, as to terms—”
-
-“Let the terms go, until we see how much I can save you. Meantime,
-don’t overestimate what I undertake to do. Suppose you just run through
-the roster of what you consider the danger points, and I’ll tell you
-how far I can promise anything.”
-
-“First, then, tuberculosis, of course.”
-
-“Practical immunity from that, as long as you maintain your present
-standards of life.”
-
-“Typhoid fever. As I told you, we’ve had one visitation.”
-
-“There’s no reason why you should ever have another if the children
-will take ordinary precautions.”
-
-“Diphtheria?”
-
-“We can’t guarantee the youngsters against getting it, though we can do
-something to protect them. And if they do get it, we can be pretty
-certain of pulling them through.”
-
-“Scarlet fever and measles?”
-
-“Why not add whooping-cough and influenza? The former kills as many
-people as either scarlet fever or measles, and the latter twice as
-many. They’re all in the same category; medical science is pretty near
-helpless against their onset. You and your family may be as rigidly
-careful as they will; if the family next door, or a family at the
-farthermost end of the town, is careless, we’re as likely as not to
-suffer for their sins. All that I can promise, then, is hope against
-the occurrence of these diseases, and the constant watchfulness, when
-they come, which they call for but don’t always get.”
-
-“Cancer?”
-
-“Eternal vigilance, again; so that, if it does come, we may discover it
-in time.”
-
-“Let me see,” mused Mr. Clyde; “what else is there? Oh—nervous and
-functional disorders.”
-
-“Functional disorders mean, usually, either a bad start, or the
-heritage of some disease like scarlet fever or grippe, or excess or
-carelessness in living. I think your household is free from them; and
-it should remain free. As for nervous ailments, they commonly mean lack
-of self-discipline. It may be overindulgence in work”—he glanced down
-at his right hand—“or it may be overindulgence in play.” His glance
-wandered significantly to the doorway, through which the voice of Mrs.
-Clyde could be heard. “By the way, you’ve left out the greatest
-destroyer of all—perhaps because you’re beyond the danger point.”
-
-“Tuberculosis is the greatest destroyer, isn’t it?”
-
-“Not numerically. It is beaten out by the death record of intestinal
-poisoning in the very young. Your flock has run the gamut and come
-through with undiminished vitality. Two of them, however, are running
-life’s race under a handicap”—the father’s eyelids went up—“which I’ll
-take up shortly, when I’ve fully determined the causes. They can be
-repaired, one readily, the other in time. Finally, I hope to be able to
-teach them the gospel of the sound, clean mind in the sound, clean
-body. In a desert I might guarantee immunity from most of the ills that
-flesh is heir to. Amid the complexities of our civilization, disease
-and death are largely social; there is no telling from what friend the
-poison may come. No man can safeguard his house. The most he can hope
-for is a measure of protection. I can offer you nothing more than that,
-under our compact.”
-
-“That is enough,” returned Mr. Clyde. He took from his inner pocket a
-folded paper, which he handed over to the young man. “There’s the
-contract, duly signed. Come in, Grandma.”
-
-Mrs. Sharpless, entering the door, stopped on seeing the two men.
-
-“Business, Tom?” she asked.
-
-“Business that you’re interested in,” said her son-in-law, and briefly
-outlined his plan.
-
-Grandma Sharpless shook a wise gray head. “I’m glad you’re going to
-stay, young man,” said she. “You need looking after. But as for the
-scheme, I don’t hold much with these new-fangled notions.”
-
-“Perhaps it isn’t as new-fangled as you suppose,” returned the head of
-the household. “I’ve just given Dr. Strong a contract, and where do you
-suppose I got it?”
-
-“That lawyer man of yours, probably,” said Mrs. Sharpless.
-
-“Well, he looked it over and made sure it was sound in American law.
-But essentially it’s a copy of a medical contract in force before
-Hippocrates ever rolled a pill. It’s the old logical Chinese form,
-whereby the doctor’s duty is prescribed as warding off sickness, not
-curing it. Is that old-fashioned enough for you, grandma?”
-
-“Chinese! My land!” said the old lady. “What do they know about
-sickness?”
-
-“They know the one most important fact in all medical practice, ma’am,”
-said Dr. Strong, “that the time for locking the stable door is before
-the horse is stolen, and that an ounce of prevention is worth a pound
-of cure.”
-
-
-
-
-II.
-IN TIME OF PEACE
-
-
-“How is the Chinese plan working?” asked Mr. Thomas Clyde, stretching
-himself on the lounge in Dr. Strong’s study.
-
-One week before, the doctor had been officially installed, on the
-Oriental principle of guarding the Clyde household against intruding
-sickness. In that time he had asked few questions. But Mr. Clyde,
-himself a close observer, noted the newcomer’s quietly keen observation
-of the children, and sometimes of Mrs. Clyde, as they met at mealtime.
-He had remarked, too, that the nervous tension of the man was relaxing;
-and guessed that he had found, in his new and unique employment,
-something of that panacea of the troubled soul, congenial work. Now,
-having come to Dr. Strong’s wing of the house by request, he smilingly
-put his question, and was as smilingly answered.
-
-“Your Chinese physician has been making what the Chinese call a
-‘go-look-see.’ In other but less English terms, a reconnaissance.”
-
-“In what department?”
-
-“Earth, air, and water.” The other waved an inclusive hand.
-
-“Any results?”
-
-“Oh, all kinds. Preliminary report now ready. I’d like to make it a
-sort of family conference.”
-
-“Good idea! I’ll send for Mrs. Clyde and Grandma Sharpless.”
-
-“Children out of town?” inquired Dr. Strong suggestively.
-
-“Of course not. Oh, I see. You want us all. Servants, too?”
-
-“The cook certainly. She should be very important to our council of
-war. Perhaps we might leave the rest till later.”
-
-They gathered in the spacious study; and Grandma Sharpless glanced
-round approvingly.
-
-“It’s like family prayers,” she commented.
-
-“Concerted effort _is_ a sort of prayer, if it’s honest,” said Dr.
-Strong gravely. “I’ve never had much of an opinion of the man who gets
-up in meeting to beg the Lord for sound health for himself and family
-and then goes home and sleeps with all his windows closed.”
-
-“There are no closed windows in this house,” said Grandma Sharpless
-emphatically. “I see to that, having been brought up on fresh air
-myself.”
-
-“You show it,” returned the doctor pleasantly.
-
-“And I’ve noticed that this house breathes deep at night, through
-plenty of open windows. So I can save my own breath on that topic. Just
-now I want to talk milk.”
-
-“All our milk comes from my farm,” said the head of the family. “Cows
-are my hobby. You ought to see the place, Strong; it’s only ten miles
-out.”
-
-“I have seen the place.”
-
-“What do you think of it?”
-
-“I think you’d better get your milk somewhere else for a while.”
-
-“Why, Dr. Strong!” protested Mrs. Clyde. “There isn’t a woman among my
-friends who doesn’t envy me our cream. And the milk keeps sweet—oh, for
-days, doesn’t it, Katie?”
-
-“Yes’m,” replied the cook. “Three days, or even four, in the ice-box.”
-
-“Doesn’t that show it’s pure?” asked Mrs. Clyde triumphantly.
-
-Dr. Strong shook his head. “Hardly proof,” he said. “Really clean milk
-will keep much longer. I have drunk milk from the Rochester municipal
-supply that was thirteen days old, and as sweet as possible. And that
-was in a hot August.”
-
-“Thirteen days old! I’d be ashamed to tell it!” declared Grandma
-Sharpless, with so much asperity that there was a general laugh, in
-which the doctor joined.
-
-“I shouldn’t care to try it with your milk. It is rich, but it isn’t by
-any means pure. Eternal vigilance is the price of good milk. I don’t
-suppose you inspect your farm once a month, do you, Mr. Clyde?”
-
-“No; I leave that to the farmer. He’s an intelligent fellow. What’s
-wrong?”
-
-“Scientifically speaking, from 300,000 to 500,000 bacteria per cubic
-centimeter.”
-
-“Do we drink all those things when we have a glass of milk, Dr.
-Strong?” inquired “Manny” Clyde, the oldest boy.
-
-“Four or five times that many for every teaspoonful,” said the doctor.
-“But it isn’t as bad as it sounds, Manny. One hundred thousand is
-considered a fairly safe allowance, though _very_ good milk—the kind I
-drank when it was thirteen days old—may contain only two or three
-thousand. When the count runs up to half a million or so, it shows that
-some kind of impurity is getting in. The bacteria in your milk may not
-be disease germs at all; they may all be quite harmless varieties. But
-sooner or later, if dirt gets into milk, dangerous germs will get in
-with it. The high count is a good danger signal.”
-
-“If Bliss, the farmer, has been allowing dirt to get into the milk,
-he’ll find himself out of a place,” said Mr. Clyde decisively.
-
-“Don’t be too hard on him,” advised the doctor. “His principal fault is
-that he’s getting the milk dirty trying to keep it clean. He is washing
-his cans with water from an open well near the barnyard. The water in
-the well is badly contaminated from surface drainage. That would
-account for the high number of bacteria; that and careless milking.”
-
-“And on that account you advise me to give up the milk?” asked Mr.
-Clyde.
-
-“Only temporarily. There are other more immediate considerations. For
-one thing, there are both diphtheria and typhoid near by, and the
-people on the farm are in contact with them. That’s dangerous. You see,
-milk under favorable conditions is one of the best cultures for germs
-that is known. They flourish and multiply in it past belief. The merest
-touch of contamination may spread through a whole supply, like fire
-through flax. One more thing: one of your cows, I fear, is
-tuberculous.”
-
-“We might pasteurize, I suppose,” suggested Mrs. Clyde anxiously.
-
-Dr. Strong returned a decisive negative. “Pasteurized milk is better
-than poisoned milk,” he said; “but it’s a lot worse than good raw milk.
-Pasteurizing simply means the semi-cooking of all the varieties of
-germs, good and bad. In the process of cooking, some of the nutritive
-quality is lost. To be sure, it kills the bad germs, but it also kills
-the good ones.”
-
-“Do you mean that some of the germs are actually useful?” asked Mrs.
-Clyde.
-
-“Very useful, in certain rôles. For example, the lactic acid bacteria
-would be unpopular with you, Mrs. Clyde, because they are responsible
-for the souring of milk. But they also perform a protective work. They
-do their best to destroy any bacilli of disease which may invade their
-liquid home. Now, when you pasteurize, you kill all these millions of
-defenders; and any hostile germs that come along afterward and get into
-the milk, through dust or other mediums, can take possession and
-multiply without hindrance. Therefore pasteurized milk ought to be
-guarded with extra care after the process, which it seldom is. I once
-visited a large pasteurizing plant which made great boasts of its
-purity of product, and saw flies coming in from garbage pail and manure
-heap to contaminate the milk in the vats; milk helpless to protect
-itself, because all its army of defense had been boiled to death.”
-
-“If we are allowed neither to use our farm milk raw nor to pasteurize
-it, what shall we do with it?” inquired Mr. Clyde.
-
-“Full directions are in there,” answered Dr. Strong, pointing to an
-envelope on his desk. “If you’ll look over what I’ve written, and
-instruct your farmer to follow it out, you’ll have milk that is
-reasonably good. I’ll go further than that; it will be even good enough
-to give to the babies of the tenements, if you should have any left
-over.”
-
-Mr. Thomas Clyde proceeded to rub his chin, with some degree of
-concentration, whereby Dr. Strong knew that his hint had struck in.
-
-“Meantime,” said Mrs. Clyde, with a trace of sarcasm, “do you expect us
-to live on condensed milk?”
-
-“Not at all; on certified milk.”
-
-“What’s that mean?” asked Miss Julia, who had a thirst for information.
-
-“What’s a certificate, Junkum?” retorted the doctor.
-
-“That’s what I get when I pass my examinations.”
-
-“Right! Well, milk coming from a farm that passes all its examinations
-gets a certificate from the Medical Society, which keeps a pretty
-constant watch over it. The society sees that all the cattle are tested
-for tuberculosis once in so often; that the cows are brushed off before
-milking; that the milking is done through a cloth, through which no
-dirt or dust can pass, into a can that has been cleaned by steam—not by
-contaminated water—so that no germs will remain alive in it; then
-cooled and sealed up and delivered. From the time the milk leaves the
-cow until it comes on your table, it hasn’t touched anything that isn’t
-germ-proof. That is the system I have outlined in the paper for your
-farmer.”
-
-“It sounds expensive,” commented Mrs. Clyde.
-
-“Yes; that is the drawback. Certified milk costs from fifteen to twenty
-cents a quart. But when you consider that nearly half the dead babies
-were poisoned by bad milk it doesn’t seem so expensive, does it?”
-
-“All very well for us,” said Mr. Clyde thoughtfully. “We can afford it.
-But how about the thousands who can’t?”
-
-“There’s the pity of it. Theoretically every city should maintain a
-milk standard up to the requirements of the medical certification, and
-allow no milk to be sold which falls short of that. It’s feasible, and
-it could be done at a moderate price if we could educate the farmer to
-it. Copenhagen’s milk supply is as good as the best certified milk in
-this country, because the great Danish Milk Company cooperates with the
-farmer, and doesn’t try to make huge profits; and its product sells
-under five cents a quart. But, to answer your question, Mr. Clyde: even
-a family of very moderate means could afford to take enough certified
-milk for the baby, and it would pay in doctor’s bills saved. Older
-children and grown-ups aren’t so much affected by milk.”
-
-“I’ll go out to the farm to-morrow,” said Mr. Clyde. “What’s next?”
-
-“Water, Mr. Clyde. I’ve found out where you got your typhoid, last
-summer.”
-
-“Pooh! I could have told you that,” said Mrs. Sharpless. “There was
-sewer-gas in the house. It smelled to heaven the day before he was
-taken down.”
-
-“Isn’t it curious how our belief in ghosts sticks to us!” commented the
-doctor, chuckling,—“malaria rising from swamps; typhoid and diphtheria
-rising in sewer-gas; sheeted specters rising from country
-graveyards—all in the same category.” Grandma Sharpless pushed her
-spectacles up on her forehead, a signal of battle with her. “Do you
-mean to tell me, young man, that there’s no harm in sewer-gas?”
-
-“Far from it! There’s harm enough in sewer-gas, but no germs. The harm
-is that the gas reduces vitality, and makes one more liable to disease
-attack. It’s just as true of coal-gas as of sewer-gas, and more true of
-ordinary illuminating gas than either. I’d much rather have bad
-plumbing in the house than even a small leak in a gas-pipe. No, Mrs.
-Sharpless, if you waited all day at the mouth of a sewer, you’d never
-catch a germ from the gas. Moreover, typhoid doesn’t develop under ten
-days, so your odorous outbreak of the day before could have had nothing
-to do with Mr. Clyde’s illness.”
-
-“Perhaps you’ll give us _your_ theory,” said the old lady, with an
-elaboration of politeness which plainly meant, “And whatever it is, I
-don’t propose to believe it.”
-
-“Not mine, but the City Water Commissioner’s. Mr. Clyde’s case was one
-of about eighty, all within a few weeks of each other. They were all
-due to the criminal negligence of a city official who permitted the
-river supply, which isn’t fit to drink and is used only for fire
-pressure, to flood into the mains carrying the drinking supply.”
-
-“Then why didn’t the whole city get typhoid?” asked Mr. Clyde.
-
-“Because only a part of the system was flooded by the river water. The
-problem of the city’s experts was to find out what part was being
-contaminated with this dilute sewage. When the typhoid began to appear,
-the Health Department, knowing the Cypress supply to be pure, suspected
-milk. Not until a score of cases, showing a distribution distinct from
-any milk supply, had appeared, was suspicion directed to the water
-supply. Then the officials of the Water Department and Health
-Department tried a very simple but highly ingenious test. They dumped a
-lot of salt into the intake of the river supply, and tested hydrant
-after hydrant of the reservoir supply, until they had a complete
-outline of the mixed waters. From that it was easy to ascertain the
-point of mixture, and stop it.”
-
-“Our river water is always bad, isn’t it?” said Mr. Clyde. “Last summer
-I had to keep Charley away from swimming-school because the tank is
-filled from the river, and two children got typhoid from swallowing
-some of it.”
-
-“All foolishness, I say,” announced the grandmother. “Better let ‘em
-learn to swim.”
-
-“Can’t you swim at all?” asked Dr. Strong, turning to the
-seven-year-old.
-
-“I went five strokes once,” said Charley. “Hum-m-m! Any other
-swimming-school near by?”
-
-“No.”
-
-“And are the children about water at all?” Dr. Strong asked the mother.
-
-“Well; there are the canal and the river both near us, you know.”
-
-“Then it comes down to this,” said the doctor. “The liability of
-typhoid from what water Charley would swallow in the tank isn’t very
-great. And if he should get it, the chances are we could pull him
-through. With the best care, there should be only one chance in fifty
-of a fatal result. But if Charley falls in the canal and, not knowing
-how to swim, is drowned, why, that’s the end of it. Medical science is
-no good there. Of two dangers choose the lesser. Better let him go on
-with the swimming, Mrs. Clyde.”
-
-“Well!” said Grandma Sharpless, “I—I—I—swanny!” This was extreme
-profanity for her. “Young man, I’m glad to see for once that you’ve got
-sense as well as science!”
-
-“Do you consider the Cypress supply always safe to drink? Several times
-it has occurred to me to outfit the house with filters,” said Mr.
-Clyde.
-
-“No need, so long as the present Water Department is in office,”
-returned Dr. Strong. “I might almost add, no use anyway.”
-
-“Isn’t filtered water good?” asked Manny. “They have it at the
-gymnasium.”
-
-“No house filter is absolutely sure. There’s just one way to get a
-guaranteeable water: distill it. But I think you can safely use the
-city supply.”
-
-“What next, the water problem being cleared up?” asked Mr. Clyde.
-
-“By no means cleared up. Assuming that you are reasonably safeguarded
-at home, you’re just as likely—yes, even more likely—to pick up typhoid
-somewhere else.”
-
-“Why more likely?”
-
-“For some mysterious reason a man accustomed to a good water supply is
-the easiest victim to a bad. Pittsburg, for many years the most
-notorious of American cities for filthy drinking, is a case in point.
-Some one pointed out that when Pittsburg was prosperous, and wages
-high, the typhoid rate went up; and when times were hard, it went down.
-Dr. Matson, of the Health Bureau, cleared up that point, by showing
-that the increase in Pittsburg’s favorite disease was mainly among the
-newcomers who flocked to the city when the mills were running full
-time, to fill the demand for labor. An old resident might escape, a new
-one might hardly hope to. Dr. Matson made the interesting suggestion
-that perhaps those who drank the diluted sewage—for that is what the
-river water was—right along, came, in time, to develop a sort of
-immunity; whereas the newcomer was defenseless before the bacilli.”
-
-“Then a man, in traveling, ought to know the water supply of every city
-he goes to. How is he to find out?”
-
-“In your case, Mr. Clyde, he’s to find out from his Chinese doctor,”
-said the other smiling. “I’m collecting data from state and city health
-boards, on that and other points. Air will now come in for its share of
-attention.”
-
-Young Manny Clyde grinned. “What’s the use, Dr. Strong?” he said.
-“Nothing to breathe but air, you know.”
-
-“True enough, youngster; but you can pick your air to some extent, so
-it’s worth while to know where it’s good and where it’s bad. Take
-Chicago, for instance. It has a very high pneumonia rate, and no
-wonder! The air there is a whirling mass of soot. After breathing that
-stuff a while, the lungs lose something of their power to resist, and
-the pneumococcus bacillus—that’s the little fellow that brings
-pneumonia and is always hanging about, looking for an opening in
-unprotected breathing apparatus—gets in his deadly work. Somewhere I’ve
-seen it stated that one railroad alone which runs through Chicago
-deposits more than a ton of cinders per year on every acre of ground
-bordering on its track. Now, no man can breathe that kind of an
-atmosphere and not feel the evil effects. Pittsburg is as bad, and
-Cincinnati and Cleveland aren’t much better. We save on hard coal and
-smoke-consumers, and lose in disease and human life, in our soft-coal
-cities. When I go to any of them I pick the topmost room in the highest
-hotel I can find, and thus get above the worst of it.”
-
-“Don’t tell me that New York is unfit to breathe in!” said Mrs. Clyde,
-with a woman’s love for the metropolis.
-
-“Thus far it’s pretty clean. The worst thing about New York is that
-they dry-sweep their streets and throw all the dust there is right in
-your face. The next worst is the subway. When analysis was made of the
-tube’s air, the experimenters were surprised to find very few germs.
-But they were shocked to find the atmosphere full of tiny splinters of
-steel. It’s even worse to breathe steel than to breathe coal.”
-
-“Any railroad track must be bad, then,” said Mr. Clyde.
-
-“Not necessarily. A steam railroad track runs mostly in the open, and
-that great cleaner, the wind, takes care of most of the trouble it
-stirs up. By the way, the cheaper you travel, the better you travel.”
-
-“That sounds like one of those maxims of the many that only the few
-believe,” remarked Mrs. Clyde.
-
-“You won’t practice it, but you can safely believe it,” retorted the
-doctor. “The atmosphere in a day coach is always better than in a
-parlor car, because there’s an occasional direct draft through. As for
-a sleeping-car,—well, I never get into one without thinking of the
-definition in ‘Life’s’ dictionary: ‘Sleeping-Car—An invention for the
-purpose of transporting bad air from one city to another.’”
-
-“The poor railroads!” chuckled Mr. Clyde. “They get blamed for
-everything, nowadays.”
-
-“It may not be the Pullman Company’s fault that I don’t sleep well in
-traveling, but they are certainly to blame for clinging to a type of
-conveyance specially constructed for the encouragement of dirt and
-disease. Look at the modern sleeping-car: heavy plush seats; soft
-hangings; thick carpets; fripperies and fopperies all as gorgeous,
-vulgar, expensive, tawdry, and filthy as the mind of man can devise.
-Add to that, windows hermetically sealed in the winter months and
-you’ve got an ideal contrivance for the encouragement of mortality.
-Never do I board a sleeper without a stout hickory stick in my
-suit-case. No matter how low the temperature is, I pry the window of my
-lower berth open, and push the stick under.”
-
-“And sleep in that cold draft!” cried Mrs Clyde.
-
-“My dear Mrs. Clyde,” replied the doctor suavely, “will you tell me the
-difference between a draft and a wind?”
-
-“Is it a conundrum?”
-
-“No; but I’ll answer it for you. A draft is inside a house; a wind
-outside. You’re not afraid of wind, are you?”
-
-“Of course not.”
-
-“Then to you an air-current is like a burglar. It’s harmless enough
-outside the room, but as soon as it comes through a window and gets
-into the room, it’s dangerous.”
-
-“Sound common sense!” put in Granny Sharpless. “Young man, I believe
-you’re older than you look.”
-
-“I’m old enough to know that pure air is better than foul warm air,
-anyway. Here; I want you youngsters to understand this,” he added,
-turning to the children. “When the blood has circulated through the
-system, doing all the work, it gets tired out and weak. Then the lungs
-bring air to it to freshen it up, and the oxygen in the air makes it
-strong to fight against disease and cold. But if the air is bad, the
-blood becomes half starved. So the man who breathes stuffy, close air
-all night hasn’t given his blood the right supply. His whole system is
-weakened, and he ‘catches cold,’ not from too much air, but too
-little.”
-
-“It’s often struck me,” said Mr. Clyde, “that I feel better traveling
-in Europe than in America. Yet our Pullmans are supposed to be the best
-in the world.”
-
-“The worst!” declared Dr. Strong forcefully. “The best in luxuries, the
-worst in necessities. The only real good and fairly sanitary cars
-operated by the Pullman Company, outside of the high-priced stateroom
-variety, are the second class transcontinentals, the tourist cars. They
-have straw seats instead of plush; light hangings, and, as a rule, good
-ventilation. If I go to the Pacific Coast again, it will be that way.”
-
-There was a pause, in which rose the clear whisper of Bobs, appealing
-to his mentor, Julia, for information.
-
-“Say, Junkum, how did we get so far away from home?”
-
-“High time we came back, isn’t it, Bobs?” approved the doctor. “Well,
-suppose we return by way of the school-house. All of you go to Number
-Three but Betsey, don’t you?”
-
-“And I’m go-un next year,” announced that young lady.
-
-“Perhaps not,” said Mrs. Clyde. “Don’t you think, Doctor, that children
-are liable to catch all sorts of things in the public schools?”
-
-“Unquestionably.”
-
-“More so than in private schools, aren’t they?”
-
-“Hum! Well, yes; since they’re brought into contact with a more
-miscellaneous lot of comrades.”
-
-“Which is exactly why I have insisted on our sticking to the regular
-schools,” put in Mr. Clyde, with the air of quiet decisiveness. “I want
-our children to be brought up like other children!” The mother shook
-her head dubiously. “I wish I were sure it is the right place for
-them.”
-
-“You ought to be sure. I might even say—if you will forgive the implied
-criticism—that you ought to be surer than you are.”
-
-Alarmed at his tone, the mother leaned forward. “Is there anything the
-matter at Number Three?”
-
-“Several things. Nothing that you need worry about immediately,
-however. I’ve been talking with some of the teachers, and found out a
-few points. Charley’s teacher, for instance, tells me that she has a
-much harder time keeping the children up to their work in the winter
-term than at other times.”
-
-“I remember Charley’s tantrums over his arithmetic, last winter,” said
-Grandma Sharpless.
-
-“My head felt funny. Kinder thick,” defended Charley.
-
-“That is bad,” said Dr. Strong, “very bad. I’ve reported the teacher in
-that grade to Dr. Merritt, the Health Officer.”
-
-“Reported teacher?” said Charley, his eyes assuming a prominence quite
-startling. “What for?”
-
-“Starving her grade.”
-
-Mrs. Clyde fairly bounced in her chair. “Our children are not supposed
-to eat at school, Dr. Strong.”
-
-“Starving her grade,” continued the doctor, “in the most important need
-of the human organism, air.”
-
-“How do you reach that conclusion?”
-
-“Evidence and experience. I remember in my college days that the winter
-term was considered to be the most difficult in every year. The
-curriculum didn’t seem to show it, but every professor and every
-undergraduate knew it. Bad air, that’s all. The recitation rooms were
-kept tightly closed. The human brain can’t burn carbon and get a bright
-flame of intelligence without a good draft, and the breathing is the
-draft. Now, on the evidence of Charley’s teacher, when winter comes
-percentages go down, although the lessons are the same. So I asked her
-about the ventilation and found that she had a superstitious dread of
-cold.”
-
-“I remember Miss Benn’s room,” said Julia thoughtfully. “It used to get
-awful hot there. I never liked that grade anyway, and Bobs got such bad
-deportment marks.”
-
-“Both of the twins had colds all the winter they were in that room,”
-contributed Grandma Sharpless.
-
-Up went Dr. Strong’s hands, the long fingers doubled in, in a curious
-gesture which only stress of feeling ever drove him to use.
-
-“‘When will the substitute mothers and fathers who run our schools
-learn about air!” he cried. “Air! It’s the first cry of the newly born
-baby. Air! It’s the last plea of the man with the death-rattle in his
-throat. It’s the one free boon, and we shut it out. If I’m here next
-winter, I think I’ll load up with stones and break some windows!”
-
-“Lemme go with you!” cried Charley, with the eagerness of destruction
-proper to seven years. “On the whole, Charley,” replied the other,
-chuckling a little, “perhaps it’s better to smash traditions. Not
-easier, but better.”
-
-“But you wouldn’t have them study with all the windows open on a zero
-day!” protested Mrs. Clyde.
-
-“Wouldn’t I! Far rather than choke them in a close room! Why, in
-Chicago, the sickly children have special classes on the roof, or in
-the yards, all through the cold weather. They study in overcoats and
-mittens. And they _learn_. Not only that, but they thrive on it.”
-
-Mr. Clyde was rubbing his chin hard. “Perhaps our school system isn’t
-all I bragged,” he observed.
-
-“Not in all respects. You still stick to that relic of barbarism, the
-common drinking-cup, after filtering your water. That’s a joke!”
-
-“I don’t see the point,” confessed Mr. Clyde. “Whom is the joke on?”
-
-“All of you who pay for the useless filters and then settle doctors’
-bills for the disease spread by the drinking-cups. Don’t you understand
-that in the common contagious diseases, the mouth is the danger point?
-Now, you may filter water till it’s dry, but if in drinking it you put
-your lips to a cup soiled by the touch of diseased lips, you’re in
-danger. We think too much of the water and too little of what contains
-it. I’ve seen a school in Auburn, New York, and I’ve seen a golf course
-at the Country Club in Seattle, where there isn’t a glass or cup to be
-found; and they have two of the best water supplies I know. A tiny
-fountain spouts up to meet your lips, and your mouth touches nothing
-but the running water. The water itself being pure, you can’t possibly
-get any infection from it.”
-
-“Can you get me a report on that for the Board of Education?” asked Mr.
-Clyde.
-
-“It’s already here,” said Dr. Strong quietly. “That is part of my
-Chinese job of watch-dog. One other matter. A teacher in another grade,
-at Number Three, with whom I talked, stood with a pencil, which she had
-taken from one of her scholars, pressed to her lips. While we talked
-she gave it back to the child.”
-
-“Well, land sakes!” said Grandma Sharpless, “where’s the harm? I
-suppose the poor girl was clean, wasn’t she?”
-
-“How do I know? How does anybody know? There is a case on record where
-a teacher carried the virulent bacilli of diphtheria in her throat for
-three months. Suppose she had been careless about putting her lips to
-the various belongings of the children. How many of them do you suppose
-she would have killed with the deadly poison?”
-
-“Didn’t she know she had diphtheria?” asked Junkum, wide-eyed.
-
-“She hadn’t, dear. She was what we call a ‘carrier’ of disease. For
-some reason which we can’t find out, a ‘carrier’ doesn’t fall ill, but
-will give the disease to any one else as surely as a very sick person,
-if the germs from the throat reach the throat or lips of others.”
-
-“Some lectures on hygiene might not be amiss in Number Three,” said Mr.
-Clyde.
-
-“That’s what medical school inspectors are for—to teach the teachers.
-The Board of Education should be getting it started.”
-
-“What are you doing over there, Twinkles?” said Mr. Clyde to Bettina,
-who had slipped from his knee and was sliding her chubby fist along the
-window-pane.
-
-The child looked around. “Thwat that fly,” she explained with perfect
-seriousness.
-
-“She has heard the other children talking about the fly-leaflets that
-have been scattered around. Where’s the fly, Toodles?”
-
-“Up they-arr,” replied Bettina, pointing to a far corner of the pane
-where a big “green-bottle” bumped its head against the glass. “Come
-down, buzzy fly.”
-
-“Now, where,” cried Mrs. Clyde, in despair, “do you suppose that
-wretched creature came from? I’m so particular always to keep the rooms
-screened and darkened.”
-
-“Please’m, it might have come from the kitchen,” suggested Katie.
-“There’s a plenty of ‘em there.”
-
-“And before that it came from your next-door neighbor’s manure-heap,”
-added Dr. Strong. “That particular kind of fly breeds only in manure.
-The fact is that the fly is about the nastiest thing alive. Compared to
-it, a hog is a gentleman, and a vulture an epicure. It loves filth, and
-unhappily, it also loves clean, household foods. Therefore the path of
-its feet is direct between the two—from your neighbor’s stable-yard to
-your dinner-table.”
-
-“Disgusting!” cried Mrs. Clyde.
-
-“Worse than disgusting: dangerous,” returned Dr. Strong, unmoved by her
-distaste. “A fly’s feet are more than likely to be covered with
-disease-bearing matter, which he leaves behind him.”
-
-“Something ought to be done about Freeman’s manure-heap, next door.
-I’ll see to it,” announced Mr. Clyde.
-
-“Doubtless you could report him for maintaining a nuisance,” admitted
-Dr. Strong; “in which case he might—er—conceivably retort upon you with
-your unscreened garbage-pails, which are hatcheries for another variety
-of fly.”
-
-“That’s a beam in the eye for you, Tom,” said Grandma Sharpless.
-
-“Meantime I’ll have the kitchen windows and doors screened at once,”
-declared Mrs. Clyde.
-
-“That will help,” said Dr. Strong, “though it won’t cure. You can gain
-some idea, from this matter of the flies, how intricate a social
-problem health really is. No man sins to himself alone, in hygiene, and
-no man can thoroughly protect himself against the misdeeds of his
-neighbor. It’s true that there is such a thing as individual
-self-defense by a sort of personal fortifying of the body—I’ll take
-that up some other time—but it’s very limited. You can carry the fight
-into the enemy’s country and eradicate the evil conditions that
-threaten all, only by identifying yourself with your environment, and
-waging war on that basis. Mr. Clyde, do you know anything about the row
-of wooden tenements in the adjoining alley?”
-
-“Saddler’s Shacks? Not much, except that a lot of Italians live there.”
-
-“Some live; some die. The whole settlement is a scandal of
-overcrowding, dirt, and disease. I’ve made out a little local health
-report of the place, for the year. Of course, it’s incomplete; but it’s
-significant. Look it over.”
-
-Mr. Clyde read aloud as follows:—
-
-Diphtheria 11 cases 2 deaths Measles 20 1 Typhoid
-fever 4 2 Scarlet fever 13 1 Whooping-cough 20 3
-Acute intestinal trouble 45 10 Influenza 16 1
-Tuberculosis 6 1 Pneumonia 9 4
-
-“What do you think of it?” asked Dr. Strong.
-
-“It’s a bad showing.”
-
-“It’s a bad showing and a bad property. Why don’t you buy it?”
-
-“Who? I? Are you advising me to buy a job-lot of diseases?” queried Mr.
-Clyde.
-
-“Well—as a protective investment. We’d be safe here if those tenements
-were run differently.”
-
-“But we aren’t in touch with them at all. They are around the corner on
-another block.”
-
-“Nevertheless, visitors pass daily between your house and Saddler’s
-Shacks. One of the young men from there delivers bread, often with his
-bare and probably filthy hands. Two of the women peddle fruit about the
-neighborhood. What Saddler’s Shacks get in the way of disease, you may
-easily get by transmission from them. Further, the sanitary
-arrangements of the shacks are primitive, not to say prehistoric, and,
-incidentally, illegal. They are within the area of fly-travel from
-here, so both the human and the winged disease-bearers have the best
-possible opportunity to pick up infection in its worst form.”
-
-“Ugh!” said Mrs. Sharpless. “I’ll never eat with a fly again as long as
-I live!”
-
-“Wouldn’t it be a simple matter to have the Bureau of Health condemn
-the property?” asked Mr. Clyde.
-
-“It would not.” Dr. Strong spoke with curt emphasis.
-
-“Certain features, you said, are illegal.”
-
-“But pull is still stronger than law in this city.”
-
-“Who owns Saddler’s Shacks?” asked Grandma Sharpless, going with
-characteristic directness to the point.
-
-“Mrs. Carson Searle.”
-
-“Why, then, it’s all right,” asserted Mrs. Clyde. “I know Mrs. Searle
-very well. She’s a leader in church and charitable work. Of course, she
-doesn’t know about the condition of the property.”
-
-“She knows enough about it,” retorted Dr. Strong grimly, “to go to the
-Mayor over the Health Officer’s head, and put a stop to Dr. Merritt’s
-order for the premises to be cleaned up at the owner’s expense. She
-wants her profits undisturbed. And now, before the conference breaks
-up, I propose that we organize the Household Protective Association.”
-
-“Oh, can we children belong?” cried Julia.
-
-“Of course. There are offices and honors enough for all. Mr. Clyde
-shall be president; Mrs. Sharpless, vice-president and secretary; Mrs.
-Clyde, treasurer, and each one of the rest of you shall have a
-committee. Katie, I appoint you chairman of the Committee on Food, and
-if any more flies get into your kitchen, you can report ‘em to the
-Committee on Flies, Miss Bettina Clyde, chairman; motto, ‘Thwat that
-fly!’ Manny, you like to go to the farm; you get the Committee on Milk
-Supply. Junkum, your committee shall be that of school conditions.
-Bobs, water is your element. As Water Commissioner you must keep watch
-on the city reports. I’ll see that they are sent you regularly; and the
-typhoid records.”
-
-“You haven’t left anything for me,” protested Charley.
-
-“Haven’t I! You’ve got one of the biggest of all jobs, air. If the
-windows aren’t properly wide when the house is asleep, I want to know
-it from you, and you’ll have to get up early to find out. If the Street
-Cleaning Department sweeps the air full of dust because it’s too lazy
-to wash down the roadway first, we’ll make a committee report to the
-Mayor.”
-
-Bettina, _alias_ Toots, _alias_ Twinkles, _alias_ the Cherub, trotted
-over and laid two plump hands on the doctor’s knee.
-
-“Ain’t you goin’ to be anyfing in the play?” she asked.
-
-“I?” said Dr. Strong. “Of course, Toots. Every real association has to
-have officers and membership, you know. I’m the Member.”
-
-
-
-
-III.
-REPAIRING BETTINA
-
-
-“Medicine would be the ideal profession if it did not involve giving
-pain,” said Dr. Strong, setting a paper-weight upon some school reports
-which had just come in.
-
-“You’ve been here three months and you haven’t hurt any one yet,” said
-Mr. Clyde easily.
-
-“No. I’ve been cautious, and perhaps a little cowardly. My place as
-Chinese doctor has been such a sinecure that I’ve let things go.
-Moreover, I’ve wanted to gain Mrs. Clyde’s confidence as much as
-possible, before coming to the point.”
-
-The expression of Mr. Clyde’s keen, good-humored face altered and
-focused sharply. He scrutinized the doctor in silence. “Well, let’s
-have it,” he said at length. “Is it my wife?”
-
-“No. It’s Bettina.”
-
-The father winced. “That baby!” he said. “Serious?”
-
-“On the contrary, quite simple. _If_ it is handled wisely. But it
-means—pain. Not a great deal; but still, pain.”
-
-“An operation?”
-
-Dr. Strong nodded. “Merely a minor one. I’ve sounded Mrs. Clyde,
-without her knowing it, and she will oppose it. Mrs. Sharpless, too, I
-fear. You know how women dread suffering for the children they love.”
-
-Again Mr. Clyde winced. “It’s—it’s necessary, of course,” he said.
-
-“Not to do it would be both stupid and cruel. Shall we call in the
-women and have it out with them?”
-
-For reply, Mr. Clyde pressed a button and sent the servant who
-responded, for Mrs. Clyde and her mother. Grandma Sharpless arrived
-first, took stock of the men’s grave faces, and sat down silently,
-folding her strong, competent hands in her lap. But no sooner had Mrs.
-Clyde caught sight of her husband’s face than her hand went to her
-throat.
-
-“What is it?” she said. “The children—”
-
-“Nothing to be alarmed about, Mrs. Clyde,” said Dr. Strong quickly. He
-pushed a chair toward her. “Sit down. It’s a question of—of what I
-might call carpenter-work”—the mother laughed a nervous relief—“on
-Betty.”
-
-“Betty?” Her fears fluttered in her voice. “What about Betty?”
-
-“She needs repairing; that’s all.”
-
-“I don’t know what you mean! Is she hurt?”
-
-“Not at all. She is breathing wrong. She breathes through her mouth.”
-
-“Oh!” There was reassurance and a measure even of contempt in Mrs.
-Clyde’s voice. “Lots of children do that. Perhaps she’s got a little
-cold.”
-
-“It isn’t that. This is no new thing with her. She is a
-mouth-breather.”
-
-“I’ll see that it’s corrected,” promised the mother.
-
-“Only one thing can correct it,” said Dr. Strong gravely. “There’s a
-difficulty that must be removed.”
-
-“You mean an operation? On that baby? Do you know that she isn’t five
-yet? And you want to cut her with a knife—”
-
-“Steady, Myra,” came Mr. Clyde’s full, even speech. “Dr. Strong doesn’t
-_want_ to do anything except what he considers necessary.”
-
-“Necessary! Supposing she does breathe through her mouth! What excuse
-is that for torturing her—my baby!”
-
-“I’ll answer that, Mrs. Clyde,” said the doctor, with patient
-politeness. Walking over to the window he threw it up and called, “Oh,
-Tootles! Twinkles! Honorable Miss Cherub, come up here. I’ve got
-something to show you.” And presently in came the child, dragging a
-huge and dilapidated doll.
-
-She was a picture of rosy health, but, for the first time, the mother
-noted the drooping of the lower jaw, and the slight lift of the upper
-lip, revealing the edges of two pearly teeth. Dr. Strong took from a
-drawer a little wooden box, adjusted a lever and, placing the ear
-pieces in Betty’s ears, bade her listen. But the child shook her head.
-Again he adjusted the indicator. This time, too, she said that she
-heard nothing. Not until the fourth change did she announce delightedly
-that she heard a pretty bell, but that it sounded very far away.
-
-“Now we’ll try it on mother,” said the experimenter, and added in a low
-tone as he handed it to Mrs. Clyde, “I’ve set it two points less loud
-than Betty’s mark. Can you hear it?”
-
-Mrs. Clyde nodded. A look of dread came into her eyes.
-
-“Now, Tootles, open your mouth,” directed the doctor, producing a
-little oblong metal contrivance.
-
-“I haven’t got any sore froat,” objected the young lady.
-
-“No, but I want to look at the thoughts inside your head,” he explained
-mysteriously.
-
-With entire confidence the child opened her mouth as wide as possible,
-and Dr. Strong, setting the instrument far back against her tongue,
-applied his eye to the other end.
-
-“All right, Toots,” he said, after a moment. “Get your breath, and then
-let mother look.”
-
-He showed Mrs. Clyde how to press the tiny button setting aglow an
-electric lamp and lighting up the nasal passages above the throat,
-which were reflected on a mirror within the contrivance and thus made
-clear to the eye. Following his instructions, she set her eye to the
-miniature telescope as the physician pressed it against the little
-tongue.
-
-“Well, Betty,” said Dr. Strong, as the implement was again withdrawn,
-“you’ve got very nice thoughts inside that wise little head of yours.
-Now you can continue bringing up your doll in the way she should go.”
-
-As the door closed behind her the mother turned to Dr. Strong.
-
-“Is she going to be deaf?” she asked breathlessly.
-
-“Of course not,” he reassured her. “That will be taken care of. What
-did you see above the back of the throat?”
-
-“Little things like tiny stalactites hanging down.”
-
-“Adenoids.”
-
-“Where could she have gotten adenoids?” cried Mrs. Clyde.
-
-“From her remotest imaginable ancestor, probably.”
-
-“Why, aren’t they a disease?”
-
-“No. An inheritance. The race has always had them. Probably they’re
-vestigial salivary glands, the use of which we’ve outgrown.
-Unfortunately they may overdevelop and block up the air-passages. Then
-they have to come out.”
-
-For the first time in the conference Grandma Sharpless gathered force
-and speech.
-
-“Young man,” she said solemnly—rather accusingly, in fact—“if the Lord
-put adenoids in the human nose he put ‘em there for some purpose.”
-
-“Doubtless. But that purpose, whatever it may have been, no longer
-exists.”
-
-“Everything in the human body has some use,” she persisted.
-
-“Had,” corrected Dr. Strong. “Not has. How about your appendix?”
-
-Mrs. Sharpless’s appendix, like the wicked, had long since ceased from
-troubling, and was now at rest in alcohol in a doctor’s office, having,
-previous to the change of location, given its original proprietress the
-one bad scare of her life. Therefore, she blinked, not being provided
-with a ready answer.
-
-“The ancestors of man,” said Dr. Strong, “were endowed with sundry
-organs, like the appendix and the adenoids, which civilized man is
-better off without. And, as civilized man possesses a God-given
-intelligence to tell him how to get rid of them, he wisely does so when
-it’s necessary.”
-
-“What have the adenoids to do with Betty’s deafness?” asked Mr. Clyde.
-
-“Everything. They divert the air-currents, thicken the tubes connecting
-throat and ear, and interfere with the hearing. Don’t let that little
-deficiency in keenness of ear bother you, though. Most likely it will
-pass with the removal of the adenoids. Even if it shouldn’t, it is too
-slight to be a handicap. But I want the child to be repaired before any
-of the familiar and more serious adenoid difficulties are fixed on her
-for life.”
-
-“Are there others?” asked Mrs. Clyde apprehensively.
-
-“Oh, every imaginable kind. How could it be otherwise? Here’s the very
-first principle of life, the breath, being diverted from its proper
-course, in the mouth-breather; isn’t a general derangement of functions
-the inevitable result? The hearing is affected, as I’ve shown you
-already. The body doesn’t get its proper amount of oxygen, and the
-digestion suffers. The lungs draw their air-supply in the wrong way,
-and the lung capacity is diminished. The open mouth admits all kinds of
-dust particles which inflame the throat and make it hospitable to
-infection. By incorrect breathing the facial aspect of the
-mouth-breather is variously modified and always for the worse; since
-the soft facial bones of youth are altered by the continual striking of
-an air-current on the roof of the mouth, which is pushed upward,
-distorting the whole face.”
-
-“None of _our_ children are distorted. You won’t find a better-looking
-lot anywhere,” challenged Mrs. Sharpless, the grandmother’s pride up in
-arms.
-
-“True. None of them has had overdeveloped adenoids, except Betty. The
-others all breathe through their noses. See how different their mouths
-are from Betty’s lifting upper lip—very fascinating now, but
-later—Well, I’ve gone so far as to prepare an object-lesson for you.
-Three extreme types of the mouth-breathers are here from school by my
-invitation to have some lemonade and cakes. They are outside now. When
-they come in, I want each of you to make an analysis of one of them,
-without their seeing it, of course. Talk with them about their work in
-school. You may get ideas from that. Mrs. Sharpless, you take the
-taller of the girls; Mrs. Clyde, you study the shorter. The boy goes to
-you, Mr. Clyde.”
-
-The trio of visitors entered, somewhat mystified, but delighted to be
-the guests of their friend, Dr. Strong, who had a faculty of
-interesting children. So shrewdly did he divert and hold their
-attention that they concluded their visit and left without having
-suspected the scrutiny which they had undergone.
-
-“Now, Mrs. Clyde,” said Dr. Strong, after the good-byes were said,
-“what about your girl?”
-
-“Nothing in particular except that she’s mortally homely and doesn’t
-seem very bright.”
-
-“Homely in what respect?”
-
-“Well, hatchet-faced, to use a slang term.”
-
-“It’s not a slang term any more; it’s a medical term to describe a
-typical result of mouth-breathing. The diversion of the breath destroys
-the even arch of the teeth, pushes the central teeth up, giving that
-squirrel-like expression that is so unpleasantly familiar, lengthens
-the mouth from the lower jaw’s hanging down, and sharpens the whole
-profile to an edge, and an ugly one. Adenoids!”
-
-“My tall girl I thought at first was dull, but I found the poor thing
-was a little deaf,” said Grandma Sharpless. “She’s got a horrid skin;
-so sallow and rough and pimply. I don’t think her digestion is good. In
-fact, she said she had trouble with her stomach.”
-
-“Naturally. Her teeth are all out of place from facial malformation
-caused by mouth-breathing. That means that she can’t properly chew her
-food. That means in turn that her digestion must suffer. That, again,
-means a bad complexion and a debilitated constitution. Adenoids! What’s
-your analysis, Mr. Clyde?”
-
-“That boy? He’s two grades behind where he should be in school. It
-takes him some time to get the drift of anything that’s said to him. I
-should judge his brain is weak. Anyway, I don’t see where he keeps it,
-for the upper part of his face is all wrong, the roof of the mouth is
-so pushed up. The poor little chap’s brain-pan must be contracted.”
-
-“Perfectly correct, and all the result of adenoids again. The boy is
-the worst example I’ve been able to find. But all three of the children
-are terribly handicapped; one by a painful homeliness, one by a ruined
-digestion, and the boy by a mental deficiency—and all simply and solely
-because they were neglected by ignorant parents and still more ignorant
-school authorities.”
-
-“Would you have the public schools deal with such details?” asked Mr.
-Clyde.
-
-“Certainly. Have you ever heard what Goler, the Health Officer of
-Rochester, asked that city? ‘Oughtn’t we to close the schools and
-repair the children?’ he asked, and he kept on asking, until now
-Rochester has a regular system of looking after the noses, mouths, and
-eyes of its young. They want their children, in that city, to start the
-battle of life in fighting trim.”
-
-“But you don’t see many misshapen children about,” objected Mrs.
-Sharpless.
-
-“Then it’s because you don’t look. Call to your mind Hogarth’s
-caricatures. Do you remember that in his crowds there are always
-clubfooted, or humpbacked, or deformed people? In those days such
-deformities were very common because medical science didn’t know how to
-correct them in the young. To-day facial deformities, to the scientific
-eye, are quite as common, though not as obvious. We’re just learning
-how to correct them, and to know that the hatchet-face is a far more
-serious clog on a human being’s career than is the clubfoot.”
-
-“If Betty had a clubfoot, of course—” began Mrs. Clyde.
-
-“Of course, you’d have it repaired at whatever cost of suffering. You’d
-submit her to a long and serious operation; and probably to the
-constant pain of a rigid iron frame upon her leg for months, perhaps
-years. To obviate the deformity you’d consider that not too high a
-price to pay, and rightly. Well, here is the case of a more
-far-reaching malformation, curable by a minor operation, without
-danger, mercifully quick, with only the briefest after-effects of pain,
-and you draw back from it. Why?”
-
-“The thought of the knife on that little face. Is—is that all there is
-to be done?”
-
-“No, there are the teeth. They should be looked to.”
-
-“Nonsense! They’re only first teeth,” said
-
-Grandma Sharpless vigorously. “What does a doctor know about teeth?”
-
-“Lots, if he knows his business. There would be fewer dyspeptics if
-physicians in general sent their patients to the dentist more promptly,
-and kept them in condition to chew their food.”
-
-“That’s all very well, when people have their real, lasting teeth,”
-returned the grandmother. “But Betty’s first set will be gone in a few
-years. Then it will be time enough to bother the poor child.”
-
-“Apparently, Mrs. Sharpless,” said Dr. Strong mildly, “you consider
-that teeth come in crops, like berries; one crop now, a second and
-distinct crop later. That isn’t the way growth takes place in the human
-mouth. The first teeth are to the second almost what the blossom is to
-the fruit. I shall want immediately to take Betty to the dentist, and
-have him keep watch over her mouth with the understanding that he may
-charge a bonus on every tooth he keeps in after its time. The longer
-the first lot lasts, the better the second lot are. But there is no use
-making the minor repairs unless the main structure is put right first.”
-
-“I must see Betty,” said Mrs. Clyde abruptly, and left the room. Mrs.
-Sharpless followed. “Now comes the first real split.” Dr. Strong turned
-to Mr. Clyde. “They’re going to vote me down.”
-
-“If it comes to a pinch,” said Mr. Clyde quietly, “my wife will accept
-my decision.”
-
-“That is what I want to avoid. Where would my influence with her be, if
-I were obliged to appeal to you on the very first test of professional
-authority? No, I shall try to carry this through myself, even at the
-risk of having to seem a little brutal.”
-
-Mr. Clyde lifted his eyebrows, but he only nodded, as the door opened
-and the two women reentered.
-
-“Doctor,” said Mrs. Clyde, “if, in a year from now, Betty hasn’t
-outgrown the mouth-breathing, I—I—you may take what measures you think
-best.”
-
-“In a year from now, the danger will be more advanced. There is not the
-faintest chance of correction of the fault without an operation.”
-
-“I can’t help it! I can’t stand the thought of it, now,” said Mrs.
-Clyde brokenly. “You should see her, poor baby, as she looks now,
-asleep on the lounge in the library, and even you, Doctor” (the doctor
-smiled a little awry at that), “couldn’t bear to think of the blood and
-the pain.” She was silent, shuddering.
-
-“My dear Mrs. Clyde, the blood will be no more than a nosebleed, and
-the pain won’t amount to much, thanks to anaesthesia. Let me see.” He
-stepped to the door and, opening it softly, looked in, then beckoned to
-the others to join him.
-
-The child lay asleep on her side, one cupped pink hand hanging, the
-other back of her head. Her jaw had dropped and the corner of the mouth
-had slackened down in an unnatural droop. The breath hissed a little
-between the soft lips. Dr. Strong closed the door again.
-
-“Well?” he said, and there was a suggestion of the sternness of
-judgment in the monosyllable.
-
-“I am her mother.” Mrs. Clyde faced him, a spot of color in each cheek.
-“A mother is a better judge of her children than any doctor can be!”
-
-“You think so?” said Dr. Strong deliberately. “Then I must set you
-right. Do you recall sending Charley away from the table for
-clumsiness, two days ago?”
-
-“Why, yes.” Mrs. Clyde’s expressive eyes widened. “He overturned his
-glass, after my warning him.”
-
-“And once last week for the same thing?”
-
-“Yes, but what—”
-
-“Pardon me, do you think your mother-judgment was wise then?”
-
-“Well, really, Dr. Strong,” said Mrs. Clyde, flushing, “you will hardly
-assume the right of control of the children’s manners—”
-
-“This is not a question of manners. There is where your error lies,”
-interrupted the doctor. “Against your mother-judgment I set my
-doctor-judgment, and I tell you now”—his voice rose a little from its
-accustomed polished smoothness, and took on authority—“I tell you that
-the boy is no more responsible for his clumsiness than Betty is for bad
-breathing. It’s a disease, very faint but unmistakable.”
-
-“Not Charley!” said his father incredulously, “Why, he’s as husky as a
-colt.”
-
-“He will be, please God, in a few years, but just now he has—don’t be
-alarmed; it’s nothing like so important as it sounds—he has a slight
-heart trouble, probably the sequel to that light and perhaps mismanaged
-diphtheria attack. It’s quite a common result and is nearly always
-outgrown, and it shows in almost unnoticeable lack of control of hands
-and feet. I observed Charley’s clumsiness long ago; listened at his
-heart, and heard the murmur there.”
-
-“And you never told us!” reproached the grandmother.
-
-“What was the use? There’s nothing to be done; nothing that needs to be
-done, except watch, and that I’ve been doing. And I didn’t want to
-worry you.”
-
-“Then I’ve been punishing him for what wasn’t his fault,” said Mrs.
-Clyde in a choked voice.
-
-“You have. Don’t punish Betty for what isn’t hers,” countered the
-physician, swiftly taking advantage of the opening. “Give her her
-chance. Mrs. Clyde, if Betty were my own, she could hardly have wound
-herself more closely around my heartstrings. I want to see her grow
-from a strong and beautiful child to a strong and beautiful girl, and
-finally to a strong and beautiful woman. It rests with you. Watch her
-breathing to-night, as she sleeps—and tell me to-morrow.”
-
-He rose and left the room. Mr. Clyde walked over and put a hand softly
-on his wife’s soft hair; then brushed her cheek with his lips.
-
-“It’s up to you, dearest,” he said gently.
-
-Three days later, Betty, overhanging the side fence, was heard, by her
-shamelessly eavesdropping father, imparting information to her
-next-door neighbor and friend.
-
-“You’d ought to get a new nothe, Thally. It don’t hurt much, an’
-breathin’ ith heapth more fun!”
-
-Pondering a chain of suggestions induced by this advice, Mr. Clyde
-walked slowly to the house. As was his habit in thought, he proceeded
-to rub the idea into his chin, which was quite pink from friction by
-the time he reached the library. There he found Dr. Strong and Mrs.
-Sharpless in consultation.
-
-“What are you two conspiring about?” he asked, ceasing to rub the
-troubled spot.
-
-“Matter of school reports,” answered the doctor. He glanced at the
-other’s chin and smiled. “And what is worrying you?” he asked.
-
-“I’m wondering whether I haven’t made a mistake.”
-
-“Quite possibly. It’s done by some of our best people,” remarked the
-physician dryly.
-
-“Not a pleasant possibility in this case. You remember quoting
-Rochester as to closing the schools and repairing the children. To-day,
-as I heard Betty commenting on her new nose, it suddenly came to me
-that I was obstructing that very system of repairs by which she is
-benefiting, for less fortunate youngsters in our schools.”
-
-“You!” said Dr. Strong in surprise.
-
-“As president of the Public Health League. The Superintendent of
-Schools came to me with a complaint against Dr. Merritt, the Health
-Officer, who, he claimed, was usurping authority in his scheme for a
-special inspection system to examine all schoolchildren at regular
-intervals.”
-
-“Ought to have been established long ago,” declared Dr. Strong.
-
-“The Superintendent thinks otherwise. He claims that it would interfere
-with school routine. It’s the duty of the health officials, he says, to
-control epidemics from without, to keep sickness out of the schools,
-not to hunt around among the children, scaring them to death about
-diseases that probably aren’t there.”
-
-Dr. Strong muttered something which Grandma Sharpless pretended not to
-hear. “And you’ve agreed to support him in that attitude?” he queried.
-
-“Well, I’m afraid I’ve half committed myself.”
-
-“Heaven forgive you! Why, see here, Clyde, your dodo of a
-superintendent talks of keeping sickness out of the schools. Doesn’t
-that mean keeping sickness out of the pupils? There’s just one way to
-do that: get every child into the best possible condition of
-repair—eyes, ears, nose, throat, teeth, stomach, everything, and
-maintain them in that state. Then disease will have a hard time
-breaking down the natural resistance of the system. Damaged organs in a
-child are like flaws in a ship’s armor-plate; a vital weakening of the
-defenses. And remember, the child is always battling against one
-besieging germ or another.”
-
-“Why can’t medical science wipe out the germs?” demanded Mrs.
-Sharpless. “It’s always claiming to do such wonders.”
-
-“In a few instances it can. In typhoid we fight and win the battle from
-the outside by doing that very thing. In smallpox, and to a lesser
-extent in diphtheria, we can build up an effective artificial barrier
-by inoculation. But, as medical men are now coming to realize, in the
-other important contagions of childhood, measles, whooping-cough, and
-scarlet fever, we must fight the disease from inside the individual;
-that is, make as nearly impregnable as possible the natural
-fortifications of the body to resist and repel the invasion. That is
-what school medical inspection aims at.”
-
-“You wouldn’t rank whooping-cough and measles with scarlet fever, would
-you?” said Mrs. Sharpless incredulously.
-
-“Why not? Although scarlet fever has the worst after-effects,—though
-not much more serious than those of measles,—the three are almost equal
-so far as the death-rate is concerned.”
-
-“Surely not!” protested the old lady. “Why, I’d rather have measles in
-the house ten times, or whooping-cough either, than scarlet fever
-once.”
-
-“You’re about ten times as likely to have.”
-
-She looked puzzled. “But what did you mean by saying that one of ‘em is
-as bad as the other?”
-
-“That it’s as dangerous to the community, though not to the
-individual.”
-
-“Just a little deep for me, too,” confessed Mr. Clyde.
-
-“Yet it’s perfectly simple. Here, take an example. Would you rather be
-bitten by a rattlesnake or a mosquito?”
-
-“A mosquito, of course.”
-
-“Naturally. Yet a rattlesnake country is a good deal safer than a
-mosquito country. You wouldn’t hesitate, on account of your health, to
-move to Arizona, where rattlesnakes live?”
-
-“I suppose not.”
-
-“But you _would_ be afraid to establish your family in the malarious
-swamps of the South?”
-
-“Certainly.”
-
-“Well, people who die of malaria die of mosquito bite, since the
-mosquito is the only agency of infection. Thus, it reduces to this:
-that while the individual rattler is more dangerous than the individual
-mosquito, the mosquito, in general, kills her thousands where the snake
-kills one. Now—with considerable modification of the ratio—scarlet
-fever is the rattlesnake; whooping-cough and measles are the
-mosquitoes. It is just as important to keep measles out of a community
-as it is to shut out scarlet fever. In fact, if you will study the
-records of this city, you will find that in two out of the last three
-years, measles has killed more people than scarlet fever, and
-whooping-cough more than either of them.”
-
-“What are we going to do about it?” asked the practical-minded Mr.
-Clyde.
-
-“Ah, if some one would only tell us that! In measles the worst of the
-harm is done before the disease announces itself definitely. The most
-contagious stage is previous to the appearance of the telltale rash.
-There’s nothing but a snuffling nose, and perhaps a very little fever
-to give advance notice that the sufferer is a firebrand.”
-
-“Well, you can’t shut a child out of school for every little sore
-throat,” observed Mrs. Sharpless.
-
-“As to that I’m not so sure,” replied the physician slowly and
-thoughtfully. “A recent writer on school epidemics has suggested
-educating the public to believe that every sore throat is contagious.”
-
-“That isn’t true, is it?” asked Mr. Clyde.
-
-“No. Personally I believe that, while a physician is often justified in
-deceiving his patient, he is never justified in fooling the public. In
-the long run they find him out and his influence for good is lessened.
-Yet that sore-throat theory is near enough true to be a strong
-temptation. Every sore throat is suspicious; that isn’t too much to
-say. And, with a thorough school-inspection system, it is quite
-possible that epidemics could be headed off by isolating the
-early-discovered cases of sore throat. But, an epidemic of the common
-contagions, once well under way, seems to be quite beyond any certainty
-of control.”
-
-“Do you mean to say that quarantine and disinfection and isolation are
-all useless?” asked Mr. Clyde.
-
-“No. I won’t go as far as that. They may exercise a check in some
-cases. But I will say this: that all our cumbersome and expensive and
-often harassing hygienic measures in the contagious diseases haven’t
-made good. Obviously, if they had, we should see a diminution of the
-ills which they are supposed to limit. There is no diminution. No,
-we’re on the wrong tack. Until we know what the right tack is, we
-perhaps ought to keep on doing what we can in the present line. It’s a
-big, complicated subject, and one that won’t be settled until we find
-out what scarlet fever, measles, and whooping-cough really are, and
-what causes them. While we’re waiting for the bacteriologist to tell us
-that, the soundest principle of defense that we have is to keep the
-body up to its highest pitch of resistance. That is why I support
-medical inspection for schools as an essential measure.”
-
-“To repair the children without closing the schools, if I may modify
-Dr. Goler’s epigram,” suggested Mr. Clyde.
-
-“Exactly. Eventually we shall have to build as well as repair. A very
-curious thing is happening to Young America in the Eastern States. The
-growing generation is shrinking in weight and height.”
-
-“Which is almost contradictory enough for a paradox,” remarked Mr.
-Clyde.
-
-“It’s a melancholy and literal fact. You know, there’s a height and
-weight basis for age upon which our school grading system rests. The
-authorities have been obliged to reconstruct it because the children
-are continuously growing smaller for their years. _There’s_ work for
-the inspection force!”
-
-“You’d put the children on pulleys and stretch ‘em out, I suppose!”
-gibed Grandma Sharpless.
-
-“That might work, too,” replied the doctor, unruffled. “The Procrustean
-system isn’t so bad, if old Procrustes had only sent his victims to the
-gymnasium instead of putting them to bed. Yes, a quarter of an hour
-with the weight-pulleys every day would help undersized kiddies a good
-deal. But principally I should want the school-inspectors to keep the
-youngsters playing.”
-
-“You don’t have to teach a child to play,” sniffed Grandma Sharpless,
-with womanly scorn of mere man’s views concerning children.
-
-“Pardon me, Mrs. Sharpless, you taught your children to play.”
-
-“I! Whatever makes you think that?”
-
-“The simple fact that they didn’t die in babyhood.”
-
-Mrs. Sharpless looked at him with a severity not unmingled with
-suspicion. “Sometimes, young man,” she observed, “you talk like a—a—a
-gump!”
-
-“Take that, Strong!” said Mr. Clyde, joining in the doctor’s laugh
-against himself.
-
-“Facts may sometimes sound foolish,” admitted Dr. Strong. “If they do,
-that’s the fault of the speaker. And it _is_ a fact that every mother
-teaches her baby to play. Watch the cat if you don’t believe me. The
-wisest woman in America points out in her recent book that it is the
-mother’s playing with her baby which rouses in it the will to live.
-Without that will to live none of us would survive.”
-
-“I don’t know who your wisest woman in America may be, but I don’t
-believe she knows what she is talking about,” declared Grandma
-Sharpless flatly.
-
-“I’ve never known her when she didn’t,” retorted the doctor. “If Jane
-Addams of Hull House isn’t an expert in life, mental, moral, and
-physical, then there’s no such person! Why, see here, Mrs. Sharpless;
-do you know why a baby’s chance of survival is less in the very best
-possible institution without its mother, than in the very worst
-imaginable tenement with its mother, even though the mother is unable
-to nurse it?”
-
-“It isn’t as well tended, I expect.”
-
-“All its physical surroundings are a thousand times more advantageous:
-better air, better food, better temperature, better safeguarding
-against disease; yet babies in these surroundings just pine away and
-die. It’s almost impossible to bring up an infant on an institutional
-system. The infant death-rate of these well-meaning places is so
-appalling that nobody dares tell it publicly. And it is so, simply
-because there is no one to play with the babies. The nurses haven’t the
-time, though they have the instinct. I tell you, the most wonderful,
-mystic, profound thing in all the world, to me, is the sight of a young
-girl’s intuitive yearning to dandle every baby she may see. That’s the
-universal world-old, world-wide, deep-rooted genius of motherhood,
-which antedates the humankind, stirring within her and impelling her to
-help keep the race alive—by playing with the baby.”
-
-“H’m! I hadn’t thought of it in that way,” confessed Grandma Sharpless.
-“There may be something in what you say, young man. But by the time
-children reach school age I guess they’ve learned that lesson.”
-
-“Not always. At least, not properly, always. Let’s consult the
-Committee on School of our household organization.”
-
-He sent for eight-year-old Julia.
-
-“Question to lay before you, Miss Chairwoman,” said Dr. Strong. “How
-many of the girls in your grade hang around the hall or doorways during
-recess?”
-
-“Oh, lots!” said Julia promptly.
-
-“Are they the bigger girls? or the smaller ones?” The Committee on
-School considered the matter gravely. “Mary Hinks, she’s tall, but
-she’s awful thin and sickly,” she pronounced. “Dot Griswold and Cora
-Smith and Tiny Warley—why, I guess they’re most all the littlest girls
-in the class.”
-
-Dr. Strong nodded. “Sure to be the undernourished, anaemic, lethargic
-ones,” said he. “They’re forgetting the lessons of their babyhood.
-Insensibly they are losing the will to live. But there’s nobody to tell
-them so. A thorough medical inspection service would correct that. It
-would include school-nurses who would go to the homes of the children
-and tell the parents what was the matter. Such a system might not be
-warranted to keep epidemics out of our schools, but it would stretch
-out and fill out those meager youngsters’ brains as well as bodies, and
-fit them to combat illness if it did come. The whole theory of the
-school’s attitude toward the child seems to me misconceived by those
-who have charge of the system. It assumes too much in authority and
-avoids too much in responsibility.
-
-“Take the case of John Smith, who has two children to bring up under
-our enlightened system of government. Government says to John Smith,
-‘Send your children to school!’ ‘Suppose I don’t wish to?’ says John
-Smith. ‘You’ve got to,’ says Government. ‘It isn’t safe for me to have
-them left uneducated.’ ‘Will you take care of them while they’re at
-school?’ says John Smith. ‘I’ll train their minds,’ says Government.
-‘What about their bodies?’ says John Smith. ‘Hm!’ says Government;
-‘that’s a horse of another color.’ ‘Then I’ll come with them and see
-that they’re looked after physically,’ says John Smith. ‘You _will_
-not!’ says Government. ‘I’m _in loco ‘parentis_, while they’re in
-school.’ ‘Then you take the entire _loco_ of the _parentis_,’ says John
-Smith. ‘If you take my children away on the ground that you’re better
-fitted to care for their minds than I am, you ought to be at least as
-ready to look after their health. Otherwise,’ says John Smith, ‘go and
-teach yourself to stand on your head. You can’t teach _my_ children.’
-Now,” concluded Dr. Strong, “do you see any flaws in the Smith point of
-view?”
-
-“Just plain common sense,” approved Grandma Sharpless.
-
-“Clyde,” said Dr. Strong, with a twinkle, “if you don’t stop rubbing a
-hole in your chin, I’ll have to repair _you_. What’s preying on your
-mind?”
-
-“I am trying,” replied Mr. Clyde deliberately, “to figure out, with
-reference to the School Superintendent and myself, just how a man who
-has made a fool of himself can write a letter to another man who has
-helped the first man make a fool of himself, admitting that he’s made a
-fool of himself, and yet avoid embarrassment, either to the man who has
-made a fool of himself or to the other man who aided the man in making
-a fool of himself. Do you get that?”
-
-Dr. Strong rose. “I’m a Chinese doctor,” he observed, “not a Chinese
-puzzle-solver. That’s a matter between you and your ink-well. Meantime,
-having attained the point for which I’ve been climbing, I now declare
-this session adjourned.”
-
-
-
-
-IV.
-THE CORNER DRUG-STORE
-
-
-“No, it won’t add to the attractiveness of the neighborhood, perhaps,”
-said Mrs. Clyde thoughtfully. “But how convenient it will be!”
-
-Mr. Clyde had come home with the news that a drug-store was to be
-opened shortly on the adjacent corner. Shifting his position to dodge a
-foliage-piercing shaft of sunlight—they were all sitting out on the
-shady lawn, in the cool of a September afternoon—Dr. Strong shook his
-head.
-
-“Too convenient, altogether,” he observed.
-
-“How’s that?” queried Mr. Clyde. “A drugstore is like a gun in Texas:
-you may not need it often, but when you do need it, you need it like
-blazes.”
-
-“True enough. But most people over-patronize the drug-store.”
-
-“Not this family; at least, since our house-doctor came to keep us well
-on the Chinese plan,” said Mrs. Clyde gracefully.
-
-But Dr. Strong only looked rueful. “Your Chinese doctor has to plead
-guilty to negligence of what has been going on under his very nose.”
-
-“Oh, not more trouble!” pleaded Mrs. Clyde. She had come through the
-dreaded ordeal of little Betty’s operation for adenoids—which had
-proved to be, after all, so slight and comparatively painless—with a
-greatly augmented respect for and trust in Dr. Strong; but her nerves
-still quivered.
-
-“Nothing to trouble you,” the doctor assured her, “but enough to make
-me feel guilty—and stupid. Have you noticed any change in Manny,
-lately?”
-
-“Manny” was fourteen-year-old Maynard Clyde, the oldest of the
-children; a high school lad, tall, lathy, athletic, and good-tempered.
-
-“The boy is as nervous as a witch,” put in Grandma Sharpless. “I’ve
-noticed it since early summer.”
-
-“Then I wish you had taught me my trade,” said Dr. Strong. “Manny is so
-husky and active that I’ve hardly given him a thought.”
-
-“Well, what’s wrong with him?” asked the father anxiously.
-
-“Too much drug-store,” was the prompt reply. “Not drugs!” cried Mrs.
-Clyde, horrified. “That child!”
-
-“Well, no; not in the sense you mean it. Wait; there he is now. Manny!”
-he called, raising his voice. “Come over here a minute, will you?” The
-boy ambled over, and dropped down on the grass. He was brown, thin, and
-hard-trained; but there was a nervous pucker between his eyes, which
-his father noted for the first time. “What’s this? A meeting of the
-Board? Anything for the Committee on Milk Supply to do?” he asked.
-
-“Not at present,” answered Dr. Strong, “except to answer a question or
-two. You don’t drink coffee, do you?”
-
-“Of course not. I’m trying for shortstop on the junior nine, you know.”
-
-“How are you making out?”
-
-“Rotten!” said the boy despondently. “I don’t seem to have any grip on
-myself this year. Sort o’ get the rattles.”
-
-“Hm-m-m. Feel pretty thirsty after the practice, and usually stop in at
-the soda-fountain for some of those patent soft drinks advertised to be
-harmless but stimulating, don’t you?”
-
-“Yes,” said the boy, surprised.
-
-“Ah,” said the doctor carelessly; “three or four glasses a day, I
-suppose?”
-
-Manny thought a moment. “All of that,” he said.
-
-“Well, you quit it,” advised the doctor, “if you want to make the ball
-team. It will put you off your game worse than tea or coffee. Tell the
-athletic instructor I said so, will you?”
-
-“Sure!” said the boy. “I didn’t know there was any harm in it.”
-
-As Manny walked away, Dr. Strong turned to
-
-Mr. Clyde. “I found out about Manny by accident. No wonder the boy is
-nervous. He’s been drinking that stuff like water, with no thought of
-what’s in it.”
-
-“What _is_ in it?” said Mrs. Clyde.
-
-“Caffeine, generally. The most widely used of the lot is a mixture of
-fruit syrups doctored up with that drug. There’s as much
-nerve-excitation in a glass of it—yes, and more—than in a cup of strong
-coffee. What would you think of a fourteen-year-old boy who drank five
-cups of strong coffee every day?”
-
-“I’d think his parents were fools,” declared Grandma Sharpless bluntly.
-
-“Or his physician,” suggested Dr. Strong. “I’ve seen cases of people
-drinking twenty to twenty-five glasses of that ‘harmless’ stuff every
-day. Of course, they were on the road to nervous smash-up. But the
-craving for it was established and they hadn’t the nerve to stop.”
-
-“The soda-fountain as a public peril,” said Mr. Clyde, with a smile.
-
-“There’s more in that than can be smiled away,” retorted the doctor
-vigorously. “What between nerve-foods that are simply disguised
-‘bracers,’ and dangerous, heart-depressing dopes, like bromo-seltzer,
-the soda-fountain does its share of damage in the community.”
-
-“What about soda-water; that is innocent, isn’t it?” asked Mrs. Clyde.
-
-“Yes. If the syrups are pure, soda-water is a good thing in moderation.
-So are the mineral waters. But there is this to be said about
-soda-water and candy, particularly the latter—”
-
-“I’ve always said,” broke in Grandma Sharpless, “that candy-eating
-would ruin any digestion.”, “Then you’ve always been wrong, ma’am,”
-said Dr. Strong. “Candy, well and honestly made, is excellent food at
-the proper time. The trouble is, both with candy and with the heavy,
-rich soda-waters, that people are continually filling up with them
-between meals. Now the stomach is a machine with a great amount of work
-to do, and is entitled to some consideration. Clyde, what would happen
-to the machines in your factory, if you didn’t give them proper
-intervals of rest?”
-
-“They’d be very short-lived,” said Mr. Clyde. “There’s a curious thing
-about machinery which everybody knows but nobody understands: running a
-machine twenty-four hours a day for one week gives it harder wear than
-running it twelve hours a day for a month. It needs a regular rest.”
-
-“So with the machinery of digestion,” said the doctor. “The stomach and
-intestines have their hard work after meals. How are they to rest up,
-if an odd lot of candy or a slab of rich ice-cream soda come sliding
-down between whiles to be attended to? Eat your candy at the end of a
-meal, if you want it. It’s a good desert. But whatever you eat, give
-your digestion a fair chance.”
-
-“You can digest anything if you use Thingumbob Pills,” observed Mr.
-Clyde sardonically. “The newspapers say so.”
-
-“That’s the kind of doctrine that makes dyspeptics,” returned Dr.
-Strong. “The American stomach is the worst-abused organ in creation.
-Saliva is the true digestive. If people would take time to chew
-properly, half the dyspepsia-pill fakers would go out of business. If
-they’d take time to exercise properly, the other half would disappear.”
-
-“Liver pills were my regular dependence a few years ago,” remarked Mr.
-Clyde. “Since I took up hand-ball I haven’t needed them. But I suppose
-that half the business men in town think they couldn’t live without
-drugging themselves two or three times a week.”
-
-“Undoubtedly. Tell the average American any sort of a lie in print,
-about his digestion, and he’ll swallow it whole, together with the drug
-which the lie is intended to sell. Look at the Cascaret advertising.
-Its tendency is to induce, not an occasional recourse to Cascarets, but
-a steady use of them. Any man foolish enough to follow the advice of
-the advertisements would form a Cascaret habit and bring his digestion
-into a state of slavery. That sort of appeal has probably ruined more
-digestions and spoiled more tempers than any devil-dogma ever put into
-type.”
-
-“Castor-oil is good enough for me,” said Grandma Sharpless
-emphatically.
-
-“It’s good enough for anybody—that is to say, bad enough and nasty
-enough so that there isn’t much danger of its being abused. But these
-infernal sugar-coated candy cathartics get a hold on a man’s intestinal
-organization so that it can’t do its work without ‘em, and, Lord knows,
-it can’t stand their stimulus indefinitely. Then along comes
-appendicitis.”
-
-“But some of the laxative medicines advertise to prevent appendicitis,”
-said Mrs. Clyde.
-
-Dr. Strong’s face was very grim. “Yes, they advertise. Commercial
-travelers, because of their irregular habits, are great pill-guzzlers
-as a class. Appendicitis is a very common complaint among them. A
-Pittsburgh surgeon with a large practice among traveling men has kept
-records, and he believes that more than fifty per cent of the
-appendicitis cases he treats are caused by the ‘liver-pill’ and
-‘steady-cathartic’ habit. He explains his theory in this way. The man
-begins taking the laxative to correct his bad habits of life. Little by
-little he increases his dose, as the digestive mechanism grows less
-responsive to the stimulus, until presently an overdose sets his
-intestines churning around with a violence never intended by nature.
-Then, under this abnormal peristalsis, as it is called, the appendix
-becomes infected, and there’s nothing for it but the surgeon’s knife.”
-
-“Would you have people run to the doctor and pay two dollars every time
-their stomach got a little out of kilter?” asked Mrs. Sharpless
-shrewdly.
-
-“Run to the doctor; run to the minister; run to the plumber; run
-anywhere so long as you run far enough and fast enough,” answered Dr.
-Strong with a smile. “A mile a day at a good clip, or three miles of
-brisk walking would be the beginning of a readjustment. Less food more
-slowly eaten and no strong liquors would complete the cure in nine
-cases out of ten. The tenth case needs the doctor; not the
-newspaper-and-drug-store pill.”
-
-“But all patent medicines aren’t bad, are they?” asked Mrs. Clyde.
-“Some have very good testimonials.”
-
-“Bought or wheedled. Any medicine which claims to _cure_ is a fraud and
-a swindle.”
-
-“Don’t tell me, young man!” said Grandma Sharpless. “You doctors are
-prejudiced against patent medicines, but we old folks have used ‘em
-long enough to know which are good and which are bad. Now I don’t claim
-but what the Indian herb remedies and the ‘ready reliefs’ and that lot
-are frauds. But my family was brought up on teething powders and
-soothing syrups.”
-
-“Then you’re fortunate,” said Dr. Strong sternly, “that none of them
-has turned out to be an opium fiend.”
-
-The instant he said it, he saw, with sharp regret, that his shaft had
-sped true to the mark. The clear, dark red of a hale old age faded from
-Grandma Sharpless’s cheeks. Mr. Clyde shot a quick glance of warning at
-him.
-
-“And speaking of Indian remedies,” went on the doctor glibly, “I
-remember as a boy—”
-
-“Stop a minute,” said Grandma Sharpless steadily. “The truth isn’t
-going to hurt me. Or, if it does hurt, maybe it’s right it should. I
-had a younger brother who died in a sanitarium for drug-habit when he
-was twenty-four. As a child he pretty nearly lived on soothing syrups;
-had to have them all the time, because he was such a nervous little
-fellow; always having earache and stomach-ache, until he was eight or
-nine years old. Then he got better and became a strong, active boy, and
-a robust man. After his college course he went to Philadelphia, and was
-doing well when he contracted the morphine habit—how or why, we never
-knew. It killed him in three years. Do you think—is it possible that
-the soothing syrups—I’ve heard they have morphine in them—had anything
-to do with his ruin?”
-
-“Why, Mrs. Sharpless,” said the other, very gently, “I can only put it
-before you in this way. Here is one of the most subtle and enslaving of
-all drugs, morphine. It is fed to a child, in the plastic and formative
-years of life, regularly. What surer way could there be of planting the
-seeds of drug-habit? Suppose, for illustration, we substitute alcohol,
-which is far less dangerous. If you gave a child, from the time of his
-second year to his eighth, let us say, two or three drinks of whiskey
-every day, and that child, when grown up, developed into a drunkard,
-would you think it strange?”
-
-“I’d think it strange if he didn’t.”
-
-“Apply the same logic to opium, or its derivative, morphine. There are
-a dozen preparations regularly used for children, containing opium, or
-morphine, such as Mrs. Winslow’s ‘Soothing Syrup,’ and Kopp’s ‘Baby
-Friend.’ This is well known, and it is also a recognized fact that the
-morphine and opium habit is steadily increasing in this country. Isn’t
-it reasonable to infer a connection between the two? Further, some of
-the highest authorities believe that the use of these drugs in
-childhood predisposes to the drink habit also, later in life. The
-nerves are unsettled; they are habituated to a morbid craving, and, at
-a later period, that craving is liable to return in a changed
-manifestation.”
-
-“But a drug-store can’t sell opium or morphine except on prescription,
-can it?” asked Mr. Clyde.
-
-“It can _in a patent medicine_,” replied the doctor. “That’s one of the
-ugly phases of the drug business. Yet it’s possible to find honest
-people who believe in these dopes and even give testimonials to them.”
-
-“Some testimonials are hard to believe,” said Mrs. Clyde, thankfully
-accepting the chance to shift the conversation to a less painful phase
-of the topic. “Old Mrs. Dibble in our church is convinced that she owes
-her health to Hall’s Catarrh Cure.” Dr. Strong smiled sardonically.
-“That’s the nostrum which offers one hundred dollars reward for any
-case it can’t cure; and when a disgusted dupe tried to get the one
-hundred dollars, they said he hadn’t given their remedy a sufficient
-trial: he’d taken only twenty-odd bottles. So your friend thinks that a
-useless mixture of alcohol and iodide of potassium fixed her, does
-she?”
-
-“Why shouldn’t she? She had a case of catarrh. She took three bottles
-of the medicine, and her catarrh is all gone.”
-
-“All right. Let’s extend her line of reasoning to some other cases.
-While old Mr. Barker, around on Halsey Street, was very ill with
-pneumonia last month, he fell out of bed and broke his arm.”
-
-“In two places,” said Mrs. Sharpless. “I saw him walking up the street
-yesterday, all trussed up like a chicken.”
-
-“Quite recovered from pneumonia, however. Then there was little Mrs.
-Bowles: she had typhoid, you remember, and at the height of the fever a
-strange cat got into the room and frightened her into hysterics.”
-
-“But she got well,” said Mrs. Clyde. “They’re up in the woods now.”
-
-“Exactly. Moral (according to Mrs. Dibble’s experience with Hall’s
-Catarrh Cure): for pneumonia, try a broken arm; in case of typhoid, set
-a cat on the patient.”
-
-Mr. Clyde laughed. “I see,” he said. “People get well in spite of these
-patent medicines, rather than by virtue of them. _Post hoc, non propter
-hoc_, as our lawyer friends say.”
-
-“You’ve got it. The human body keeps up a sort of drug-store of its
-own. As soon as disease fastens on it, it goes to work in a subtle and
-mysterious way, manufacturing a cure for that disease. If it’s
-diphtheria, the body produces antitoxin, and we give it more to help it
-on. If it’s jaundice, it produces a special quality of gastric juices
-to correct the evil conditions. In the vast majority of attacks, the
-body drives out the disease by its own efforts; yet, if the patient
-chances to have been idiot enough to take some quack ‘cure’ the credit
-goes to that medicine.”
-
-“Or to the doctor, if it’s a doctor’s case,” suggested Grandma
-Sharpless, with a twinkle of malice.
-
-“Show me a doctor who boasts ‘I can cure you,’ whether by word of mouth
-or in print, and I’ll show you a quack,” returned the other warmly.
-
-“But what is a doctor for in a sick-room, if not to cure?” asked Mrs.
-Clyde.
-
-“What is a captain for on a ship?” countered Dr. Strong. “He can’t cure
-a storm, can he? But he can guide the vessel so that she can weather
-it. Well, our medical captains lose a good many commands; the storm is
-often too severe for human skill. But they save a good many, too, by
-skillful handling.”
-
-“Then there is no such thing as an actual cure, in medicine?”
-
-“Why, yes. In a sense there are several. Antitoxin may be called a cure
-for diphtheria. Quinine is, to some extent, a specific in malaria. And
-Ehrlich’s famous ‘606’ has been remarkably, though not unfailingly,
-successful in that terrible blood-plague, born of debauchery, which
-strikes the innocent through the guilty. All these remedies, however,
-come, not through the quack and the drug-store, but through the
-physician and the laboratory.”
-
-“May not the patent medicines, also, help to guide the physical ship
-through the storm?” asked Mrs. Clyde, adopting the doctor’s simile.
-
-“On to the rocks,” he replied quickly. “Look at the consumption cures.
-To many consumptives, alcohol is deadly. Yet a wretched concoction like
-Duffy’s Malt Whiskey, advertised to cure tuberculosis, flaunts its lies
-everywhere. And the law is powerless to check the suicidal course of
-the poor fools who believe and take it.”
-
-“Why, I thought the Pure Food Law stopped all that,” said Mrs. Clyde
-innocently.
-
-“The Pure Food Law! The life has been almost crushed out of it.
-Roosevelt whacked it over the head with his Referee Board, which
-granted immunity to the food poisoners, and afterward the Supreme Court
-and Wickersham treated it to a course of ‘legal interpretations,’ which
-generally signify a way to get around a good law.”
-
-“But the patent medicines aren’t allowed to make false claims any more,
-as I understand it,” said Mr. Clyde.
-
-“That applies only to the label on the bottle. So you’ll find that the
-words ‘alcohol,’ ‘opium,’ ‘acetanilid,’ ‘chloral,’ and other terms of
-poison, have sprouted forth there, in very small and inconspicuous
-type. But there’s a free field for the false promises on sign-boards,
-in the street-cars, in the newspapers, everywhere. Look in the next
-drug-store window you pass and you’ll see ‘sure cures’ exploited in
-terms that would make Ananias feel like an amateur.”
-
-“You make out a pretty poor character for the druggists, as a class,”
-observed Mr. Clyde.
-
-“Not at all. As a class, they’re a decent, self-respecting, honorable
-lot of men.”
-
-“Then why do they stick to a bad trade?” asked Mrs. Clyde.
-
-Dr. Strong got to his feet. “Let one of them answer,” he said. “Mr.
-Gormley, who runs the big store in the Arcade, usually passes here
-about this time, and I think I see him coming now.”
-
-“They can talk all they like,” said Grandma Sharpless emphatically, as
-the doctor walked across to the front fence, “but I wouldn’t be without
-a bottle of cough syrup in the house.”
-
-“Nor I without my headache tablets,” added Mrs. Clyde. “I’d have had to
-give up the bridge party yesterday but for them.”
-
-Mr. Clyde shot a sharp glance, first, at his wife, then at her mother.
-“Well, I’d like to see the labels on your particular brands of
-medicine,” he remarked.
-
-“There’s nothing bad in mine,” asserted Mrs. Clyde. “Mrs. Martin
-recommended them to me; she’s been taking them for years.”
-
-At this point Dr. Strong returned, bringing with him a slim, elderly
-man, whose shrewd, wide eyes peered through a pair of gold-rimmed
-glasses.
-
-“So you want me to give away the secrets of my trade,” he remarked
-good-humoredly, after the greetings. “Well, I don’t object to relieving
-my mind, once in a while. So shoot, and if I can’t dodge, I’ll yell.”
-
-“Why do you deal in patent medicines if they’re so bad?” asked Grandma
-Sharpless bluntly. “Is there such a big profit in them?”
-
-“No profit, worth speaking of,” replied Mr. Gormley. “Though you’ll
-note that I haven’t admitted they are bad—as yet.”
-
-“The bulk of your trade is in that class of goods, isn’t it?” queried
-Mr. Clyde.
-
-“Worse luck, it is. They’ve got us through their hold on the public.
-And they not only force us to be their agents, but they grind us down
-to the very smallest profit; sometimes less than the cost of doing
-business.”
-
-“But you aren’t compelled to deal in their medicines,” objected Mr.
-Clyde.
-
-“Practically I am. My really profitable trade is in filling
-prescriptions. There I can legitimately charge, not only for the drugs,
-but also for my special technical skill and knowledge. But in order to
-maintain my prescription trade I must keep people coming to my store.
-And they won’t come unless I carry what they demand in the way of
-patent medicines.”
-
-“Then there is a legitimate demand for patent medicines?” said Mr.
-Clyde quickly.
-
-“Legitimate? Hardly. It’s purely an inspired demand.”
-
-“What makes it persist, then?”
-
-“The newspapers. The patent-medicine advertisers fill the daily columns
-with their claims, and create a demand by the force of repeated
-falsehood. Do you know the universal formula for the cost of patent
-cures? Here it is: Drugs, 3 per cent; manufacturing plant, 7 per cent;
-printing ink, 90 per cent. It’s a sickening business. If I could afford
-it, I’d break loose like that fellow McConnell in Chicago and put a
-placard of warning in my show window. Here’s a copy of the one he
-displays in his drug-store.”
-
-Taking a card from his pocket, Mr. Gormley held it up for the circle to
-read. The inscription was:—
-
-“Please do not ask us what _any old patent, medicine_ is worth, for you
-embarrass us, as our honest answer must be that _it is worthless_.
- “If you mean to ask us at what price we sell it, that is an
- entirely different proposition. When sick, consult a good
- physician. It is the only proper course. And you will find it
- cheaper in the end than self-medication with _worthless ‘patent’
- nostrums._”
-
-
-“Has that killed his trade in quackery?” asked Dr. Strong.
-
-“Nothing can kill that. It has cut it down by half, though. It’s a
-peculiar and disheartening fact that the public will believe the paid
-lie of a newspaper advertisement and disregard the plain truth from an
-expert. And see here, Dr. Strong, when you doctors get together and
-roast the pharmaceutical trade, just remember that it’s really the
-newspapers and not the drug-stores that sell patent medicines.”
-
-“Are all of them so bad?” asked Mrs. Clyde.
-
-“All that claim to _cure_. They’re either frauds, appealing to the
-appetite by a stiff allowance of booze, like Swamp Root and Peruna, or
-disguised dopes,—opium, hasheesh or chloral,—masquerading as soothing
-syrups, cough medicines, and consumption cures; or artificial devices
-for giving yourself heart disease by the use of coal-tar chemicals in
-the headache powders and anti-pain pills.”
-
-“Well, you can’t make me believe, Mr. Drug-man,” said Grandma Sharpless
-with a belligerent shake of her head, “that a patent medicine which
-keeps on being in demand for years, on its own merits, hasn’t something
-good in it.”
-
-“No, ma’am, I can’t,” agreed the visitor. “I wouldn’t want to. There
-isn’t any such patent medicine.”
-
-“There’s hundreds of ‘em,” contradicted the old lady, with the
-exaggeration of the disputant who finds the ground dropping away from
-underfoot.
-
-“Not that sell on their own merits. Advertising and more advertising
-and still more advertising is all that does it. Let any one of them
-drop out of the newspapers and off the bill-boards, and the demand for
-it would be dead in a year.”
-
-“Yet, as a student of business conditions,” said Mr. Clyde, “I’m
-inclined to side with Mrs. Sharpless and believe that any line of goods
-which has come down from yesterday to to-day must have some merit.”
-
-The druggist took off his glasses, wiped them and waved them in the
-air, with a flourish.
-
-And all our yesterdays have lighted fools
-The way to dusty death,
-
-
-he quoted sonorously. “We think ourselves heirs to the wisdom of the
-ages, without stopping to consider that we’re heirs to the foolishness,
-also. We’re gulled by the printed lie about Doan’s Kidney Pills, just
-as our fathers were by the cart-tail oratory of the itinerant quack who
-sold the ‘Wonderful Indian Secrets of Life’ at one dollar per bottle.”
-
-“Well, I hesitate to admit it,” said Mrs. Clyde, with a little laugh,
-“but we always have a few of the old remedies about.”
-
-“Suppose you name some of them over,” suggested the druggist.
-
-“Usually I keep some One-Night Cough Cure in the house. That’s
-harmless, isn’t it?”
-
-The druggist glanced at Dr. Strong, and they both grinned.
-
-“It _might_ be harmless,” said the druggist mildly, “if it didn’t
-contain both morphine and hasheesh.”
-
-“Goodness!” said Mrs. Clyde, horrified. “How could one suppose—”
-
-“By reading the label carefully,” interjected Dr. Strong. “Anything
-else?”
-
-“Let me think. I’ve always considered Jayne’s Expectorant good for the
-children when they have a cold.”
-
-“Tastes differ,” observed the druggist philosophically. “I wouldn’t
-consider opium good for _my_ children inside or outside of any
-expectorant. Next!”
-
-“But the names _sound_ so innocent!” cried Mrs. Clyde. “I’m almost
-afraid to tell any more. But we always have Rexall Cholera Cure on
-hand.”
-
-“Had much cholera in the house lately?” inquired the druggist, with an
-affectation of extreme interest.
-
-“Of course it’s only for stomach-ache,” explained Mrs. Clyde. “It
-certainly does cure the pain.”
-
-“Not cure,—drug it into unconsciousness,” amended Mr. Gormley. “The
-opium in it does that. Rather a heroic remedy, opium, for a little
-stomach-ache, don’t you think?”
-
-“What have you got to say against Kohler’s One-Night Cough Cure that I
-always keep by me?” demanded Grandma Sharpless.
-
-Mr. Gormley beamed on her in deprecatory good nature. “Who? Me?
-Gracious! I’ve got nothing to say against it worse than it says against
-itself, on its label. Morphine, chloroform, and hasheesh. What more
-_is_ there to say?”
-
-“How long has this house been full of assorted poisons?” asked Mr.
-Clyde suddenly of his wife.
-
-“Now, Tom,” she protested. “I’ve always been careful about using them
-for the children. Personally, I never touch patent medicines.”
-
-But at this her mother, smarting under their caller’s criticism of her
-cough syrup, turned on her.
-
-“What do you call those headache tablets you take?”
-
-“Those? They aren’t a patent medicine. They’re Anti-kamnia, a
-physician’s prescription.”
-
-“Yes; a fine prescription they are!” said the druggist. “Did you ever
-read the Anti-kamnia booklet? For whole-souled, able-bodied,
-fore-and-aft, up-and-down stairs professional lying, it has got most of
-the patent medicines relegated to the infant class. Harmless, they say!
-I’ve seen a woman take two of those things and hardly get out of the
-door before they got in their fine work on her heart and over she went
-like a shot rabbit.”
-
-“Not dead!”
-
-“No; but it was touch and go with her.”
-
-“What’s in that; opium, too?” asked Mr. Clyde.
-
-“No; a coal-tar chemical which puts a clamp on the heart action. One or
-another of the coal-tar drugs is in all the headache powders. There’s a
-long list of deaths from them, not to mention cases of drug-habit.”
-
-“Habit?” cried Mrs. Clyde. “Do you mean I’m in danger of not being able
-to get along without the tablets?”
-
-“If you take them steadily you certainly are. If you take them
-occasionally, you’re only in danger of dropping dead one of these
-days.”
-
-Mr. Clyde’s chin abruptly assumed a prominence which he seldom
-permitted it. “Well, that settles _that_,” he observed; and it was
-entirely unnecessary for any one present to ask any amplification of
-the remark. Mrs. Clyde looked at her mother for sympathy—and didn’t get
-any.
-
-“Whenever I see a woman come into the shop,” continued the druggist,
-“with a whitey-blue complexion and little gray’ flabby wrinkles under
-her eyes, I know without asking what _she_ wants. She’s a
-headache-powder fiend.”
-
-“That queer look they have is from deterioration of the blood,” said
-Dr. Strong. “The acetanilid or acetphenetidin or whatever the coal-tar
-derivative may be, seems to kill the red corpuscles. In extreme cases
-of this I’ve seen blood the color of muddy water.”
-
-“It certainly makes a fright of a woman. ‘Orangeine’ gets a lot of ‘em.
-You’ ve seen its advertisements in the street-cars. The owner of
-Orangeine, a Chicago man, got the habit himself: used fairly to live on
-the stuff, until pop! went his heart. He’s a living, or, rather a dead
-illustration of what his own dope will do.”
-
-“But what are you to do for a splitting headache?” queried Mrs. Clyde,
-turning to Dr. Strong.
-
-“I don’t know, unless I know what causes it,” said Dr. Strong.
-“Headache isn’t a disease. It’s a symptom, a danger signal. It’s the
-body’s way of crying for help. Drugs don’t cure a headache. They simply
-interrupt it.”
-
-“What with the headache-powders breeding the drug habit, and the
-consumption cures and cough medicines making dope fiends, and the malt
-whiskey cures and Perunas furnishing quiet joy to the temperance trade,
-I sometimes wonder what we’re coming to,” remarked Mr. Gormley.
-
-Mr. Clyde rubbed his chin thoughtfully. “But poor people who can’t
-afford a doctor have no recourse but to patent medicines,” said he.
-
-“Can’t afford a doctor!” exclaimed Dr. Strong. “Why, don’t you know
-that nostrum-taking is the most expensive form of treatment? Did you
-ever happen to see A. B. Frost’s powerful cartoon called ‘Her Last
-Dollar’? A woman, thin, bent, and ravaged with disease, is buying,
-across the counter of a country store, a bottle of some kind of ‘sure
-cure,’ from the merchant, who serves her with a smile, half-pitying,
-half-cynical, while her two ragged children, with hunger and hope in
-their pinched faces, gaze wistfully at the food in the glass cases.
-There’s the whole tragedy of a wasted life in that picture. ‘Her Last
-Dollar!’ That’s what the patent medicine is after. A doctor at least
-_tries_ to cure. But the patent medicine shark’s policy is to keep the
-sufferer buying as long as there is a dollar left to buy with. Why, a
-nostrum that advertises heavily has got to sell six bottles or seven to
-each victim before the cost of catching that victim is defrayed. After
-that, the profits. Since you’ve brought up the matter of expense, I’ll
-give you an instance from your own household, Clyde.”
-
-“Here! What’s this?” cried Mr. Clyde, sitting up straight. “More patent
-dosing?”
-
-“One of the servants,—Maggie, the nurse. I’ve got her whole medical
-history and she’s a prime example of the Dupe’s Progress. She’s run the
-gamut of fake cures.”
-
-“Something must have been the matter with her to start her off,
-though,” said Mr. Clyde.
-
-“That’s the joke—or would be if it weren’t pathetic. She started out by
-having headaches. Not knowing any better, she took headache-powders.”
-
-“One for you, Myra,” remarked Mr. Clyde to his wife, in an aside.
-
-“Bad heart action and difficulty in breathing—the natural result—scared
-her into the belief that she had heart trouble. Impetus was given to
-this notion by an advertisement which she found in a weekly, a
-religious weekly (God save the mark!), advising her not to drop dead of
-heart disease. To avoid this awful fate, which was illustrated by a
-sprightly sketch of a man falling flat on the sidewalk, she was
-earnestly implored to try Kinsman’s heart remedy. She did so, and, of
-course, got worse, since the ‘remedy’ was merely a swindle. About this
-time Maggie’s stomach began to ‘act up,’ partly from the medicines,
-partly from the original trouble which caused her headaches.”
-
-“You haven’t told us what that was, Strong,” remarked Mr. Clyde.
-
-“Later. Maggie now developed catarrh of the stomach, superinduced by
-reading one of old Dr. Hartman’s Peruna ads. She took seven bottles of
-Peruna, and it cheered her up quite a bit—temporarily and
-alcoholically.”
-
-“Then it was _that_ that I smelled on her breath. And I accused her of
-drinking,” said Mrs. Clyde remorsefully.
-
-“So she had been; raw alcohol, flavored with a little caramel and
-doctored up with a few drugs. Toward the close of her Peruna career,
-her stomach became pretty sensitive. Also, as she wasn’t accustomed to
-strong liquor, her kidneys were affected somewhat. In her daily paper
-she read a clarion call from Dr. Kilmer of the Swamp Root swindle (the
-real Dr. Kilmer quit Swamp Root to become a cancer quack, by the way),
-which seemed to her to diagnose her case exactly. So she ‘tanked up’
-some more on that brand of intoxicant. Since she was constantly
-drugging herself, the natural resistance of her body was weakened, and
-she got a bad cold. The cough scared her almost to death; or rather,
-the consumption cure advertisements which she took to reading did; and
-she spent a few dollars on the fake factory which turns out Dr. King’s
-New Discovery. This proving worthless, she switched to Piso’s Cure and
-added the hasheesh habit to alcoholism. By this time she had acquired a
-fine, typical case of patent-medicine dyspepsia. That idea never
-occurred to her, though. She next tried Dr. Miles’s Anti-Pain Pills
-(more acetanilid), and finally decided—having read some advertising
-literature on the subject—that she had cancer. And the reason she was
-leaving you, Mrs. Clyde, was that she had decided to go to a
-scoundrelly quack named Johnson who conducts a cancer institute in
-Kansas City, where he fleeces unfortunates out of their money on the
-pretense that he can cure cancer without the use of the knife.”
-
-“Can’t you stop her?” asked Mrs. Clyde anxiously.
-
-“Oh, I’ve stopped her! You’ll find the remains of her patent medicines
-in the ash-barrel. I flatter myself I’ve fixed _her_ case.”
-
-Grandma Sharpless gazed at him solemnly. “‘Any doctor who claims to
-cure is a quack.’ Quotation from Dr. Strong,” she said.
-
-“Nearly had me there,” admitted he. “Fortunately I didn’t use the word
-‘cure.’ It wasn’t a case of cure. It was a case of correcting a stupid,
-disastrous little blunder in mathematics.”
-
-“Mathematics, eh?” repeated Mr. Clyde. “Have you reached the point
-where you treat disease by algebra, and triangulate a patient for an
-operation?”
-
-“Not quite that. But poor Maggie suffered all her troubles solely
-through an error in figuring by an incompetent man. A year ago she had
-trouble with her eyes. Instead of going to a good oculist she went to
-one of these stores which offer examinations free, and take it out in
-the price of the glasses. The examination is worth just what free
-things usually are worth—or less. They sold her a pair of glasses for
-two dollars. The glasses were figured out some fifty degrees wrong, for
-her error of vision, which was very slight, anyway. The nervous strain
-caused by the effort of the eyes to accommodate themselves to the false
-glasses and, later, the accumulated mass of drugs with which she’s been
-insulting her insides, are all that’s the matter with Maggie.”
-
-“That is, the glasses caused the headaches, and the patent medicines
-the stomach derangement,” said Mr. Clyde.
-
-“And the general break up, though the glasses may have started both
-before the nostrums ever got in their evil work. Nowadays, the wise
-doctor, having an obscure stomach trouble to deal with, in the absence
-of other explanation, looks to the eyes. Eyestrain has a most potent
-and far-reaching influence on digestion. I know of one case of chronic
-dyspepsia, of a year’s standing, completely cured by a change of
-eyeglasses.”
-
-“As a financial proposition,” said Mr. Gormley, “your nurse must have
-come out at the wrong end of the horn.”
-
-“Decidedly,” confirmed the doctor. “She spent on patent medicines about
-forty dollars. The cancer quack would have got at least a hundred
-dollars out of her, not counting her railroad fare. Two hundred dollars
-would be a fair estimate of her little health-excursion among the
-quacks. Any good physician would have sent her to an oculist, who would
-have fitted proper glasses and saved all that expense and drugging. The
-entire bill for doctor, oculist, and glasses might have been
-twenty-five dollars. Yet they defend patent medicines on the ground
-that they’re the ‘poor man’s doctor.”
-
-Mr. Gormley rose. “Poor man’s undertaker, rather,” he amended. “Well,
-having sufficiently blackguarded my own business, I think I’ll go.
-Here’s the whole thing summed up, as I see it. It pays to go to the
-doctor first and the druggist afterward; not to the druggist first and
-the doctor afterward.”
-
-Dr. Strong walked over to the gate with him. On his return Mrs. Clyde
-remarked:
-
-“What an interesting, thoughtful man. Are most druggists like that?”
-
-“They’re not all philosophers of the trade, like Gormley,” said Dr.
-Strong, “but they have to be pretty intelligent before they can pass
-the Pharmaceutical Board in this state, and put out their colored
-lights.”
-
-“I’ve often meant to ask what the green and red lights in front of a
-drug-store stand for,” said Mrs. Clyde. “What is their derivation?”
-
-“Green is the official color of medical science,” explained the doctor.
-“The green flag, you know, indicates the hospital corps in war-time;
-and the degree of M.D. is signalized by a green hood in academic
-functions.”
-
-“And the red globe on the other side of the store: what does that
-mean?”
-
-“Danger,” replied Dr. Strong grimly.
-
-
-
-
-V.
-THE MAGIC LENS
-
-
-“No good fairy had ever bestowed such a gift as this magic lens,” said
-Dr. Strong, whisking Bettina up from her seat by the window and setting
-her on his knee. “It was most marvelously and delicately made, and
-furnished with a lightning-quick intelligence of its own. Everything
-that went on around it, it reported to its fortunate possessor as
-swiftly as thought flies through that lively little brain of yours. It
-earned its owner’s livelihood for him; it gave him three fourths of his
-enjoyments and amusements; it laid before him the wonderful things done
-and being done all over the world; it guided all his life. And all that
-it required was a little reasonable care, and such consideration as a
-man would show to the horse that worked for him.”
-
-“At the beginning you said it wasn’t a fairytale,” accused Bettina,
-with the gravity which five years considers befitting such an occasion.
-
-“Wait. Because the owner of the magic lens found that it obeyed all his
-orders so readily and faithfully, he began to impose on it. He made it
-work very hard when it was tired. He set tasks for it to perform under
-very difficult conditions. At times when it should have been resting,
-he compelled it to minister to his amusements. When it complained, he
-made light of its trouble.”
-
-“Could it speak?” inquired the little auditor.
-
-“At least it had a way of making known its wants. In everything which
-concerned itself it was keenly intelligent, and knew what was good and
-bad for it, as well as what was good and bad for its owner.”
-
-“Couldn’t it stop working for him if he was so bad to it?”
-
-“Only as an extreme measure. But presently, in this case, it threatened
-to stop. So the owner took it to a cheap and poor repair-shop, where
-the repairer put a little oil in it to make it go on working. For a
-time it went on. Then, one morning, the owner woke up and cried out
-with a terrible fear. For the magic light in the magic lens was gone.
-So for that foolish man there was no work to do nor play to enjoy. The
-world was blotted out for him. He could not know what was going on
-about him, except by hearsay. No more was the sky blue for him, or the
-trees green, or the flowers bright; and the faces of his friends meant
-nothing. He had thrown away the most beautiful and wonderful of all
-gifts. Because it is a gift bestowed on nearly all of us, most of us
-forgot the wonder and the beauty of it. So, Honorable Miss Twinkles, do
-you beware how you treat the magic lens which is given to you.”
-
-“To me?” cried the child; and then, with a little squeal of
-comprehension: “Oh, I know! My eyes. That’s the magic lens. Isn’t it?”
-
-“What’s that about Bettykin’s eyes?” asked Mr. Clyde, who had come in
-quietly, and had heard the finish of the allegory.
-
-“I’ve been examining them,” explained Dr. Strong, “and the story was
-reward of merit for her going through with it like a little soldier.”
-
-“Examining her eyes? Any particular reason?” asked the father
-anxiously.
-
-“Very particular. Mrs. Clyde wishes to send her to kindergarten for a
-year before she enters the public school. No child ought to begin
-school without a thorough test of vision.”
-
-“What did the test show in Bettykin’s case?”
-
-“Nothing except the defects of heredity.”
-
-“Heredity? My sight is pretty good; and Mrs. Clyde’s is still better.”
-
-“You two are not the Cherub’s only ancestors, however,” smiled the
-physician. “And you can hardly expect one or two generations to recast
-as delicate a bit of mechanism as the eye, which has been built up
-through millions of years of slow development. However, despite the
-natural deficiencies, there’s no reason in Betty why she shouldn’t
-start in at kindergarten next term, provided there isn’t any in the
-kindergarten itself.”
-
-Mr. Clyde studied the non-committal face of his “Chinese physician,” as
-he was given to calling Dr. Strong since the latter had undertaken to
-safeguard the health of his household on the Oriental basis of being
-paid to keep the family well and sound. “Something is wrong with the
-school,” he decided.
-
-“Read what it says of itself in that first paragraph,” replied Dr.
-Strong, handing him a rather pretentious little booklet.
-
-In the prospectus of their “new and scientific kindergarten,” the
-Misses Sarsfield warmly congratulated themselves and their prospective
-pupils, primarily, upon the physical advantages of their school
-building which included a large work-and-play room, “with generous
-window space on all sides, and finished throughout in pure, glazed
-white.” This description the head of the Clyde household read over
-twice; then he stepped to the door to intercept Mrs. Clyde’s mother who
-was passing by.
-
-“Here, Grandma,” said he. “Our Chinese tyrant had diagnosed something
-wrong with that first page. Do you discover any kink in it?”
-
-“Not I,” said Mrs. Sharpless, after reading it. “Nor in the place
-itself. I called there yesterday. It is a beautiful room; everything as
-shiny and clean as a pin.”
-
-“Yesterday was cloudy,” observed the Health Master.
-
-“It was. Yet there wasn’t a corner of the place that wasn’t flooded
-with light,” declared Mrs. Sharpless.
-
-“And on a clear day, with the sun pouring in from all sides and being
-flashed back from those shiny, white walls, the unfortunate inmates
-would be absolutely dazzled.”
-
-“Do you mean to say that God’s pure sunlight can hurt any one?”
-challenged Mrs. Sharpless, who was rather given to citing the Deity as
-support for her own side of any question.
-
-“Did you ever hear of snow-blindness?” countered the physician.
-
-“I’ve seen it in the North,” said Mr. Clyde. “It’s not a pleasant thing
-to see.”
-
-“Glazed white walls would give a very fair imitation of snow-glare. Too
-much light is as bad as too little. Those walls should be tinted.”
-
-“Yet it says here,” said Mr. Clyde, referring to his circular, “that
-the ‘Misses Sarsfield will conduct their institution on the most
-improved Froebelian principles.”
-
-“Froebel was a great man and a wise one,” said Dr. Strong. “His
-kindergarten system has revolutionized all teaching. But he lived
-before the age of hygienic knowledge. I suppose that no other man has
-wrought so much disaster to the human eye as he.”
-
-“That’s a pretty broad statement, Strong,” objected Air. Clyde.
-
-“Is it? Look at the evidence. North Germany is the place where Froebel
-first developed his system. Seventy-five per cent of the population are
-defective of vision. Even the American children of North German
-immigrants show a distinct excess of eye defects. You’ve seen the comic
-pictures representing Boston children as wearing huge goggles?”
-
-“Are you making an argument out of a funny-paper joke?” queried Grandma
-Sharpless.
-
-“Why not? It wouldn’t be a joke if it hadn’t some foundation in fact.
-The kindergarten system got its start in America in Boston. Boston has
-the worst eyesight of any American city; impaired vision has even
-become hereditary there. To return to Germany: if you want a shock,
-look up the records of suicides among school-children there.”
-
-“But surely that has no connection with the eyes.”
-
-“Surely it has,” controverted Dr. Strong. “The eye is the most nervous
-of all the organs; and nothing will break down the nervous system in
-general more swiftly and surely than eye-strain. Even in this country
-we are raising up a generation of neurasthenic youngsters, largely from
-neglect of their eyes.”
-
-“Still, we’ve got to educate our children,” said Mr. Clyde.
-
-“And we’ve got to take the utmost precautions lest the education cost
-more than it is worth, in acquired defects.”
-
-“For my part,” announced Grandma Sharpless, “I believe in early
-schooling and in children learning to be useful. At the Sarsfield
-school there were little girls no older that Bettina, who were doing
-needlework beautifully; fine needlework at that.”
-
-“Fine needlework!” exploded Dr. Strong in a tone which Grandma
-Sharpless afterwards described as “damnless swearing.”
-
-“That’s enough! See here, Clyde. Betty goes to that kindergarten only
-over my dead job.”
-
-“Oh, well,” said Mr. Clyde, amazed at the quite unwonted excitement
-which the other exhibited, “if you’re dealing in ultimatums, I’ll drop
-out and leave the stricken field to Mrs. Clyde. This kindergarten
-scheme is hers. Wait. I’ll bring her. I think she just came in.”
-
-“What am I to fight with you about, Dr. Strong?” asked Mrs. Clyde,
-appearing at the door, a vision of trim prettiness in her furs and
-veil. “Tom didn’t tell me the _casus belli_.”
-
-“Nobody in this house,” said Dr. Strong appealing to her, “seems to
-deem the human eye entitled to the slightest consideration. You’ve
-never worn glasses; therefore you must have respected your own eyesight
-enough to—”
-
-He stopped abruptly and scowled into Mrs. Clyde’s smiling face.
-
-“Well! what’s the matter?” she demanded. “You look as if you were going
-to bite.”
-
-“What are you looking cross-eyed for?” the Health Master shot at her.
-
-“I’m not! Oh, it’s this veil, I suppose.” She lifted the heavy
-polka-dotted screen and tucked it over her hat. “There, that’s more
-comfortable!”
-
-“Is it!” said the physician with an emphasis of sardonicism. “You
-surprise me by admitting that much. How long have you been wearing that
-instrument of torture?”
-
-“Oh, two hours. Perhaps three. But, Dr. Strong, it doesn’t hurt my eyes
-at all.”
-
-“Nor your head?”
-
-“I _have_ got a little headache,” she confessed. “To think that a
-supposedly intelligent woman who has reached the age of—of—”
-
-“Thirty-eight,” said she, laughing. “I’m not ashamed of it.”
-
-“—Thirty-eight, without having to wear glasses, should deliberately
-abuse her hard-working vision by distorting it! See here,” he
-interrupted himself, “it’s quite evident that I haven’t been living up
-to the terms of my employment. One of these evenings we’re going to
-have in this household a short but sharp lecture and symposium on eyes.
-I’ll give the lecture; and I suspect that this family will furnish the
-symposium—of horrible examples. Where’s Julia? As she’s the family
-Committee on School Conditions, I expect to get some material from her,
-too. Meantime, Mrs. Clyde, no kindergarten for Betty kin, if you
-please. Or, in any case, not that kindergarten.”
-
-No further ocular demonstrations were made by Dr. Strong for several
-days. Then, one evening, he came into the library where the whole
-family was sitting. Grandma Sharpless, in the old-fashioned rocker,
-next a stand from which an old-fashioned student-lamp dispensed its
-benign rays, was holding up, with some degree of effort, a rather heavy
-book to the line of her vision. Opposite her a soft easychair contained
-Robin, other-wise Bobs, involuted like a currant-worm after a dose of
-Paris green, and imaginatively treading, with the feet of enchantment,
-virgin expanses of forest in the wake of Mr. Stewart White.
-
-Julia, alias “Junkum,” his twin, was struggling against the demon of
-ill chance as embodied in a game of solitaire, far over in a dim
-corner. Geography enchained the mind of eight-year-old Charles, also
-his eyes, and apparently his nose, which was stuck far down into the
-mapped page. Near him his father, with chin doubled down over a stiff
-collar, was internally begging leave to differ with the editorial
-opinions of his favorite paper; while Mrs. Clyde, under the direct
-glare of a side-wall electric cluster, unshaded, was perusing a
-glazed-paper magazine, which threw upon her face a strong reflected
-light. Before the fire Bettykin was retailing to her most intelligent
-doll the allegory of the Magic Lens.
-
-Enter, upon this scene of domestic peace, the spirit of devastation in
-the person of the Health Master.
-
-“The horrible examples being now on exhibit,” he remarked from the
-doorway, “our symposium on eyes will begin.”
-
-“He says we’re a hor’ble example, Susan Nipper,” said Bettina
-confidentially, to her doll.
-
-“No, I apologize, Bettykin,” returned the doctor. “You’re the only two
-sensible people in the room.”
-
-Julia promptly rose, lifted the stand with her cards on it, carried it
-to the center of the library, and planted it so that the central light
-fell across it from a little behind her.
-
-“One recruit to the side of common sense,” observed the physician.
-“Next!”
-
-“What’s wrong with me?” demanded Mr. Clyde, looking up. “Newspaper
-print?”
-
-“Newspaper print is an unavoidable evil, and by no means the worst
-example of Gutenberg’s art. No; the trouble with you is that your neck
-is so scrunched down into a tight collar as to shut off a proper blood
-supply from your head. Don’t your eyes feel bungy?”
-
-“A little. What am I going to do? I can’t sit around after dinner with
-no collar on.”
-
-“Sit up straight, then; stick your neck up out of your collar and give
-it play. Emulate the attentive turtle! And you, Bobs, stop imitating an
-anchovy. Uncurl! _Uncurl!!_”
-
-With a sigh, Robin straightened himself out. “I was so comfortable,” he
-complained.
-
-“No, you weren’t. You were only absorbed. The veins on your temples are
-fairly bulging. You might as well try to read standing on your head.
-Get a straight-backed chair, and you’re all right. I’m glad to see that
-you follow Grandma Sharpless’s good example in reading by a
-student-lamp.”
-
-“That’s my own lamp,” said Mrs. Sharpless. “Seventy years has at least
-taught me how to read.”
-
-“How, but not what,” answered the Health Master. “That’s a bad book
-you’re reading.”
-
-Grandma Sharpless achieved the proud athletic feat of bounding from her
-chair without the perceptible movement of a muscle.
-
-“Young man!” she exclaimed in a shaking voice, “do you know what book
-that is?”
-
-“I don’t care what book—”
-
-“It is the Bible.”
-
-“Is it? Well, Heaven inspired the writer, but not the printer. Text
-such as that ought to be prohibited by law. Isn’t there a passage in
-that Bible, ‘Having eyes, ye see not’?”
-
-“Yes, there is,” snapped Mrs. Sharpless. “And my eyes have been seeing
-and seeing straight for a good many more years than yours.”
-
-“The more credit to them and the less to you, if you’ve maltreated them
-with such sight-murdering print as that. Haven’t you another Bible?”
-
-Grandma Sharpless sat down again. “I have another,” she said, “with
-large print; but it’s so heavy.”
-
-“Prescription: one reading-stand. Now, Mrs. Clyde.”
-
-The mother of the family looked up from her magazine with a smile.
-
-“You can’t say that I haven’t large print or a good light,” she said.
-
-“The print is good, but the paper bad,” said the Health Master. “Bad,
-that is, as you are holding it under a full, unqualified electric
-light. In reading from glazed paper, which reflects like a mirror, you
-should use a very modified light. In fact, I blame myself from not
-having had all the electric globes frosted long since. Now, I’ve kept
-the worst offender for the last.”
-
-Charley detached his nose from his geography and looked up. “That’s me,
-I suppose,” he remarked pessimistically and ungrammatically. “I’m
-always coming in for something special. But I can’t make anything out
-of these old maps without digging my face down into ‘em.”
-
-“That’s a true bill against the book concern which turns out such a
-book, and the school board which permits its use. Charley, do you know
-why Manny isn’t playing football this year?”
-
-“Manny” was the oldest son of the family, then away at school.
-
-“Mother wanted him not to, I suppose,” said the boy.
-
-“No,” said Mrs. Clyde. “Dr. Strong persuaded me that the development he
-would get out of the game would be worth the risk.”
-
-“It was his eyes,” said the Health Master. “He is wearing glasses this
-year and will probably wear them next. After that I hope he can stop
-them. But his trouble is that he—or rather his teachers—abused his eyes
-with just such outrageous demands as that geography of yours. And while
-the eye responded then, it is demanding payment now.”
-
-“But a kid’s got to study, hasn’t he? Else he won’t keep up,” put in
-Bobs, much interested.
-
-“Not at the expense of the most important of his senses,” returned the
-Health Master. “And never at night, at Charley’s age, or even yours,
-Bobs.”
-
-“Then he gets dropped from his classes,” objected Bobs.
-
-“The more blame to his classes. Early learning is much too expensive at
-the cost of eye-strain and consequent nerve-strain. If we force a
-student in the early years to make too great demands on his eyes, the
-chances are that he will develop some eye or nervous trouble at sixteen
-or seventeen and lose far more time than he has gained before, not
-reckoning the disastrous physical effects.”
-
-“But if other children go ahead, ours must,” said Mrs. Clyde.
-
-“Perhaps the others who go ahead now won’t keep ahead later. There is a
-sentence in Wood and Woodruff’s textbook on the eye[1] which every
-public-school teacher and every parent should learn by heart. It runs
-like this: ‘That child will be happier and a better citizen as well as
-a more successful man of affairs, who develops into a fairly healthy,
-though imperfectly schooled animal at twenty, than if he becomes a
-learned, neurasthenic asthenope at the same age.’”
-
- [1] Commoner Diseases of the Eye, by Casey A. Wood and Thomas A.
- Woodruff, pp. 418, 419.
-
-
-“Antelope?” put in Bettina, who was getting weary of her exclusion from
-the topic. “I’ve got a picture of that. It’s a little deer.”
-
-“So are you, Toddles,” cried the doctor, seizing upon her with one hand
-and Susan Nipper with the other, and setting one on each shoulder, “and
-we’re going to keep those very bright twinklers of yours just as fit’as
-possible, both to see and be seen.”
-
-“But what of Charley and the twins?” asked Mr. Clyde.
-
-“Everything right, so far. They’re healthy young animals and can meet
-the ordinary demands of school life. But no more study at night, for
-some years, for Charley; and no more, ever, of fine-printed maps. Some
-day, Charley, you may go to the Orinoco. It’s a good deal more
-desirable that you should be able to see what there is to be seen
-there, then, than that you should learn, now, the name of every
-infinitesimally designated town on its banks.”
-
-“In my childhood,” observed Mrs. Sharpless, with the finality proper to
-that classic introductory phrase, “we thought more of our brains than
-our eyes.”
-
-“An inverted principle. The brain can think for itself. The eye can
-only complain, and not always very clearly in the case of a child.
-Moreover, Mrs. Sharpless, in your school-days the eye wasn’t under half
-the strain that it is in our modern, print-crowded world. The fact is,
-we’ve made a tremendous leap forward, and radically changed a habit and
-practice built up through hundreds and thousands of years, and Nature
-is struggling against great difficulties to catch up with us.”
-
-“I don’t understand what you are getting at,” said Mrs. Clyde, letting
-her magazine drop.
-
-“Have you tried walking on all fours lately?” inquired the physician.
-
-“Not for a number of years.”
-
-“Presumably you would find it awkward. Yet if, through some pressure of
-necessity, the human race should have to return to the quadrupedal
-method, the alteration in life would be less radical than we have
-imposed upon our vision in the last few generations.”
-
-“Sounds like flat nonsense to me,” said the downright Clyde. “We see
-just as all our ancestors saw.”
-
-“Think again. Our ancestors, back a very few generations, were an
-outdoor race living in a world of wide horizons. Their eyes could range
-over far distances, unchecked, instead of being hemmed in most of the
-time by four walls. They were farsighted. Indeed, their survival
-depended upon their being far-sighted; like the animals which they
-killed or which killed them, according as the human or the beast had
-the best eyes. Nowadays, in order to live we must read and write. That
-is, the primal demand upon the eye is that it shall see keenly near at
-hand instead of far off. The whole hereditary training of the organ has
-been inverted, as if a mountaineer should be set to diving for pearls;
-and the poor thing hasn’t had time to adjust itself yet. We employ our
-vision for close work ten times as much as we did a hundred years ago
-and ten thousand times as much as we did ten thousand years ago. But
-the influence of those ten thousand years is still strong upon us, and
-the human child is born with the eye of a savage or an animal.”
-
-“What kind of an animal’s eyes have I got?” demanded Bettina. “A
-antelope’s?”
-
-“Almost as far-sighted,” returned the Health Master, wriggling out from
-under her and catching her expertly as she fell. “And how do you think
-an antelope would be doing fine needlework in a kindergarten?”
-
-“But, Strong, few of us go blind,” said Mr. Clyde. “And of those who
-do, nearly half are needlessly so. That we aren’t all groping,
-sightless, about the earth is due to the marvelous adaptability of our
-eyes. And it is exactly upon that adaptability that we are so prone to
-impose; working a willing horse to death. In the young the muscles of
-accommodation, whereby the vision is focused, are almost incredibly
-powerful; far more so than in the adult. The Cherub, here, could force
-her vision to almost any kind of work and the eye would not complain
-much—at this time. But later on the effects would be manifest.
-Therefore we have to watch the eye very closely until it begins to grow
-old, which is at about twelve years or so. In the adult the eye very
-readily lets its owner know if anything is wrong. Only fools disregard
-that warning. But in the developing years we must see to it that those
-muscles, set to the task of overcoming generations of custom, do not
-overwork and upset the whole nervous organization. Sometimes glasses
-are necessary; usually, only care.”
-
-“In a few generations we’ll all have four eyes, won’t we?” asked Bobs,
-making a pair of mock spectacles with his circled fingers and thumbs.
-
-“Oh, let’s hope not. The cartoonists of prophecy always give the future
-man spectacles. But I believe that the tendency will be the other way,
-and that, by evolution to meet new conditions, the eye will fit itself
-for its work, unaided, in time. Meantime, we have to pay the penalty of
-the change. That’s a small price for living in this wonderful century.”
-
-“You say that half the blind are needlessly so,” said Mrs. Clyde. “Is
-that from preventable disease?”
-
-“About forty per cent, of the wholly blind. But the half-blind and the
-nervously wrecked victims of eye-strain owe their woes generally to
-sheer carelessness and neglect. By the way, eye-strain itself may cause
-very serious forms of disease, such as obstinate and dangerous forms of
-indigestion, insomnia, or even St. Vitus’s dance and epilepsy.”
-
-“But you’re not telling us anything about eye diseases, Dr. Strong,”
-said Julia.
-
-“There speaks our Committee on School Conditions, filled full of
-information,” said the Health Master with a smile. “Junkum has made an
-important discovery, and made it in time. She has found that two
-children recently transferred from Number 14 have red eyes.”
-
-“Maybe they’ve been crying,” suggested Bettykin.
-
-“They were when I saw them, acute Miss Twinkles, although they didn’t
-mean it at all. One was crying out of one eye, and one out of the
-other, which gave them a very curious, absurd, and interesting
-appearance. They had each a developing case of pink-eye.”
-
-“Horses have pink-eye, not people,” remarked Grandma Sharpless.
-
-“To be more accurate, then, conjunctivitis. People have that; a great
-many people, once it gets started. It looks very bad and dangerous; but
-it isn’t if properly cared for. Only, it’s quite contagious. Therefore
-the Committee on Schools, with myself as acting executive, accomplished
-the temporary removal of those children from school.”
-
-“And then,” the Committee joyously took up the tale, “we went out and
-trailed the pink-eye.”
-
-“We did. We trailed it to its lair in School Number 14, and there we
-found one of the most dangerous creatures which civilization still
-allows to exist.”
-
-“In the school?” said Bettykin. “Oo-oo! What was it?”
-
-“It was a Rollertowl,” replied the doctor impressively and in a
-sonorous voice.
-
-“I never heard of it,” said the Cherub, awestruck. “What is it like?”
-
-“He means a roller-towel, goosie,” explained Julia. “A towel on a
-roller, that everybody wipes their hands and faces on.”
-
-“Exactly. And because everybody uses it, any contagious disease that
-anybody has, everybody is liable to catch. I’d as soon put a
-rattlesnake in a school as a roller-towel. In this case, half the grade
-where it was had conjunctivitis. But that isn’t the worst. There was
-one case of trachoma in the grade; a poor little Italian whose parents
-ignorantly sent her to an optician instead of an oculist. The optician
-treated her for an ordinary inflammation, and now she will lose the
-sight of one eye. Meantime, if any of the others have been infected by
-her, through that roller-towel, there will be trouble, for trachoma is
-a serious disease.”
-
-“Did you throw out the roller-towel?” asked Charley with a hopeful eye
-to a fray.
-
-“No. We got thrown out ourselves, didn’t we, Junkum?”
-
-“Pretty near,” corroborated Julia. “The principal told Dr. Strong that
-he guessed he could run his school himself and he didn’t need any
-interference by—by—what did he call us, Dr. Strong?”
-
-“Interlopers. No, Cherub, an interloper is no relation to an antelope.
-It was four days ago that we left that principal and went out and
-whistled for the Fool-killer. Yesterday, the principal came down with a
-rose-pink eye of his own; the Health Officer met him and ordered him
-into quarantine, and the terrible and ferocious Rollertowl is now
-writhing in its death-agonies on the ash-heap.”
-
-“What about other diseases?” asked Mrs. Clyde after a pause.
-
-“Nothing from me. The eye will report them itself quick enough. And as
-soon as your eye tells you that anything is the matter with it, you
-tell the oculist, and you’ll probably get along all right, as far as
-diseases go. It is not diseases that I have to worry about, as your
-Chinese-plan physician, so much as it is to see that you give your
-vision a fair chance. Let’s see. Charley, you’re the Committee on Air,
-aren’t you? Could you take on a little more work?”
-
-“Try me,” said the boy promptly.
-
-“All right; we’ll make you the Committee on Air and Light, hereafter,
-with power of protest and report whenever you see your mother going out
-in a polka-dotted, cross-eyed veil, or your grandmother reading a Bible
-that needs burning worse than any heretic ever did, or any of the
-others working or playing without sufficient illumination. Here endeth
-this lecture, with a final word. This is it:—
-
-“The eye is the most nervous of all the body’s organs. Except in early
-childhood, when it has the recklessness and overconfidence of unbounded
-strength, it complains promptly and sharply of ill-usage. Now, there
-are a few hundred rules about when and how to use the eyes and when and
-how not to use them. I’m not going to burden you with those. All I’m
-going to advise you is that when your eyes burn, smart, itch, or feel
-strained, there’s some reason for it, and you should obey the warning
-and stop urging them to work against their protest. In fact, I might
-sum it all up in a motto which I think I’ll hang here in the library—a
-terse old English slang phrase.”
-
-“What is it?” asked Mr. Clyde.
-
-“‘Mind your eye,’” replied the Health Master.
-
-
-
-
-VI.
-THE RE-MADE LADY
-
-
-“Of all unfortunate times!” lamented Mrs. Clyde, her piquant face
-twisted to an expression of comic despair. “Why couldn’t he have given
-us a little more notice?”
-
-Impatiently she tossed aside the telegram which announced that her
-husband’s old friend, Oren Taylor, the artist, would arrive at seven
-o’clock that evening.
-
-“Don’t let it bother you, dear,” said Clyde. “I’ll take him to the club
-for dinner.”
-
-“You can’t. Have you forgotten that I’ve invited Louise Ennis for her
-quarterly—well—visitation?”
-
-Clyde whistled. “That’s rather a poser. What business have I got to
-have a cousin like Louise, anyway!”
-
-Upon this disloyal observation Dr. Strong walked into the library. He
-was a very different Dr. Strong from the nerve-shaken wanderer who had
-dropped from nowhere into the Clyde household a year previous as its
-physician on the Chinese plan of being employed to keep the family
-well. The painful lines of the face were smoothed out. There was a deep
-light of content, the content of the man who has found his place and
-filled it, in the level eyes; and about the grave and controlled set of
-the mouth a sort of sensitive buoyancy of expression. The flesh had
-hardened and the spirit softened in him.
-
-“Did you hear that, Strong?” inquired Mr. Clyde, turning to him.
-
-“I have trained ears,” answered Dr. Strong solemnly. “They’re
-absolutely impervious to any speech not intended for them.”
-
-“Open them to this: Louise Ennis is invited for dinner to-night. So is
-my old friend Oren Taylor, who wires to say that he’s passing through
-town.”
-
-“Is that Taylor, the artist of ‘The First Parting’? I shall enjoy
-meeting him.”
-
-“Well, you won’t enjoy meeting Cousin Louise,” declared Mr. Clyde. “We
-ask her about four times a year, out of family piety. You’ve been lucky
-to escape her thus far.”
-
-“Rather a painful old party, your cousin?” inquired the physician,
-smilingly, of Clyde.
-
-“Old? Twenty-two,” said Mrs. Clyde. “But she looks fifty and feels a
-hundred.”
-
-“Allowing for feminine exaggeration,” amended Clyde.
-
-“But what’s so wrong with her?” demanded the physician.
-
-“Nerves,” said Mrs. Clyde.
-
-“Stomach,” said Mr. Clyde.
-
-“Headaches,” said Mrs. Clyde.
-
-“Toe-aches,” said Mr. Clyde.
-
-“Too much money,” said Mrs. Clyde.
-
-“Too much ego,” said Mr. Clyde.
-
-“Dyspepsia.”
-
-“Hypochondria.”
-
-“Chronic inertia.”
-
-“Set it to music,” suggested Dr. Strong, “and sing it as a duet of
-disease, from ablepsy to zymosis, inclusively. I shall be immensely
-interested to observe this prodigy of ills.”
-
-“You’ll have plenty of opportunity,” said Mrs. Clyde rather
-maliciously. “You’re to sit next to her at dinner to-night.”
-
-“Then put Bettykin on the other side of me,” he returned. “With that
-combination of elf, tyrant, and angel close at hand, I can turn for
-relief from the grave to the cradle.”
-
-“Indeed you cannot. Louise can’t endure children. She says they get on
-her nerves. _My_ children!”
-
-“Now you _have_ put the finishing touch to your character sketch,”
-observed Dr. Strong. “A woman of child-bearing age who can’t endure
-children—well, she is pretty far awry.”
-
-“Yet I can remember Louise when she was a sweet, attractive young
-girl,” sighed Mrs. Clyde. “That was before her mother died, and left
-her to the care of a father too busy making money to do anything for
-his only child but spend it on her.”
-
-“You’re talking about Lou Ennis, I know,” said Grandma Sharpless, who
-had entered in time to hear the closing words.
-
-“Yes,” said. Dr. Strong. “What is our expert diagnostician’s opinion of
-the case? You know I always defer to you, ma’am, on any problem that’s
-under the surface of things.”
-
-“None of your soft sawder, young man!” said the old lady, her shrewd,
-gray eyes twinkling from her shrewd, pink face. “My opinion of Louise
-Ennis? I’ll give it to you in two words. Just spoiled.”
-
-“Taking my warning as I find it,” remarked the physician, rising, “I
-shall now retire to put on some chain armor under my evening coat, in
-case the Terrible Cousin attempts to stab me with an oyster-fork.”
-
-The dinner was not, as Mrs. Clyde was forced to admit afterward, by any
-means the dismal function which she had anticipated. Oren Taylor, an
-easy, discursive, humorous talker, set the pace and was ably seconded
-by Grandma Sharpless, whose knack of incisive and pointed comment
-served to spur him to his best. Dr. Strong, who said little, attempted
-to draw Miss Ennis into the current of talk, and was rewarded with an
-occasional flash of rather acid wit, which caused the artist to look
-across the table curiously at the girl. So far as he could do so
-without rudeness, the physician studied his neighbor.
-
-He saw a tall, amply-built girl, with a slackened frame whose muscles
-had forgotten how to play their part properly in holding the structure
-firm. Her face was flaccid. Under the large but dull eyes, there was a
-bloodless puffiness. Discontent sat enthroned at the corners of the
-sensitive mouth. A faint, reddish eruption disfigured her chin. Her two
-strong assets, beautifully even teeth and a wealth of soft, fine hair,
-failed wholly to save her from being a flatly repellent woman. Dr.
-Strong noted further that her hands were incessantly uneasy, and that
-she ate little and without interest. Also she seemed, in a sullen way,
-shy. Yet, despite all of these drawbacks, there was a pathetic
-suggestion of inherent fineness about her; of qualities become decadent
-through disuse; a charm that should have been, thwarted and perverted
-by a slovenly habit of life. Dr. Strong set her down as a woman at war
-with herself, and therefore with her world.
-
-After dinner Mr. and Mrs. Clyde slipped away to see the children. The
-artist followed Dr. Strong, to whom he had taken a liking, as most men
-did, into the small lounging-room, where he lighted a cigar.
-
-“Too bad about that Miss Ennis, isn’t it?” said Taylor abruptly.
-
-His companion looked at him interrogatively.
-
-“Such a mess,” he continued. “Such a ruin. Yet so much left that isn’t
-ruined. That face would be worth a lot to me for the ‘Poet’s Cycle of
-the Months’ that I’m painting now. What a _November_ she’d make;
-‘November, the withered mourner of glories dead and gone.’ Only I
-suppose she’d resent being asked to sit.”
-
-“Illusions are the last assets that a woman loses,” agreed Dr. Strong.
-
-“To think,” pursued the painter, “of what her Maker meant her to be,
-and of how she has belied it! She’s essentially and fundamentally a
-beautiful woman; that is why I want her for a model.”
-
-‘“In the structure of her face, perhaps—”
-
-“Yes; and all through. Look at the set of her shoulders, and the lines
-of her when she walks. Nothing jerry-built about her! She’s got the
-contours of a goddess and the finish of a mud-pie. It’s maddening.”
-
-“More maddening from the physician’s point of view than from the
-artist’s. For the physician knows how needless it all is.”
-
-“Is she your patient?”
-
-“If she were I’d be ashamed to admit it. Give me military authority and
-a year’s time and if I couldn’t fix her so that she’d be proud to pose
-for your picture—Good Heavens!”
-
-From behind the drapery of the passageway appeared Louise Ennis. She
-took two steps toward the two men and threw out her hands in an appeal
-which was almost grotesque.
-
-“Is it true?” she cried, turning from one to the other. “Tell me, is it
-really true?”
-
-“My dear young lady,” groaned Taylor, “what can I say to palliate my
-unpard—”
-
-“Nevermind that! I don’t care. I don’t care anything about it. It’s my
-own fault. I stopped and listened. I couldn’t help it. It means so much
-to me. You can’t know. No man can understand. Is it true that I—that my
-face—”
-
-Oren Taylor was an artist in more than his art: he possessed the rare
-sense of the fit thing to do and say.
-
-“It is true,” he answered quietly, “that I have seen few faces more
-justly and beautifully modeled than yours.”
-
-“And you,” she said, whirling upon Dr. Strong. “Can you do what you
-said? Can you make me good-looking?”
-
-“Not I. But you yourself can.”
-
-“Oh, how? What must I do? D—d—don’t think me a fool!” She was
-half-sobbing now. “It may be silly to long so bitterly to be beautiful.
-But I’d give anything short of life for it.”
-
-“Not silly at all,” returned Dr. Strong emphatically. “On the contrary,
-that desire is rooted in the profoundest depths of sex.”
-
-“And is the best excuse for art as a profession,” said the painter,
-smiling.
-
-“Only tell me what to do,” she besought. “Gently,” said Dr. Strong. “It
-can’t be done in a day. And it will be a costly process.”
-
-“That doesn’t matter. If money is all—”
-
-“It isn’t all. It’s only a drop in the bucket. It will cost you dear in
-comfort, in indulgence, in ease, in enjoyment, in habit—”
-
-“I’ll obey like a child.” Again her hands went tremulously out to him;
-then she covered her face with them and burst into the tears of nervous
-exhaustion.
-
-“This is no place for me,” said the artist, and was about to escape by
-the door, when Mrs. Clyde blocked his departure.
-
-“Ah, you are in here,” she said gayly. “I’d been wondering—Why, what’s
-the matter? What is it?”
-
-“There has been an unfortunate blunder,” said Dr. Strong quickly. “I
-said some foolish things which Miss Ennis overheard—”
-
-“No,” interrupted the painter. “The fault was mine—” And in the same
-breath Louise Ennis cried:—
-
-“I didn’t overhear! I listened. I eavesdropped.”
-
-“Are you quite mad, all of you?” demanded the hostess. “Won’t somebody
-tell me what has happened?”
-
-“It’s true,” said the girl wildly; “every word they said. I _am_ a
-mess.”
-
-Mrs. Clyde’s arms went around the girl. Sex-loyalty raised its war
-signal flaring in her cheeks.
-
-“_Who_ said that?” she demanded, in a tone of which Dr. Strong observed
-afterward, “I never before heard a woman roar under her breath.”
-
-“Never mind who said it,” retorted the girl. “It’s true anyway. It
-wasn’t meant to hurt me. It didn’t hurt me. He is going to cure me; Dr.
-Strong is.”
-
-“Cure you, Louise? Of what?”
-
-“Of ugliness. Of hideousness. Of being a mess.”
-
-“But, my dear,” said the older woman softly, “you mustn’t take it to
-heart so, the idle word of some one who doesn’t know you at all.”
-
-“You can’t understand,” retorted the other passionately. “You’ve always
-been pretty!”
-
-“A compliment straight from the heart,” murmured the painter.
-
-The color came into Mrs. Clyde’s smooth cheek again. “What have you
-promised her, Dr. Strong?” she asked.
-
-“Nothing. I have simply followed Mr. Taylor’s lead. His is the artist
-eye that can see beauty beneath disguises. He has told Miss Ennis that
-she was meant to be a beautiful woman. I have told her that she can be
-what she was meant to be if she wills, and wills hard enough.”
-
-“And you will take charge of her case?” asked Mrs. Clyde.
-
-“That, of course, depends upon you and Mr. Clyde. If you will include
-Miss Ennis in the family, my responsibilities will automatically extend
-to her.”
-
-“Most certainly,” said Mrs. Clyde. “And now, Mr. Taylor,” she added,
-answering a look of appeal from that uncomfortable gentleman, “come and
-see the sketches. I really believe they are Whistler’s.”
-
-As they left, Dr. Strong looked down at Louise Ennis with a smile.
-
-“At present I prescribe a little cold water for those eyes,” said he.
-“And then some general conversation in the drawing-room. Come here
-tomorrow at four.”
-
-“No,” said she. “I want to begin at once.”
-
-“So as to profit by the impetus of the first enthusiasm? Very well. How
-did you come here this evening?”
-
-“In my limousine.”
-
-“Sell it.”
-
-“Sell my new car? At this time of year?”
-
-“Store it, then.”
-
-“And go about on street-cars, I suppose?”
-
-“Not at all. Walk.”
-
-“But when it rains?”
-
-“Run.”
-
-Eagerness died out of Louise Ennis’s face. “Oh, I know,” she said
-pettishly. “It’s that old, old exercise treatment. Well, I’ve tried
-that, and if you think—”
-
-She stopped in surprise, for Dr. Strong, walking over to the door, held
-the portière aside.
-
-“After you,” he said courteously.
-
-“Is that all the advice you have for me?” she persisted.
-
-“After you,” he repeated.
-
-“Well, I’m sorry,” she said sulkily. “What is it you want me—”
-
-“Pardon me,” he interrupted in uncompromising tones. “I am sure they
-are waiting for us in the other room.”
-
-“You are treating me like a spoiled child,” declared Miss Ennis,
-stamping a period to the charge with her high French heel.
-
-“Precisely.”
-
-She marched out of the room, and, with the physician, joined the rest
-of the company. For the remainder of the evening she spoke little to
-any one and not at all to Dr. Strong. But when she came to say
-good-night he was standing apart. He held out his hand, which she could
-not well avoid seeing.
-
-“When you get up to-morrow,” he said, “look in the mirror, [she winced]
-and say, ‘I can be beautiful if I want to hard enough.’ Good-bye.”
-
-Luncheon at the Clydes’ next day was given up to a family discussion of
-Miss Louise Ennis, precipitated by Mr. Clyde, who rallied Dr. Strong on
-his newest departure.
-
-“Turned beauty doctor, have you?” he taunted good-humoredly.
-
-“Trainer, rather,” answered Dr. Strong.
-
-“You might be in better business,” declared Mrs. Sharpless, with her
-customary frankness. “Beauty is only skin-deep.”
-
-“Grandma Sharpless’s quotations,” remarked Dr. Strong to the
-saltcellar, “are almost as sure to be wrong as her observations are to
-be right.”
-
-“It was a wiser man than you or I who spoke that truth about beauty.”
-
-“Nonsense! Beauty only skin-deep, indeed! It’s liver-deep anyway. Often
-it’s soul-deep. Do you think you’ve kept your good looks, Grandma
-Sharpless, just by washing your skin?”
-
-“Don’t you try to dodge the issue by flattery, young man,” said the old
-lady, the more brusquely in that she could see her son-in-law grinning
-boyishly at the mounting color in her face. “I’m as the Lord made me.”
-
-“And as you’ve kept yourself, by clean, sound living. Miss Ennis isn’t
-as the Lord made her or meant her. She’s a mere parody of it. Her basic
-trouble is an ailment much more prevalent among intelligent people than
-they are willing to admit. In the books it is listed under various
-kinds of hyphenated neurosis; but it’s real name is fool-in-the-head.”
-
-“Curable?” inquired Mr. Clyde solicitously.
-
-“There’s no known specific except removing the seat of the trouble with
-an axe,” announced Dr. Strong. “But cases sometimes respond to less
-heroic treatment.”
-
-“Not this case, I fear,” put in Mrs. Clyde. “Louise will coddle herself
-into the idea that you have grossly insulted her. She won’t come back.”
-
-“Won’t she!” exclaimed Mrs. Sharpless. “Insult or no insult, she would
-come to the bait that Dr. Strong has thrown her if she had to crawl on
-her knees.”
-
-Come she did, prompt to the hour. From out the blustery February day
-she lopped into the physician’s pleasant study, slumped into a chair,
-and held out to him a limp left hand, palm up and fingers curled.
-Ordinarily the most punctilious of men, Dr. Strong did not move from
-his stance before the fire. He looked at the hand.
-
-“What’s that for?” he inquired.
-
-“Aren’t you going to feel my pulse?”
-
-“No.”
-
-“Nor take my temperature?”
-
-“No.”
-
-“Nor look at my tongue?”
-
-“Certainly not. I have a quite sufficient idea of what it looks like.”
-
-The tone was almost brutal. Miss Ennis began to whimper.
-
-“I’m a m—m—mess, I know,” she blubbered. “But you needn’t keep telling
-me so.”
-
-“A mess can be cleared up,” said he more kindly, “under orders.”
-
-“I’ll do whatever you tell me, if only—”
-
-“Stop! There will be no ‘if’ about it. You will do as you are bid, or
-we will drop the case right here.”
-
-“No, no! Don’t drop me. I will. I promise. Only, please tell me what is
-the matter with me.”
-
-Dr. Strong, smiling inwardly, recalled the diagnosis he had announced
-to the Clydes, but did not repeat it.
-
-“Nothing,” he said.
-
-“But I know there must be. I have such strange symptoms. You can’t
-imagine.”
-
-Fumbling in her hand-bag she produced a very elegant little notebook
-with a gold pencil attached. Dr. Strong looked at it with fascinated
-but ominous eyes.
-
-“I’ve jotted down some of the symptoms here,” she continued, “just as
-they occurred. You see, here’s Thursday. That was a heart attack—”
-
-“Let me see that book.”
-
-She handed it to him. He carefully took the gold pencil from its socket
-and returned it to her.
-
-“Now, is there anything in this but symptoms? Any addresses that you
-want to keep?”
-
-“Only one: the address of a freckle and blemish remover.”
-
-“We’ll come to that later. Meantime—” He tossed the book into the heart
-of the coal fire where it promptly curled up and perished.
-
-“Why—why—why—” gasped the visitor,—“how dare you? What do you mean?
-That is an ivory-bound, gold-mounted book. It’s valuable.”
-
-“I told you, I believe, that the treatment would be expensive. This is
-only the beginning. Of all outrageous, unforgivable kinds of
-self-coddling, the hypochondria that keeps its own autobiography is the
-worst.”
-
-Regrettable though it is to chronicle, Miss Ennis hereupon emitted a
-semi-yelp of rage and beat the floor with her high French heels.
-Instantly the doctor’s gaze shifted to her feet. Just how it happened
-she could not remember, but her right foot, unprotected, presently hit
-the floor with a painful thump, while the physician contemplated the
-shoe which he had deftly removed therefrom.
-
-“Two inches and a half at least, that heel,” he observed. “Talk about
-the Chinese women torturing their feet!” He laid the offending article
-upon the hearth, set his own soundly shod foot upon it, and tweaked off
-two inches of heel with the fire-tongs. “Not so pretty,” he remarked,
-“but at least you can walk, and not tittup in that. Give me the other.”
-
-Shocked and astounded into helplessness, she mechanically obeyed. He
-performed his rough-and-ready repairs, and handed it back to her.
-
-“Speaking of walking,” he said calmly, “have you stored your automobile
-yet?”
-
-“No! I—I—I—”
-
-“After to-morrow I don’t want you to set foot in it. Now, then, we’re
-going to put you through a course of questioning. Ready?”
-
-Miss Ennis settled back in her chair, with the anticipatory expression
-of one to whom the recital of her own woe is a lingering pleasure.
-“Perhaps if I told you,” she began, “just how I feel—”
-
-“Never mind that. Do you drink?”
-
-“No!” The answer came back on the rebound. “Humph!” Dr. Strong leaned
-over her. She turned her head away.
-
-“You asked me as if you meant I was a drunkard,” she complained. “Once
-in a while, when I have some severe nervous strain to undergo, I need a
-stimulant.”
-
-“Oh. Cocktail?”
-
-“Yes. A mild one.”
-
-“A mild cocktail! That’s a paradox I’ve never encountered. How often do
-you take these mild cocktails?”
-
-“Oh, just occasionally.”
-
-“Well, a meal is an occasion. Before meals?”
-
-“Sometimes,” she admitted reluctantly.
-
-“You didn’t have one here last night.”
-
-“No.”
-
-“And you ate almost nothing.”
-
-“That is just it, you see. I need something: otherwise I have no
-appetite.”
-
-“In other words, you have formed a drink habit.”
-
-“Oh, Dr. Strong!” It was half reproach, half insulted innocence, that
-wail.
-
-“After a cocktail—or two—or three,” he looked at her closely, but she
-would not meet his eyes, “you eat pretty well?”
-
-“Yes, I suppose so.”
-
-“And then go to bed with a headache because you’ve stimulated your
-appetite to more food than your run-down mechanism can rightly handle.”
-
-“I do have a good many headaches.”
-
-“Do anything for them?”
-
-“Yes. I take some harmless powders, sometimes.”
-
-“Harmless, eh? A harmless headache powder is like a mild cocktail. It
-doesn’t exist. So you’re adding drug habit to drink habit. Fortunately,
-it isn’t hard to stop. It has begun to show on you already, in that
-puffy grayness under the eyes. All the coal-tar powders vitiate the
-blood as well as affect the heart. Sleep badly?”
-
-“Very often.”
-
-“Take anything for that?”
-
-“You mean opiates? I’m not a fool, Doctor.”
-
-“You mean you haven’t gone quite that far,” said the other grimly.
-“You’ve started in on two habits; but not the worst. Well, that’s all.
-Come back when you need to.”
-
-Miss Ennis’s big, dull eyes opened wide. “Aren’t you going to give me
-anything? Any medicine?”
-
-“You don’t need it.”
-
-“Or any advice?”
-
-Dr. Strong permitted himself a little smile at the success of his
-strategy. “Give it to yourself,” he suggested. “You showed, in flashes,
-during the dinner talk last night, that you have both wit and sense,
-when you choose to use them. Do it now.”
-
-The girl squirmed uncomfortably. “I suppose you want me to give up
-cocktails,” she murmured in a die-away voice.
-
-“Absolutely.”
-
-“And try to get along with no stimulants at all?”
-
-“By no means. Fresh air and exercise ad lib.”
-
-“And to stop the headache powders?”
-
-“Right; go on.”
-
-“And to stop thinking about my symptoms?”
-
-“Good! I didn’t reckon on your inherent sense in vain.”
-
-“And to walk where I have been riding?”
-
-“Rain or shine.”
-
-“What about diet?”
-
-“All the plain food you want, at any time you really want it, provided
-you eat slowly and chew thoroughly.”
-
-“A la Fletcher?”
-
-“Horace Fletcher is one of those fine fanatics whose extravagances
-correct the average man’s stolid stupidities. I’ve seen his fad made
-ridiculous, but never harmful. Try it out.”
-
-“And you won’t tell me when to come back?”
-
-“When you need to, I said. The moment the temptation to break over the
-rules becomes too strong, come. And—eh—by the way—eh—don’t worry about
-your mirror for a while.” Temporarily content with this, the new
-patient went away with new hope. Wiping his brow, the doctor strolled
-into the sitting-room where he found the family awaiting him with
-obvious but repressed curiosity.
-
-“It isn’t ethical, I suppose,” said Mr. Clyde, “to discuss a patient’s
-case with outsiders?”
-
-“You’re not outsiders. And she’s not my patient, in the ordinary sense,
-since I’m giving my services free. Moreover, I need all the help I can
-get.”
-
-“What can _I_ do?” asked Mrs. Clyde promptly. “Drop in at her house
-from time to time, and cheer her up. I don’t want her to depend upon me
-exclusively. She has depended altogether too much on doctors in the
-past.”
-
-Mr. Clyde chuckled. “Did she tell you that the European medical faculty
-had chased her around to every spa on the Continent? Neurasthenic
-dyspepsia, they called it.”
-
-“Pretty name! Seventy per cent of all dyspeptics have the seat of the
-imagination in the stomach. The difficulty is to divert it.”
-
-“What’s your plan?”
-
-“Oh, I’ve several, when the time comes. For the present I’ve got to get
-her around into condition.”
-
-“Spoiled mind, spoiled body,” remarked Mrs. Sharpless.
-
-“Exactly. And I’m going to begin on the body, because that is the
-easiest to set right. Look out for an ill-tempered cousin during the
-next fortnight.”
-
-His prophecy was amply confirmed by Mrs. Clyde, who made it her
-business, amid multifarious activities, to drop in upon Miss Ennis with
-patient frequency. On the tenth day of the “cure,” Mrs. Clyde reported
-to the household physician:—
-
-“If I go there again I shall probably _slap_ her. She’s become simply
-unbearable.”
-
-“Good!” said Dr. Strong. “Fine! She has had the nerve to stick to the
-rules. We needn’t overstrain her, though. I’ll have her come here
-tomorrow.”
-
-Accordingly, at six o’clock in the evening of the eleventh day, the
-patient stamped into the office, wet, bedraggled, and angry.
-
-“Now look!” she cried. “You made me store my motor-car. All the
-street-cars were crowded. My umbrella turned inside out. I’m a perfect
-drench. And I know I’ll catch my death of cold.” Whereupon she laid a
-pathetic hand on her chest and coughed hollowly.
-
-“Stick out your foot,” ordered Dr. Strong. And, as she obeyed: “That’s
-well. Good, sensible storm shoes. I’ll risk your taking cold. How do
-you feel? Better?”
-
-“No. Worse!” she snapped.
-
-“I suppose so,” he retorted with a chuckle.
-
-“What is more,” she declared savagely, “I look worse!”
-
-“So your mirror has been failing in its mission of flattery. Too bad.
-Now take off your coat, sit right there by the fire, and in an hour
-you’ll be dry as toast.”
-
-“An hour? I can’t stay an hour!”
-
-“Why not?”
-
-“It’s six o’clock. I must go home. Besides,” she added unguardedly,
-“I’m half starved.”
-
-“_Indeed!_ Had a cocktail to-day?”
-
-“No. Certainly not.”
-
-“Yet you have an appetite. A bad sign. Oh, a very bad sign—for the
-cocktail market.”
-
-“I’m so tired all the time. And I wake up in the morning with hardly
-any strength to get out of bed—”
-
-“Or the inclination? Which?” broke in the doctor.
-
-“And my heart gives the queerest jumps and—”
-
-“Thought we’d thrown that symptom-book into the fire. Stand up,
-please.”
-
-She stood. Dr. Strong noted with satisfaction how, already, the lithe
-and well-set figure had begun to revert to its natural pose, showing
-that the muscles were beginning to do their work. He also noted that
-the hands, hitherto a mere _mélange_ of nervously writhing fingers,
-hung easily slack.
-
-“Your troubles,” he said pleasantly, “have only just begun. I think
-you’re strong enough now to begin work.”
-
-“I’m not,” she protested, half weeping. “I feel faint this minute.”
-
-“Good, healthy hunger. Of course, if a glance in your mirror convinces
-you that you’ve had enough of the treatment—”
-
-Miss Ennis said something under her breath which sounded very much like
-“Brute!”
-
-“Have you ever had a good sweat?” he asked abruptly.
-
-Her lips curled superciliously. “I’m not given to perspiration, I’m
-thankful to—”
-
-“Did I say ‘perspire’?” inquired he. “I understood myself to say
-‘sweat.’ Have you ever—”
-
-“No.”
-
-“High time you began. Buy yourself the heaviest sweater you can
-find—you may call it a ‘perspirationer’ if you think the salesman will
-appreciate your delicacy—and I’ll be around to-morrow and set up a
-punching-bag for you.”
-
-“What is that?”
-
-“A device which you strike at. The blow forces it against a board and
-it returns and, unless you dodge nimbly, impinges upon your
-countenance. In other words, whacks you on the nose. Prizefighters use
-it.”
-
-“I suppose you want me to be like a prizefighter.”
-
-“The most beautiful pink-and-white skin and the clearest eye I’ve ever
-seen belonged to a middleweight champion. Yes, I’d like to see you
-exactly like him in that respect. One hour every day—”
-
-“I simply can’t. I shan’t have time. With the walking I do now I’m busy
-all the morning and dead tired all the afternoon; and in the evening
-there is my bridge club—”
-
-“Ah, you play bridge. For money?”
-
-“Naturally we don’t play for counters.”
-
-“Well, I’d give it up.”
-
-“You are not employed as a censor of my morals, Dr. Strong.”
-
-“No; but I’ve undertaken to censor your nerves. And gambling, for a
-woman in your condition, is altogether too much of a strain.”
-
-The corners of Miss Ennis’s mouth quivered babyishly. “I’m sure, then,
-that working like a prizefighter will be too much strain. You’re
-wearing me out.”
-
-“I’m a cruel tyrant,” mocked Dr. Strong; “and worse is to come. We’ll
-clear out a room in your house and put in not only the punching-bag,
-but also pulleys and a rowing-machine. And I’ll send up an athletic
-instructor to see that you use them.”
-
-“I won’t have him. I’ll send him away!”
-
-“By advice of your mirror?”
-
-Miss Ennis frankly and angrily wept.
-
-“Now I’ll tell you a secret about yourself.” Miss Ennis stopped
-weeping.
-
-“Ninety-nine cases out of a hundred I couldn’t handle as I am handling
-your case. They would need a month’s rest and building up before they’d
-be fit for real work. But you are naturally a powerful, muscular woman
-with great physical endurance and resiliency. What I am trying to do is
-to take advantage of your splendid equipment to pull you out.”
-
-“What would you do with the ordinary case?” asked the girl, interested.
-
-“Oh, put her to bed, perhaps. Perhaps send her away to the woods. Maybe
-set a nurse over her to see that she didn’t take to writing her
-symptoms down in a book. Keep her on a rigid diet, and build her up by
-slow and dull processes. You may thank your stars that—”
-
-“I don’t thank my stars at all!” broke in the patient, as her besetting
-vice of self-pity asserted itself. “I’d much rather do that than be
-driven like a galley-slave. I’m too tired to get any pleasure out of
-anything—”
-
-“Even bridge?” interposed the tormentor softly.
-
-“—and when night comes I fall into bed like a helpless log.”
-
-“That’s the best news I’ve heard yet. You’re progressing. Now take that
-new appetite of yours home to dinner. And don’t spoil it by eating too
-fast. Good-night.”
-
-Fully a fortnight later Grandma Sharpless met Dr. Strong in the hallway
-as he came in from a walk.
-
-“What have you been doing to Louise Ennis?” she demanded.
-
-“Lots of things. What’s wrong now? Another fit of the sulks?”
-
-“Worse,” said the old lady in a stage whisper. “She’s got _paint_ on
-her face.”
-
-Dr. Strong laughed. “Really? It might be worse. In fact, as a symptom,
-it couldn’t be better.”
-
-“Young man, do you mean to tell me that face-paint is a good thing for
-a young woman?”
-
-“Oh, no. It’s vulgar and tawdry, as a practice. But I’m glad to know
-that Miss Ennis has turned to it, because it shows that she recognizes
-her own improvement and is trying to add to it.”
-
-“But the stuff will ruin her skin,” cried the scandalized old lady.
-“See what dreadful faces women have who use it. Look at the actresses—”
-
-“Well, look at them!” broke in the physician. “There is no class of
-women in the world with such beautiful skin as the women of the stage.
-And that in spite of hard work, doubtful habits of eating, and
-irregular hours. Do you know why?”
-
-“I suppose you’ll tell me that paint does it,” said Mrs. Sharpless with
-a sniff.
-
-“Not the paint itself. But the fact that in putting it on and taking it
-off, they maintain a profound cleanliness of skin which the average
-woman doesn’t even understand. The real value of the successful
-skin-lotions and creams so widely exploited lies in the massage which
-their use compels.”
-
-“Aside from the stuff on her face,” remarked Mrs. Sharpless, “Louise
-looks like another woman, and acts like one. She came breezing in here
-like a young cyclone.”
-
-“Which means trouble,” sighed Dr. Strong. “Now that her vitality is
-returning, it will demand something to feed on. Well, we shall see.”
-
-He found his patient standing—not sitting, this time—before the
-fireplace, with a face of gloom. Before he could greet her, she burst
-out:—
-
-“How long am I to be kept on the grind? I see nobody. I have nothing to
-amuse me. I’ve had a row with father.” Dr. Strong smiled. “The servants
-are impertinent.” The smile broadened. “The whole world is hateful!”
-The doctor’s face was now expanded into a positive grin. “I despise
-everything and everybody! I’m bored.”
-
-“Passing that over for the moment for something less important,” said
-Dr. Strong smoothly, “where do you buy your paint?”
-
-“I don’t paint!” retorted the girl hotly.
-
-“Well, your rouge. Your skin-rejuvenator. Your essence of bloom of
-youth or whatever poetic name you call it by. Let me see the box.”
-Mutiny shone from the scowling face, but her hand went to her reticule
-and emerged with a small box. It passed to the physician’s hand and
-thence to the fire. “I’ll use paint if I want to,” declared the girl.
-“Undoubtedly. But you’ll use good paint if you use any. Get a
-theatrical paper, read the ads, and send for the highest grade of
-grease-paint. I won’t say anything about the vulgarity of the practice
-because I’m not censoring your manners. I’ll only state that three
-months from now you won’t want or need paint. Did you get this stuff,”
-he nodded toward the fireplace whence issued a highly perfumed smoke,
-“from that address in your deceased symptom-book?”
-
-“Yes.”
-
-“That was the firm which advertised to remove pimples, wasn’t it?”
-
-Miss Ennis shrank. “Pimple is an inexcusable word,” she protested.
-
-“Word? We’re dealing in realities now. And pimples were an inexcusable
-reality in your case, because they were the blossoms of gluttony,
-torpor, and self-indulgence.”
-
-He leaned forward and looked closely at her chin. The surface, once
-blotched and roughened, was now of a smooth and soft translucency. “You
-once objected to the word ‘sweat,’” he continued. “Well, it has
-eliminated the more objectionable word ‘pimple’ from your reckoning.
-And it has done the job better than your blemish-remover—-which leaves
-scars.”
-
-Her hand went to her temple, where there was a little group of
-silvery-white patches on the skin. “Can’t you fix that?” she asked
-anxiously.
-
-“No. Your ‘remover’ was corrosive sublimate. It certainly removed the
-blemish. It would also have removed your entire face if you had used
-enough of it. Nothing can restore what the liquid fire has burned away.
-That’s the penalty you pay for foolish credulousness. Fortunately, it
-is where it won’t show much.”
-
-Gloom surged back into her face. “It doesn’t make any difference,” she
-fretted. “I’m still a mess in looks even if I don’t feel so much like
-one.”
-
-“One half of looks is expression,” stated the doctor didactically. “I
-don’t like yours. What’s your religion?”
-
-His patient stared. “Why, I’m a Presbyterian, I suppose.”
-
-“Humph! You suppose! It doesn’t seem to have struck in very hard. Any
-objection to going to a Christian Science church?”
-
-“Christian Science! I thought the regular doctors considered it the
-worst kind of quackery.”
-
-“The regular doctors,” returned Dr. Strong quickly, “once considered
-anaesthesia, vaccination, and the germ theory as quackery. We live and
-learn, like others. There’s plenty of quackery in Christian Science,
-and also quite a little good. And nowadays we’re learning to accept the
-good in new dogmas, and discard the bad.”
-
-“And you really wish me to go to the Christian Science church?”
-
-“Why not? You’ll encounter there a few wild fanatics. I’ll trust your
-hard common sense to guard you against their proselytizing. You’ll also
-meet a much larger number of sweet, gentle, and cheerful people, with a
-sweet, helpful, and cheerful philosophy of life. That’ll help to cure
-you.”
-
-“And what will they cure me of, since you say I have no disease?”
-
-“They’ll cure you of turning your mouth down at the corners instead of
-up.”
-
-At this, the mouth referred to did, indeed, turn up at the corners, but
-in no very pleasant wise.
-
-“You think they’ll amuse me?” she inquired contemptuously.
-
-“Oh, as for amusement, I’ve arranged for that. You’re bored. Very well,
-I expected it. It’s a symptom, and a good one, in its place. I’ll get
-you a job.”
-
-“Indeed! And if I don’t want a job?”
-
-“No matter what you want. You need it.”
-
-“Settlement work, I suppose.”
-
-“Nothing so mild. Garbage inspection.”
-
-“What!” Louise Ennis closed her eyes in expectation of a qualm of
-disgust. The qualm didn’t materialize. “What’s the matter with me?” she
-asked in naïve and suppressed chagrin. “I ought to feel—well,
-nauseated.”
-
-“Nonsense! Your nerves and stomach have found their poise. That’s all.”
-
-“But what do I know about garbage?”
-
-“You know it when you see it, don’t you? Now, listen. There has been a
-strike of the city teamsters. Dr. Merritt, the Health Officer, wants
-volunteers to inspect the city and report on where conditions are bad
-from day to day. You’ve got intelligence. You can outwalk nine men out
-of ten. And you can be of real service to the city. Besides, it’s
-doctor’s orders.”
-
-The story of Louise Ennis’s part in the great garbage strike, and of
-her subsequent door-to-door canvass of housing conditions, has no place
-in this account. After the start, Dr. Strong saw little of her; but he
-heard much from Mrs. Clyde, who continued her frequent visits to the
-Ennis household; not so much, as she frankly admitted, for the purpose
-of furnishing bulletins to Dr. Strong, as because of her own growing
-interest in and affection for the girl. And, as time went on, Strong
-noticed that, on the occasions when he chanced to meet his patient on
-the street, she was usually accompanied by one or another of the
-presentable young men of the community, a fact which the physician
-observed with professional approval rather than personal gratification.
-
-“It isn’t her health alone,” said Mrs. Clyde, when they were discussing
-her, one warm day in the ensuing summer. “These six months seem to have
-made a new person of her. Trust the children to find out character.
-Bettykins wants to spend half her time with Cousin Lou.”
-
-“You’ve surely worked a transformation, Strong,” said Clyde. “But, of
-course, the raw material was there. You couldn’t do much for the
-average homely woman.”
-
-“The average woman isn’t homely,” said Mrs. Clyde. “She’s got good
-looks either spoiled or undeveloped.”
-
-“Perfectly true,” confirmed Dr. Strong. “Any young woman whose face
-isn’t actually malformed can find her place in the eternal scheme of
-beauty if she tries. Nature works toward beauty in all matters of sex.
-Where beauty doesn’t exist it is merely an error in Nature’s game.”
-
-“Then the world is pretty full of errors,” said Mrs. Sharpless.
-
-“Most of them aren’t Nature’s errors. They are the mistakes of the
-foolish human. Take almost any woman, not past the age of development,
-build up her figure to be supple and self-sustaining; give her a clear
-eye, quick-moving blood, fresh skin, and some interest in the game of
-life that shall keep mind and body alert—why, the radiant force of her
-abounding health would make itself felt in a blind asylum. And all this
-she can do for herself, with a little knowledge and a good deal of
-will.”
-
-“But that isn’t exactly beauty, is it?” asked Clyde, puzzled.
-
-“Isn’t it? In the soundest sense, I think it is. Anyway, put it this
-way: No woman who is wholly healthy, inside and out, can fail to be
-attractive.”
-
-“I wish that painter-man could see Louise now, as an example,” said
-Grandma Sharpless.
-
-“Oren Taylor?” said Mr. Clyde. “Why, he can. He goes East next week,
-and I’ll wire him to stop over.”
-
-Oren Taylor arrived late on a warm afternoon. As he crossed the lawn,
-Louise Ennis was playing “catch” with Manny Clyde. Her figure swung and
-straightened with the lithe muscularity of a young animal. Her cheek
-was clear pink, deepening to the warmer color of the curved lips. The
-blue veins stood out a little against the warm, moist temples from
-which she brushed a vagrant lock of hair. Her eyes were wide and
-lustrous with the eager effort of the play, for the boy was throwing
-wide in purposeful delight over her swift gracefulness.
-
-“Great Heavens!” exclaimed the artist, staring at her. “Who did that?”
-
-“Strong did that,” explained Clyde; “as per specifications.”
-
-“A triumph!” declared Taylor. “A work of art.”
-
-“Oh, no,” said Dr. Strong; “a renewal of Nature.”
-
-“In any case, a lady remade and better than new. My profound
-felicitations, Dr. Strong.” He walked over to the flushed and lovely
-athlete. “Miss Ennis,” he said abruptly, “I want your permission to
-stay over to-morrow and sketch you. I need you in my ‘Poet’s Cycle of
-the Months.’”
-
-“How do you do, Mr. Taylor?” she returned demurely. “Of course you can
-sketch me, if it doesn’t interfere with my working hours.” A quick
-smile rippled across her face like sunlight across water. “The same
-subject?” she asked with mischievous nonchalance.
-
-“No. Not even the same season,” he replied emphatically, coloring, as
-he bethought him of his “November, the withered mourner of glories dead
-and gone.”
-
-“What part am I to play now?”
-
-“Let Dr. Strong name it,” said Taylor with quick tact. “He has prepared
-the model.”
-
-The girl turned to the physician, a little deeper tinge of color in her
-face.
-
-“Referred to Swinburne,” said Strong lightly, and quoted:—
-
-“When the hounds of Spring are on Winter’s traces,
-The mother of months in valley and plain
-Fills the shadows and windy places
-With lisp of leaves and ripple of rain.”
-
-
-“Atalanta,” said Oren Taylor, bowing low to her; “the maiden spirit of
-the spring.”
-
-
-
-
-VII.
-THE RED PLACARD
-
-
-“Well?” questioned Mrs. Clyde, facing the Health Master haggardly, as
-he entered the library.
-
-“Oh, come!” he protested with his reassuring smile. “Don’t take it so
-tragically. You’ve got a pretty sick-looking boy there. But any
-thoroughgoing fever makes a boy of nine pretty sick.”
-
-“What fever?” demanded the mother. “What is it?”
-
-“Let’s start with what it isn’t—and thank Heaven. It isn’t typhoid. And
-it isn’t diphtheria.”
-
-“Then it’s—it’s—;”
-
-“It’s scarlet fever,” broke in her mother, Mrs. Sharpless, who had
-followed the doctor into the room. “That’s what it is.”
-
-Mrs. Clyde shuddered at the name. “Has he got the rash?”
-
-“No. But he will have to-morrow,” stated the old lady positively.
-
-“Do you think so, too, Dr. Strong?” Mrs. Clyde appealed.
-
-“I’ll accept Grandma Sharpless’s judgment,” answered the physician.
-“She has seen more scarlet fever in her time than I, or most
-physicians. And experience is the true teacher of diagnosis.”
-
-“But you can’t be sure!” persisted Mrs. Clyde. “How can you tell
-without the rash?”
-
-“Not in any way that I could put into words,” said her mother. “But
-there’s something in the look of the throat and something about the
-eyes and skin—Well, I can’t describe it, but I know it as I know my own
-name.”
-
-“There speaks the born diagnostician,” observed the Health Master. “I’m
-afraid the verdict must stand.”
-
-“Then—then,” faltered Mrs. Clyde, “we must act at once. I’ll call up my
-husband at the factory.”
-
-“What for?” inquired Dr. Strong innocently. “Why, to let him know, of
-course.”
-
-“Don’t. When I undertook to act as Chinese-plan physician to the Clyde
-household, I was not only to guard the family against illness as well
-as I could, but also to save them worry. This is Saturday. Mr. Clyde
-has had a hard, trying week in the factory. Why break up his day?”
-
-Mrs. Clyde drew a long breath and her face lightened. “Then it isn’t a
-serious case?”
-
-“Scarlet fever is always serious. Any disease which thoroughly poisons
-the system is. But there’s no immediate danger; and there shouldn’t be
-much danger at any time to a sturdy youngster like Charley, if he’s
-well looked after.”
-
-“But the other children!” Mrs. Clyde turned to Mrs. Sharpless. “Where
-can we send them, mother?”
-
-“Nowhere.” It was the doctor who answered.
-
-“Surely we can’t keep them in the house!” cried Mrs. Clyde. “They would
-be certain to catch it from Charley.”
-
-“By no means certain. Even if they did, that would not be the worst
-thing that could happen.”
-
-“No? What would, then?” challenged Grandma Sharpless.
-
-“That they should go out of this house, possibly carrying the poison
-with them into some other and defenseless community.” Dr. Strong spoke
-a little sternly.
-
-Neither woman replied for a moment. When Mrs. Clyde spoke, it was with
-a changed voice. “Yes. You are right. I didn’t think. At least I
-thought only of my own children. It’s hard to learn to think like a
-mother of all children.”
-
-“It’s as near to the divine as any human can come,” returned the Health
-Master gently. “However, I think I can promise you that, if the twins
-and Bettykin haven’t been touched with the poison already, they shan’t
-get it from Charley. We’ll organize a defense—provided only the enemy
-hasn’t established itself already. Now the question is, where did the
-poison come from? We’ll have Junkum in and see if she can help us find
-out.” Julia, the more efficient of the eleven-year-old twins, a shrewd
-and observing youngster, resembling, in many respects, her grandmother,
-came at the doctor’s summons and was told what had befallen Charley.
-
-“Oh!” said Junkum. Then, “Can I nurse him?”
-
-“I should think not!” burst out her mother and grandmother in a breath.
-
-“Later on you can help,” said Dr. Strong. “In fact, I shall probably
-need your help. Now, Junkum, you remember I told you children a month
-ago that there was scarlet fever about and warned you to guard your
-mouths and noses with special care. Can you recall whether Charley has
-been careless?”
-
-Miss Julia took the matter under consideration. “We’ve all been, I
-guess,” she said. “Clara Wingate gave a party last week and there was
-bobbing for apples, and everybody had their faces in the same tub of
-water.”
-
-“Yes; and Irving Wingate has since come down with scarlet fever,” added
-Mrs. Clyde.
-
-“Enough said!” asserted the Health Master. “I can’t think of any better
-way to disseminate germs than an apple-bobbing contest. It beats even
-kissing games. Well, the mischief is done.”
-
-“Then they’ll all have it,” said Mrs. Clyde miserably.
-
-“Oh, let’s hope not. Nothing is more mysterious than the way contagion
-hits one and misses others. I should say there was at least an even
-chance of the rest escaping. But we must regard them as suspects, and
-report the house for quarantine.”
-
-“Ugh!” shuddered Mrs. Clyde. “I hate that word. And think of my husband
-coming home to find a flaming red placard on the house!”
-
-“We’ll give him warning before he leaves the factory. And now for our
-campaign. Item 1: a trained nurse. Item 2: a gas-range.”
-
-“The trained nurse, certainly,” agreed Mrs. Clyde. “But why the
-gas-range? Isn’t Charley’s room warm enough?”
-
-“Quite. The stove isn’t for warmth; it’s for safety. I’m going to
-establish a line of fire beyond which no contagion can pass. We’ll put
-the stove in the hall, and keep on it a tin boiler full of water just
-at the simmering point. Everything which Charley has used or touched
-must go into that or other boiling water as soon as it leaves the room:
-the plates he eats from, the utensils he uses; his handkerchiefs,
-night-clothes, towels—everything.”
-
-“That will be a hard regimen to keep up,” Mrs. Clyde objected.
-
-“Martial law,” said the Health Master positively. “From the moment the
-red placard goes up, we’re in a state of siege, and I’m in command. The
-rules of the camp will be simple but strict. Whoever violates any of
-them will be liable to imprisonment in the strictest quarantine. We’ll
-have a household conference to-night and go over the whole matter. Now
-I’m going to telephone the Health Department and ask Dr. Merritt to
-come up and quarantine us officially.”
-
-“But what of Charley?” exclaimed Mrs. Clyde. “You’re not going to keep
-me away from my boy?”
-
-“Not when you put it in that way and use that tone,” smiled Dr. Strong.
-“I probably couldn’t if I tried. Under official quarantine rules you’ll
-have to give up going anywhere outside the house. Under our local
-martial law you’re not to touch Charley or anything that he handles,
-nor to kiss the other children. And you’re to wash your hands every
-time you come out of the sick-room, though it’s only to step beyond the
-door.”
-
-“It is an order,” said the mother gravely. “Will he be very ill, do you
-think?”
-
-“So far the cases have been mild. His is likely to be, too. But it’s
-the most difficult kind of case to handle.”
-
-“I don’t see that at all,” said Mrs. Sharpless.
-
-“You will, when he becomes convalescent. Then is when my troubles will
-begin. For the present the bulk of the work inside the sick-room will
-be upon the trained nurse and Mrs. Clyde. I’ll have my troubles
-outside, watching the rest of the family.”
-
-Not since Dr. Strong came to the Clydes’ as guardian of their health
-had there been an emergency meeting called of the Household Protective
-Association, as the Health Master termed the organization which he had
-formed (mainly for educative purposes) within the family. That evening
-he addressed a full session, including the servants, holding up before
-them the red placard which the Health Department had sent, and
-informing them of the quarantine.
-
-“No school?” inquired the practical-minded Bobs, “Hooray!”
-
-“No school for you children, until further notice,” confirmed the
-physician.
-
-“And no business for me, I suppose,” said Mr. Clyde, frowning.
-
-“Oh, yes. You can come and go as you please, so long as you keep away
-from Charley’s room. Every one is barred from Charley’s room until
-further instructions, except Mrs. Clyde; and she is confined within
-military bounds, consisting of the house and yard. And now for the most
-important thing—Rosie and Katie,”—the cook and the maid—“pay particular
-heed to this—nothing of any kind which comes from the sick-room is to
-be touched until it is disinfected, except under my supervision. When
-I’m not in the house, the nurse’s authority will be absolute. Now for
-the clinic; we’ll look over the throats of the whole crowd.”
-
-Throat inspection appeared to be the Health Master’s favorite pursuit
-for the next few days.
-
-“I don’t dare open my mouth,” protested Bobs, “for fear he’ll peek into
-it and find a spot.”
-
-“Dr. Strong spends a lot more time watching us than he does watching
-Charley,” remarked Junkum. “Who’s the sick one, anyway—us or him?” she
-concluded, her resentment getting the better of her grammar.
-
-“Ho!” jeered Bobs, and intoned the ancient couplet, made and provided
-for the correction of such slips:—
-
-“Her ain’t a-callin’ we,
-Us don’t belong to she.”
-
-
-“Anyhow, I ain’t sick,” asseverated Bettina; “but he shut me up in my
-room for a day jus’ because my swallow worked kinda hard.”
-
-“If I’m going to have scarlet fever I want to have scarlet fever and
-get done with it!” declared.
-
-Bobs. “I’m getting tired of staying out of school. Charley’s having all
-the fun there is out of this, getting read to all the time by that
-nurse and Mother.”
-
-Meantime nothing of interest was happening in the sick-room.
-Interesting phases seldom appear in scarlet fever, which is well,
-since, when they do appear, the patient usually dies. Not at any time
-did Charley evince the slightest tendency to forsake a world which he
-had found, on the whole, to be a highly satisfactory place of
-residence. In fact, he was going comfortably along through a typically
-light onset of the disease; and was rather less ill than he would have
-been with a sound case of measles. Already the furrows in Mrs. Clyde’s
-forehead had smoothed out, and Grandma Sharpless had ceased waking, in
-the dead of night, with a catch at her heart and the totally unfounded
-fear that she had “heard something,” when one morning Charley awoke,
-scratched a tiny flake of skin off his nose, yawned, and emitted a
-hollow groan.
-
-“What is it, Charley boy?” asked his mother.
-
-“I’m tired of staying in bed,” announced the young man.
-
-“How do you feel?”
-
-The patient sat up, the better to consider the matter. “I feel,” he
-stated in positive accents, “like a bucket of oyster stew, a steak as
-big as my head, with onions all over it, a whole apple pie, a platter
-of ice-cream, and a game of baseball.”
-
-Mrs. Clyde laughed happily. “I’ll tell the Health Master,” she said.
-She did, and Dr. Strong came up and looked the patient over carefully.
-
-“You lie back there, young fellow,” he ordered, “and play sick, no
-matter how well you feel, until I tell you different.”
-
-“How about that beefsteak and pie, Doctor?” inquired the boy wistfully.
-
-“Mere prospects,” retorted the hard-hearted physician. “But you can
-have some ice-cream.” Conclave of the elders that evening to consider
-the situation was opened by Dr. Strong.
-
-“We’ve now reached the critical point,” he began.
-
-“Critical?” gasped Mrs. Clyde, whose nerves had been considerably
-stretched in the ten days of sick-room work. “Isn’t he getting well?”
-
-“He’s getting well quite as quickly as I want him to. Perhaps a little
-more quickly. The fever is broken and he is beginning to peel.”
-
-“Then what’s the difficulty?” inquired Mr. Clyde.
-
-“Just this. Charley is a sturdy boy. The light attack he’s had hasn’t
-begun to exhaust his vitality. From now on, he is going to be a bundle
-of energy, without outlet.”
-
-“From now on till when?” It was Grandma Sharpless who wanted to know.
-
-“Two weeks anyway. Perhaps more.”
-
-“Are you going to keep that poor child in bed for two weeks after he’s
-practically well?” said the mother.
-
-“For three weeks if the whole family will help me. It’s not going to be
-easy.”
-
-“Isn’t that a little extreme, Strong?” asked Mr. Clyde.
-
-“Only the precaution of experience. The danger-point in scarlet fever
-isn’t the illness; it’s the convalescence. People think that when a
-child is cured of a disease, he is cured of the effects of the disease
-also. That mistake costs lives.”
-
-“Because the poison is still in the system?”
-
-“Rather, the effects of the poison. Though the patient may feel quite
-well, the whole machinery of the body is out of gear. What do you do
-when your machinery goes wrong, Clyde?”
-
-“Stop it, of course.”
-
-“Of course,” repeated the Health Master. “Obviously we can’t stop the
-machinery of life, but we can ease it down to its lowest possible
-strain, until it has had a chance to readjust itself. That is what I
-want to do in Charley’s case.”
-
-“How does this poison affect the system?”
-
-“If I could discover that, I’d be sure of a place in history. All we
-know is that no organ seems to be exempt from its sudden return attack
-long after the disease has passed. If we ever get any complete records,
-I venture to say that we’ll find more children dying in after years
-from the results of scarlet fever than die from the immediate disease
-itself, not to mention such after-effects as deafness and blindness.”
-
-“I’ve noticed that,” said Grandma Sharpless, “when we lived in the
-country. And I remember a verse on the scarlet-fever page of an old
-almanac:—
-
-If they run from nose or ear,
-Watch your children for a year.
-
-
-But I always set down those cases to catching cold.”
-
-“Most people do. It isn’t that. It’s overstrain put on a poisoned
-system. And it’s true not of scarlet fever alone, but of measles, and
-diphtheria, and grippe; and, in a lesser degree, of whooping-cough and
-chicken pox.”
-
-“You’ve seen such cases in your own practice?” asked Mr. Clyde, and
-regretted the question as soon as he had put it, for there passed over
-Dr. Strong’s face the quick spasm of pain which anything referring back
-to the hidden past before he had come to the Clyde house always
-brought.
-
-“Yes,” he replied with an effort. “I have had such cases, and lost
-them. I might even say, killed them in my ignorance.”
-
-“Oh, no, Dr. Strong!” said Mrs. Clyde in quick sympathy. “Don’t say
-that. Being mistaken isn’t killing.”
-
-“It is, sometimes, for a doctor. I remember one little patient who had
-a very light case of scarlet fever. I let her get up as soon as the
-fever broke. Three months later she developed a dropsical tendency. And
-one day she fell dead across the doll she was playing with. The
-official cause of death said heart disease. But I knew what it was. The
-next case was not so wholly my fault. The boy was a spoiled child, who
-held his parents in enslavement. They hadn’t the strength of character
-to keep him under control. He insisted on riding his bicycle around the
-yard, three days after he was out of bed. Against his willfulness my
-protests were of no account. What I should have done is to have thrown
-up the case; but I was young and the people were my friends. Well; that
-boy made, apparently, a complete recovery. A few weeks later I was sent
-for again. There was some kidney trouble. I knew, before the analysis
-was made, what it would show: nephritis. The poison had struck to the
-kidneys like a dagger. The poor little chap dragged along for some
-months before he died; and his mother—God forgive me if I did wrong in
-telling her the truth, as I did for the protection of their other
-child—almost lost her reason.”
-
-“And such cases are common?” asked Mr. Clyde.
-
-“Common enough to be fairly typical. Afterward, I cited the two
-instances in a talk before our medical society. My frankness encouraged
-some of the other men to be frank; and the list of fatalities and
-permanent disabilities, following scarlet fever and measles, which was
-brought out at that meeting, nearly every case being one of rushing the
-convalescence—well, it reformed one phase of medical procedure in—in
-that city and county.”
-
-“That settles it for Charley,” decided Mr. Clyde. “He stays in bed
-until you certify him cured, if I have to hire a vaudeville show to
-keep him amused.”
-
-“My boy is not a spoiled child!” said Mrs. Clyde proudly. “I can handle
-him.”
-
-“Maybe he wasn’t before,” remarked Grandma Sharpless dryly; “but I
-think you’ll have your hands full now.”
-
-“Therefore,” said Dr. Strong, “I propose to enlist the services of the
-whole family, including the children.”
-
-“What! Let the others go to see Charley when he’s peeling?” protested
-Mrs. Sharpless. “They’ll all catch it.”
-
-“How?”
-
-“Why, from the skin-flakes. That’s the way scarlet fever spreads.”
-
-“Is it?” said the Health Master mildly. “Then perhaps you’ll explain to
-me why doctors aren’t the greatest danger that civilization suffers
-from.”
-
-“I suppose they disinfect themselves,” said the old lady, in a rather
-unconvinced tone.
-
-“Let’s see how much that would amount to. The fine flakes of skin are
-likely to be pretty well disseminated in a sick-room. According to the
-old theory, every one of them is a potential disease-bearer. Now, a
-doctor could hardly be in a sickroom without getting some of them on
-his clothes or in his hair, as well as on his hands, which, of course,
-he thoroughly washes on leaving the place. But that’s the extent of his
-disinfection. Why don’t the flakes he carries with him spread the fever
-among his other patients?”
-
-“Don’t ask _me!_” said Clyde. “I’m not good at puzzles.”
-
-“Many doctors still hold to the old theory. But I’ve never met one who
-could answer that argument. Some of the best hospitals in the world
-discharge patients without reference to the peeling of the skin, and
-without evil results.”
-
-“How is scarlet fever caught, then?” asked Mrs. Clyde.
-
-“From the discharge from the inflamed nose and throat, or from the ears
-if they are affected. Anything which comes in contact with this
-poisonous mucus is dangerous. Thus, of course, the skin-flakes from the
-lips or the hands which had been in contact with the mouth or nose
-might carry the contagion, just as a fork or a tooth-brush or a
-handkerchief might. Now, I’ll risk my status in this house on the
-safety of letting the other children visit Charley under certain
-restrictions.”
-
-“That settles it for me,” said Mr. Clyde, whose faith in his friend,
-while not unquestioning, was fundamental; and the two women agreed,
-though not without misgivings. Thereupon Bobs, Julia, and Bettina were
-sent for, and the Health Master announced that Charley would hold a
-reception on the following afternoon. There were shouts of acclamation
-at the prospect.
-
-“But first,” added Dr. Strong, “there will be a rehearsal in the
-playroom, to-morrow morning.”
-
-“What do we need a rehearsal for to see Charley?” inquired Julia.
-
-“To guard yourselves, Miss Junkum,” returned the doctor. “Possibly you
-don’t know everything about scarlet fever that you should know. Do you,
-Cherubic Miss Toots,” he added, turning upon Bettina, “know what a
-contagious disease is?”
-
-“I know,” said the diminutive maiden gravely, “that if you leave
-Charley’s door open the jerrums will fly out and bite people.”
-
-“Which fairly typifies the popular opinion concerning disease bacilli,”
-observed Dr. Strong.
-
-“I saw a jerrum once,” continued the infant of the family. “It was
-under a stone in a creek. It had horns and a wiggly tail. Just like the
-Devil,” she added with an engaging smile.
-
-“Betty’s been looking at the pictures in the comic supplements,”
-explained her elder sister.
-
-“Popular education by the press!” commented Dr. Strong. “Well, I
-haven’t time for an exposition of the germ theory now. The point is
-this: Can you children stay an hour in Charley’s room without putting a
-lot of things in your mouths?”
-
-“Why, I never put anything in my mouth. You taught us better than
-that,” said Julia reproachfully.
-
-The doctor was little impressed by the reproach. “Humph!” he grunted.
-“Well, suppose you stop nibbling at your hair”—Julia’s braid flew back
-over her shoulder—“and consider that, when you put your fingers in your
-mouth, you may be putting in, also, a particle of everything that your
-fingers have touched. And in Charley’s room there might be jerrums, as
-Twinkles calls them, from his mouth which would be dangerous. Rehearsal
-at noon tomorrow.”
-
-Expectant curiosity brought the children early to the playroom whither
-they found that the Health Master had preceded them.
-
-“When’s it going to begin?” asked Bettina.
-
-“Presently,” replied the master of ceremonies. “We’re going to pretend
-that this is Charley’s room. Just at present I’m busy with some work.”
-He shook a notebook at them. “Go ahead and amuse yourselves till I get
-through.”
-
-Julia the observant noted three hues of crayon on the stand beside the
-doctor. “Are you going to make a sketch?” she inquired.
-
-“Never you mind. You attend to your affairs and I’ll attend to mine.”
-
-“Dr. Strong is a-goin’ to make a picture of a jerrum,” Bettina informed
-her favorite doll, Susan Nipper, imprinting a fervent kiss on the pet’s
-flattened face. “Come on an’ let’s read the paper.”
-
-Dr. Strong made a note in his book, with a pencil.
-
-“Want to play catch, Junkum?” suggested Bobs to his twin.
-
-“All right,” said Julia, seizing upon a glove, while Bobs, in his rôle
-of pitcher, professionally moistened the ball.
-
-Dr. Strong made another note.
-
-For half an hour they disported themselves in various ways while the
-Health Master, whose eyes were roving everywhere, made frequent entries
-in his book.
-
-“All out now,” he ordered finally. “Come back in five minutes.”
-
-Before the time was up, they were clustered at the door. Dr. Strong
-admitted them.
-
-“Does the rehearsal begin now?” asked Bobs.
-
-“It’s all over,” said the physician. “Look around you.”
-
-“Ow-w-w!” wailed Bettina. “Look at Susan Nipper’s nose!”
-
-That once inconspicuous feature had turned a vivid green.
-
-“And the baseball is red,” cried Bobs.
-
-“So’s my glove,” announced Julia.
-
-Walking over to her, the Health Master caught her left hand and smeared
-it with blue crayon. For good measure he put a dab on her chin.
-
-“My story-book is all blue, too,” exclaimed the girl. “What’s it for?”
-
-“Just by way of illustration,” explained the doctor. “The mouths of all
-of us contain germs of one kind or another. So I’ve assumed that Bob’s
-mouth has red, and Junkum’s blue, and Miss Twinkle’s green. Every chalk
-mark shows where you’ve spread your germs.”
-
-“Then the red on the ball is where I wet my fingers for that in-curve,”
-said Bobs.
-
-“And on my glove is where I caught it,” said Julia. “But what’s the
-blue doing on my left hand?”
-
-“I know,” announced Bobs triumphantly. “You got that slow drop on the
-end of your finger and jammed your finger in your mouth.”
-
-“It hurt,” defended Julia. “Look at the walls—and the Indian clubs—and
-the chair.”
-
-Crayon marks were everywhere.[2] In some places it was one color; in
-others another; in many, a crazy pattern of red, blue, and green.
-
- [2] For this ingenious example of the crayon marks I am indebted to
- Dr. Charles V. Chapin, Health Officer of Providence, Rhode Island, and
- a distinguished epidemiologist.
-
-
-“And if I carried it out,” said the doctor, “your faces would all be as
-bad.”
-
-“I don’t care!” murmured Betty to Susan Nipper; “I _will_ kiss you even
-if you do turn green.”
-
-“But you mustn’t kiss Charley,” interposed Dr. Strong. “If you’ve had
-enough rehearsal, we’ll go and make our call right after luncheon.”
-
-Entering the sick-room, the three visitors stood a little abashed and
-strange. Their hearty, rough-and-tumble brother looked strangely drawn
-and brighteyed.
-
-“Hello, kids!” said he, airily. “Make yourselves at home.”
-
-Bettykin was the first to break the ice. “Did it hurt, Charley?” she
-asked, remembering her own experience with adenoids.
-
-“Nope,” said the convalescent. “Only thing that hurts is being kept in
-bed when I want to be up and around. What’s new?”
-
-Much was new, there in the room, and the children took it in,
-wide-eyed. Although it was early May, the windows were screened. All
-the hangings and curtains had been taken out of the room, which looked
-bare and bright. On the door of the bathroom was a huge roller-towel of
-soft, cloth-like paper, perforated in lengths so as to be easily
-detachable, and below it a scrap-basket, with a sign: “Throw Paper
-Towels in Here to be Burned after Using.” Between the two windows was a
-larger sign:—
-
-Keep your Fingers Away from Your Mouth and Nose.
-Don’t Handle Utensils Lying About.
-Don’t Open an Unscreened Window.
-After Touching Anything which may have been Contaminated Wash Your
-Hands at Once.
-Use the Paper Towels; They’re the Only Safe Kind.
-One Dollar Reward to Any One Discovering a Fly in the Room.
-Wash Your Hands Immediately After Leaving the Room.
-Keep Outside the Dead-line.
-
-
-PENALTIES
-
-
-For First Violation of Rules—Offender Reads to Patient One Hour. Second
-Violation—Banishment for Balance of Day.
-
-
-“The dead-line is that thing, I suppose,” said Junkum, pointing to a
-tape stretched upon standards around the bed at a distance of a yard.
-
-“Is it a game?” questioned the hopeful Bettina. “No, Bettykin. It’s a
-germ-cage. No germs can get out of that unless they’re carried out by
-somebody or something. And, in that case, they’re boiled to death on
-the gas-stove outside.”
-
-At this moment Charley called for a drink of water. After he had
-emptied the glass, his mother took it out and dropped it into the
-disinfecting hot bath. Then she washed her hands, dried them on a strip
-of the paper towel and dropped that in the basket.
-
-“I see,” said Julia, the observant. “Nothing gets any scarlet fever on
-it except what Charley touches. And everything he touches has to be
-washed as soon as it comes out of the dead-line.”
-
-“Exactly. We’ll make a trained nurse of you, yet, Junkum,” approved the
-Health Master.
-
-“Then,” said Julia slowly, “I think Bobs ought to wash his hands now.
-Mother opened the door after handling Charley’s glass, and when he went
-to watch her wash the glass, he put his hand on the knob.”
-
-“One mark against Bobs,” announced the doctor. “The rigor of the game.”
-
-A game it proved to be, with Charley for umpire, and a very keen
-umpire, as he was the beneficiary of the penalties. For some days
-Charley quite fattened on literature dispensed orally by the
-incautious. Presently, however, they became so wary that it was hard to
-catch them.
-
-Then, indeed, was the doctor hard put to it to keep the invalid amused.
-The children invented games and charades for him. A special telephone
-wire was run to his room so that he might talk with his friends. Bobs
-won commendations by flying a kite one windy day and passing the twine
-up through Charley’s window, whereby the bedridden one spent a happy
-afternoon “feeling her pull.” And the next day Betty won the first and
-only dollar by discovering a small and early fly which, presumably, had
-crawled in by the hole bored for the kite twine. As to any
-encroachments upon the physical quiet of his patient or the protective
-guardianship surrounding him, the Health Master was adamant, until, on
-a day, after examining the prisoner’s throat and nose, and going over
-him, as Mr. Clyde put it, “like a man buying a horse that’s cheaper
-than he ought to be,” he sent for the Health Officer.
-
-“It’s a clean throat,” said Dr. Merritt. “Never mind the desquamating
-skin. We’ll call it off.”
-
-Whereupon Charley was raised from his bed, and having symbolically
-broken the tape-line about his bed, headed a solemn and slow procession
-of the entire family to the front porch where he formally took down the
-red placard and tore it in two. The halves still ornament the playroom,
-as a memento.
-
-After this memorable ceremony, Mrs. Clyde retired to the library and,
-quite contrary to her usually self-restrained nature, dissolved into
-illogical tears, in which condition she was found by the rest.
-
-“I—I—I don’t know what’s the matter,” she sobbed, in response to her
-husband’s inquiry. “It’s just because I hated the very thought of that
-abominable red sign so,—as if we were unclean—like lepers.”
-
-“Well, we’re not lepers and if we can continue in that blessed state,”
-remarked Dr. Strong cheerfully, “we can escape most of the ills that
-flesh is heir to. After all, from a scientific point of view, contagion
-is merely the Latin synonym for a much shorter and uglier word.”
-
-“Which is—” queried Mr. Clyde.
-
-“Dirt,” said the Health Master.
-
-
-
-
-VIII.
-HOPE FOR THE HOPELESS
-
-
-“Hopeless from the first,” said old Mrs. Sharpless, with a sigh, to her
-daughter.
-
-Mrs. Clyde nodded. “I suppose so. And she has so much to live for,
-too.”
-
-“What’s this that’s hopeless from the first?” asked the Health Master,
-looking up from the novel which he was enjoying in what he called his
-“lazy hour,” after luncheon.
-
-“Mrs. Westerly’s case,” said the younger woman. “Even now that she’s
-gone to the hospital, the family won’t admit that it’s cancer.”
-
-“Ah, of the liver, I suppose,” commented the physician.
-
-“Why on earth should you suppose that?” demanded Mrs. Sharpless
-suspiciously.
-
-“Why, because cancer of the liver is the only form which could possibly
-be regarded as hopeless from the first.”
-
-“All cancer, if it is really cancer, is hopeless,” declared the old
-lady with vigorous dogmatism. “Don’t tell me. I’ve seen too many cases
-die and too few get well.”
-
-“Were those ‘few’ hopeless, too?” inquired Dr. Strong with bland
-slyness.
-
-“I guess they weren’t cancer, at all,” retorted Mrs. Sharpless; “just
-doctors’ mistakes.”
-
-“Doctors do make mistakes,” admitted the representative of the
-profession, “and cancer is one of the diseases where they are most
-commonly at fault. But the error isn’t of the kind that you suggest,
-Grandma Sharpless. Where they go wrong so often is in mistaking cancer
-for some less malignant trouble; not in mistaking the less malignant
-forms for cancer. And that wastes thousands of lives every year which
-might have been saved.”
-
-“How could they have been saved?” asked the old lady combatively.
-
-“Let me do the questioning for a minute, and perhaps we’ll get at that.
-Now, these many cases that you’ve known: were most of the fatal ones
-recent?”
-
-“Not very,” she replied, after some consideration. “No; most of them
-were from ten years ago, back.”
-
-“Exactly. Now, the few that recovered: when did these occur?”
-
-“Within a few years.”
-
-“None of the old cases recovered?”
-
-“No.”
-
-“But a fair proportion of the more recent ones have?”
-
-“Yes.”
-
-“All these were operated on, weren’t they?”
-
-“Yes; I believe they were. But not all that were operated on lived.”
-
-“Did a single one of those not operated on live?”
-
-“Not so far as I can remember.”
-
-“Well, there we have the truth about cancer in a few words; or, anyway,
-a good part of the truth. Up to twenty years ago or so, cancer was
-practically incurable. It always returned after operation. That was
-because the surgeon thought he needed only to cut out the cancer. Now
-he knows better; he knows that he must cut out all the tissue and the
-glands around the obvious cancer, and thus get the root of the growth
-out of the system.”
-
-“And that cures?” asked Mrs. Clyde.
-
-“In a great majority of cases, _if it is done early enough_.” The
-Health Master dropped his book and beat time with an emphatic
-forefinger to his concluding words.
-
-“But Agnes Westerly’s is cancer of the breast,” said Mrs. Clyde, as if
-that clinched the case against the patient.
-
-“Just about the most favorable locality.”
-
-“I thought it was the worst.”
-
-“Where on earth do intelligent women collect their superstitions about
-cancer?” cried Dr. Strong. “Carcinoma of the breast is the commonest
-form among women, and the easiest to handle. Show me a case in the
-first stages and, with a good surgical hospital at hand, I’d almost
-guarantee recovery. It’s simply a question of removing the entire
-breast, and sometimes the adjacent glands. Ninety per cent of the early
-cases should get well.”
-
-“But the operation itself is so terrible,” shuddered Mrs. Clyde.
-
-“Terrible? Unpleasant, I’ll admit. But if you mean terrible in the
-sense of dangerous, or even serious, you’re far wrong again. The
-percentage of mortality from the operation itself is negligible. But
-the percentage of mortality without operation is 100 out of 100. So the
-choice is an easy one.”
-
-“They seem to hold out little hope for Agnes Westerly.”
-
-“Let’s hear about the circumstances,” suggested Dr. Strong.
-
-“About two years ago—”
-
-“That’s a bad beginning,” interrupted the physician, shaking his head.
-
-“—She noticed a small lump in her right breast. It didn’t trouble her
-much—”
-
-“It seldom does at the start.”
-
-“—And she didn’t want to alarm her husband; so she said nothing about
-it. It kept getting a little larger very slowly, but there was no
-outside sore; so she thought it couldn’t be serious. If it were, she
-thought, it would pain her.”
-
-“That fatal mistake! Pain is a late symptom in cancer—usually too
-late.”
-
-“It was curious the way she finally came to find out. She read an
-advertisement in the paper, headed, ‘Any Lump in Woman’s Breast is
-Cancer.’”
-
-“Yes; I know that advertisement. It’s put out by a scoundrel named
-Chamlee. Surely, she didn’t try his torturing treatment?”
-
-“Oh, no. Agnes is too intelligent for that. But it frightened her into
-going to her doctor. He told her that a radical operation was her only
-chance. She was terribly frightened,—more afraid of the knife than of
-the disease, she told me,—and she insisted on delay until the pain grew
-intolerable. And now, they say, there’s only a slight chance. Isn’t it
-pitiful?”
-
-“Pitiful, and typical. Mrs. Westerly, if she dies, is a type of
-suicide, the suicide of fear and ignorance. Two years’ waiting! And
-every day subtracting from her chance. That’s the curse of cancer; that
-people won’t understand the vital necessity of promptness.”
-
-“But is it true that any lump in a woman’s breast is cancer?” asked
-Mrs. Sharpless.
-
-“No; it’s a lie; a damnable lie, circulated by that quack to scare
-foolish women into his toils. Most of such lumps are non-malignant
-growths. This is true, though: that any lump in a woman’s breast is
-suspicious. It may be cancer; or it may develop into cancer. The only
-course is to find out.”
-
-“How?”
-
-‘“With the knife.”
-
-“Isn’t that rather a severe method for a symptom that may not mean
-anything?”
-
-“Not too severe, considering the danger. Whatever the lump may be, it
-has no business there in the breast, any more than a bullet has. If it
-is only a small benign tumor, the process of taking it out is very
-simple, and there is nothing further to do. While the patient is still
-under the anaesthetic, a microscopical examination of the tissue, which
-can be made in a few minutes in a well-equipped hospital, will
-determine whether the growth is malignant. If so, the whole breast is
-taken off, and the patient, in all probability, saved. If not, sew up
-the wound, and the subject is none the worse. Much the better, in fact,
-for the most innocent growth may develop cancer by irritation. Thirty
-per cent, or more, of breast cancers develop in this way.”
-
-“But irritation alone won’t cause cancer, will it?” asked Mrs. Clyde,
-her restlessly inquiring mind reaching back, as was typical of her
-mental processes, toward first causes.
-
-“No. There must be something else. What that something is, we don’t
-know. But we are pretty certain that it doesn’t develop unless there is
-irritation of some kind.”
-
-“Isn’t cancer a germ disease?”
-
-“Nobody knows. Some day we may—probably shall—find out. Meantime we
-have the knowledge of how to prevent it.”
-
-“How to prevent a disease you don’t know the nature of?” said Mrs.
-Sharpless incredulously. “That sounds like nonsense.”
-
-“Does it? What about smallpox? We haven’t any idea of what smallpox
-really is; but we are able to control it with practical certainty
-through vaccination.”
-
-“Doctors don’t vaccinate for cancer,” remarked the practical-minded old
-lady.
-
-“They have tried serums, but that is no use. As I said, the immediate
-occasion of cancer is irritation. There is overwhelming proof that an
-unhealing sore or irritation at any point is likely to result in the
-development of a cancer at that point, and at least a highly probable
-inference that, without such irritation, the disease would not
-develop.”
-
-“Then why not get rid of the irritation?”
-
-“Ah, there’s the point. That’s where the tremendous life-saving could
-be effected. Take a very simple instance, cancer of the lip. In a
-thousand cases recorded by one of the Johns Hopkins experts, there
-wasn’t one but had developed from a small sore, at first of innocent
-nature. It isn’t too much to say that this particular manifestation of
-cancer is absolutely preventable. If every person with a sore on the
-lip which doesn’t heal within three weeks were to go to a good surgeon,
-this hideous and defacing form of tumor would disappear from the earth.
-As for carcinoma of the tongue, one of the least hopeful of all
-varieties, no careful person need ever develop it. Good dentistry,
-which keeps the mouth free of jagged tooth-edges, is half the battle.
-The other half is caution on the part of smokers. If a white patch
-develops in the mouth, tobacco should be given up at once. Unless the
-patch heals within a few weeks, the patient should consult a physician,
-and, if necessary, have it removed by a minor operation. That’s all
-there is to that.”
-
-“But if the irritant sore is internal?” inquired Mrs. Clyde.
-
-“To the watchful it will give evidence of its presence, usually in
-time. If it is in the intestines or stomach, there is generally some
-uneasiness, vague, perhaps, but still suspicious, to announce the
-danger. Surgical records covering a long period show that eighty per
-cent of stomach cancers were preceded by definite gastric symptoms of
-more than a year’s duration. If it is in the uterus, there are definite
-signs which every woman ought to be taught to understand. And here, to
-go back to the matter of cure, even if the discovery isn’t made until
-cancer has actually developed, there is an excellent chance in the
-early stages. Cancer of the stomach used to be sure doom to a hideous
-death. Now, taking the cases as they come, the desperate chances with
-the early cases, more than a quarter are saved in the best surgical
-hospitals. Where the growth is in the womb or the intestines, with
-reasonably early discovery, a generous half should be repaired and
-returned to active life as good as new.”
-
-“That doesn’t seem possible,” said Mrs. Sharpless flatly.
-
-“Simply because you’ve been steeped in the fatalism which surrounds
-cancer. That fatalism, which is so hard to combat, is what keeps women
-from the saving hope of the knife. ‘I’ve got to die anyway,’ they say,
-‘and I’m not going to be carved up before I die.’ And so they throw
-away what chance they have. Oh, if only I had control of the newspapers
-of this city for one day a week or a month,—just for a half-column
-editorial,—what a saving of life I could effect! A little simple advice
-in straight-out terms would teach the people of this community to avoid
-poor Mrs. Westerly’s fate.”
-
-“And drive ‘em all into the hands of the doctors,” said Mrs. Sharpless
-shrewdly. “A fine fattening of fees for your trade, young man.”
-
-“Do you think so? Do you think that cancer _ever_ fails to come to the
-physician at last? And do you think the fee is less because the surgeon
-has to do twice the amount of work with a hundredth of the hope of
-success?”
-
-“No-o-o,” admitted the old lady, with some hesitancy; “I didn’t think
-of it in that light.”
-
-“Few do. Oh, for the chance to teach people to think straight about
-this! Publicity is what we need so bitterly, and the only publicity
-goes to the quacks who pay for it, because the local newspapers don’t
-want to write about ‘unpleasant topics,’ forsooth!”
-
-“Do you want a chance for some publicity in a small way?” asked Mrs.
-Clyde.
-
-“Do I! Show me the chance.”
-
-“The Mothers’ Association meets here this afternoon. We haven’t much
-business on hand. Come in and talk to us for an hour.”
-
-“Fine!” said the Health Master, with enthusiasm. “Half of that time
-will do me. How many will be there?”
-
-“About sixty.”
-
-“Very well. Just have me introduced with the statement that I’m going
-to talk informally on a subject of importance to all of you; and then
-help me out with a little object lesson. I’ll want sixty sealed
-envelopes for the members to draw.”
-
-“Are you conducting a lottery, young man?” queried Grandma Sharpless.
-
-“In a way. Rather I’m arranging an illustration for the great lottery
-which Life and Death conduct.”
-
-
-Two hours later, the business of the meeting having been concluded,
-Mrs. Clyde asked, from the assembled mothers, the privilege of the
-floor for Dr. Strong, and this being granted, aroused the curiosity of
-the meeting by requesting each member to draw an envelope from the
-basket which she carried around, while the presiding officer introduced
-the speaker.
-
-“Let me begin,” said the Health Master, “with an ungallant assumption.
-I’m going to assume that I’m talking to a gathering of middle-aged
-women. That being the case, I’m going on to a very unpleasant
-statement, to wit, that one out of every eight women here may
-reasonably expect to die of cancer in some form.”
-
-A little subdued flutter passed through the room, and the name of Agnes
-Westerly was whispered.
-
-“Yes; it is Mrs. Westerly’s case which is responsible for my being
-here,” said Dr. Strong, who had abnormally keen hearing. “I would like
-to save at least part of the eight out of your number, who are
-statistically doomed, from this probable fate. To bring the lesson home
-to you, I have had each of you draw an envelope. Eight of these
-represent death by cancer.”
-
-Every eye in the room turned, with rather ghastly surmise, to the
-little white squares. But old Mrs. Sharpless rose from her place,
-marched upon the Health Master, as one who leads a charge, and in low
-but vehement tones protested: “I won’t be a party to any such nonsense.
-The idea! Scaring some woman that’s as well as you are into nervous
-collapse with your black dot or red cross or whatever you’ve got inside
-these envelopes.”
-
-“Oh, Grandma Sharpless, Grandma Sharpless! Have you known me all this
-time not to trust me further than that?” whispered the Health Master.
-“Wait and see.”
-
-A little woman near the rear of the room spoke up with a fine bravado:
-“I’m not afraid. It can’t give me cancer.” Then a pause, and a sigh of
-relief, which brought out a ripple of nervous laughter from the rest,
-as she said, “There’s nothing in mine.”
-
-“Nor in mine,” added a young and pretty woman, in the second row, who
-had furtively and swiftly employed a hatpin to satisfy her curiosity.
-
-“Nor mine!”—“Nor mine!” added a dozen voices, in varying tones of
-alleviated suspense.
-
-“Not in any of them,” said Dr. Strong, smiling. “My little design was
-to arouse you collectively to a sense of the danger, not to frighten
-you individually into hysterics.” (At this point Mrs. Sharpless sat
-down abruptly and fanned a resentful face.) “The ugly fact remains,
-however: one out of every eight here is marked for death by the most
-dreadful of diseases, unless you do something about it.”
-
-“What can we do?” inquired the minister’s wife, in the pause that
-followed this statement.
-
-“Educate yourselves. If, in the process, you educate others, so much
-the better. Now I propose to tell you all about cancer in half an hour.
-Does that sound like a large contract? When I say ‘all,’ I mean all
-that it is necessary for you to know in order to protect yourselves.
-And, for good measure, I’ll answer any questions—if I can—within the
-limit of time.”
-
-“What _is_ cancer?” asked a voice.
-
-“Ah! There is one that I can’t answer. No one knows. If I told you that
-it was a malignant tumor, that would be true, but it wouldn’t be an
-answer, because we don’t know the real nature and underlying cause of
-the tumor. Whether it is caused by a germ, science has not yet
-determined. But though we know nothing of the fundamental cause of the
-disease, we do understand, definitely, what is the immediate causative
-influence. It practically always arises from some local sore or
-irritation. Therefore—and here is my first important point—it is
-preventable.”
-
-“That would be only theoretically, wouldn’t it, Dr. Strong?” asked the
-little woman who had first braved the venture of the sealed envelope.
-“One can’t get through life without bumps and scratches.”
-
-“True. But ordinary bumps or scratches properly looked after don’t
-cause cancer. The sore must be an unhealing one, or the irritation a
-continued condition, in order to be dangerous. Remember this: any sort
-of a sore, inflammation, or scarification, external or internal, which
-continues more than a few weeks, is an invitation to cancer. Therefore,
-get rid of it.”
-
-“But suppose the injury is in the stomach, where it can’t be got at?”
-asked a member.
-
-“Why can’t it be got at?” demanded Dr. Strong.
-
-“How can it be got at?” retorted the questioner.
-
-“By opening up the stomach and examining it.”
-
-“Well, I don’t want anybody to open up my stomach just to see what is
-inside it!” declared Mrs. Sharpless vigorously.
-
-“Very likely not. Perhaps you’d feel different if you’d had steady pain
-or indigestion for two or three years.”
-
-“Does that mean cancer?” asked a tall, sallow woman anxiously.
-
-“Not by any means necessarily. But it may well mean gastric ulcer, and
-that may develop into cancer. Three fourths of the cases of carcinoma
-of the stomach which come into the surgeon’s hands have developed from
-gastric ulcer.”
-
-“Is there no cure but the knife?” inquired Mrs. Clyde.
-
-“Not for the cancer. For the gastric ulcer, yes. Careful medical care
-and diet often cure it. The trouble is that patients insist on diet and
-drugs in cases where they have proved themselves ineffectual. Those
-cases should come to the surgeon. But it will take long to educate the
-public to the significance of long-continued abdominal pain or
-indigestion. The knife is the last thing they are willing to think of.”
-
-“But stomach operations are terribly dangerous, aren’t they?” inquired
-a member.
-
-“Not any more. They were once. The operation for gastric ulcer in the
-early stage is simple. Even developed cancer of the stomach can be
-cured by the knife in from twenty-five to thirty per cent of the cases.
-Without the knife, it is sure death. I’m glad we got to the stomach
-first, because that is the most obscure and least hopeful of the common
-locations of the growth. In carcinoma of the breast, the most prevalent
-form among women, there is one simple, inclusive rule of prevention and
-cure. Any lump in the breast should be regarded, as Blood-good of Johns
-Hopkins puts it, ‘as an acute disease.’ It should come out immediately.
-If such growths come at once to the surgeon, prevention and cure
-together would save probably ninety per cent of those who now die from
-this ‘creeping death,’ as our parents called it.
-
-“Now, I’ll ask you to imagine for the moment that I am conducting a
-clinic, for I’m not going to mince words in speaking of cancer of the
-womb, the next commonest form. Any persistent irritation there is a
-peril. If there is a slight, steady, and untimely discharge, that’s a
-danger signal. The woman should at once have a microscopical
-examination made. This is simple, almost painless, and practically a
-sure determination of whether there is cancer or not. The thing to do
-is to find out.”
-
-“But if it is cancer, is there any chance?” asked the lady of the
-hatpin.
-
-“Would you regard tuberculosis as hopeless?”
-
-“Of course not.”
-
-“Your parents would have. But you have profited by popular education.
-If the public understood what to do in cancer as thoroughly as they
-know about tuberculosis, we’d save almost if not quite as many victims
-from the more terrible disease. Fatalism is as out of place in the one
-as in the other. The gist of the matter is taking the thing in time.
-Let me read you what the chairman of the Cancer Campaign Committee of
-the Congress of Surgeons of North America, Dr. Thomas S. Cullen, of
-Baltimore, says: ‘Surgeons are heartsick to see the many cancer
-patients begging for operations when the disease is so far advanced
-that nothing can be done. Cancer is in the beginning a local process
-and not a blood disease, and in its early stages can be completely
-removed. When the cancer is small the surgeon can, with one fourth the
-amount of labor, accomplish ten times the amount of good.’”
-
-“Does that always mean the knife?” asked a timid-looking woman.
-
-“Always. There is no other hope, once the malignant growth has begun.
-But the knife is not so terrible. In fact, in the early stages it is
-not terrible at all. Modern surgery has reduced pain to a minimum. The
-strongest argument against dread is a visit to a well-equipped surgical
-hospital, where one can see patients sitting up in bed and enjoying
-life a few days after a major operation. Even at the worst, the knife
-is less terrible than death, its certain alternative.”
-
-“Why do you call it the certain alternative?” asked the minister’s
-wife. “I have seen facial cancer cured by concentrated ray treatment.”
-
-“That wasn’t cancer; it was lupus,” replied Dr. Strong; “a wholly
-different thing. True cancer of the face in its commonest location, the
-lips, is the most frequently cured of any form, but only by operation.
-Now here’s an interesting and suggestive point; taking lip-cancer
-patients as they come to us, we get perhaps sixty-five per cent of
-complete cures. With cancer of the womb, we get in all not more than
-forty per cent of recoveries. Perhaps some of you will be able to
-suggest the explanation for this contrast.”
-
-“Because cancer of the lip isn’t as deadly a disease,” ventured some
-one.
-
-“Cancer is cancer, wherever it is located. Unless it is removed it is
-always and equally deadly.”
-
-“Then it is because the internal operation is so much more dangerous,”
-offered another member.
-
-“No; uterine operations are easy and simple. It is simply because the
-sore on the face is obvious, plain, unmistakable evidence of something
-wrong; and the patient ordinarily gets into the surgeon’s hands early;
-that is, before the roots of the growth have spread and involved life
-itself. The difference in mortality between carcinoma of the lip and
-carcinoma of the womb is the difference between early operation and
-delayed operation. If uterine cancer or breast cancer were discovered
-as early as lip cancer, we’d save practically as many of the internal
-as we do of the external cases. And if all the lip cancer cases were
-noticed at the first development, we’d save ninety-five per cent of
-them.”
-
-“Isn’t it the business of the physician to find out about the internal
-forms?” asked Mrs. Sharpless.
-
-“Often the physician hasn’t the chance. The woman ought to do the first
-diagnosing herself. That is, she must be taught to recognize suspicious
-symptoms. In Germany there has been a campaign of education among women
-on cancer of the womb. The result is that more than twice as many
-Germans come to the operating table, in time to give a fair chance of
-permanent recovery in this class of cases, as do Americans.”
-
-“How is the American woman, who knows nothing about such matters, to
-find out?” queried the minister’s wife.
-
-“There is a campaign of education now under way here. Publications
-giving the basic facts about cancer, its prevention and cure, in simple
-and popular form, can be had from the American Society for the Control
-of Cancer,—Thomas M. Debevoise, secretary, 62 Cedar Street, New York
-City; or more detailed advice can be had from the Cancer Campaign
-Committee of the Congress of Surgeons of North America, Dr. Thomas S.
-Cullen, chairman, 3 West Preston Street, Baltimore; or from Dr. F. R.
-Green, 535 Dearborn Avenue, Chicago, Illinois, secretary of the Council
-of Health and Public Instruction of the American Medical Association.”
-
-“Why not more easily and readily one’s own physician?” asked Mrs.
-Clyde.
-
-“Women don’t go to their own physicians early enough. It is necessary
-that they be trained to understand symptoms which do not at first seem
-serious enough for medical attention. Besides, I regret to confess, in
-this matter of cancer our physicians need educating, too. They are too
-prone to say, if they are not sure of the diagnosis, ‘Wait and see.’
-Waiting to see is what kills three fourths of the women who succumb to
-cancer. Let me illustrate this peril by two cases which have come under
-my observation: The wife of a lawyer in a Western city had a severe
-attack of stomach trouble. Her doctor, a young and open-minded man, had
-the courage to say, ‘I don’t know. But I’m afraid it’s cancer. You’d
-better go to such-and-such a hospital and let them see.’ The woman
-went. An exploratory incision was made and carcinoma found in the early
-stage. It was cut out and to-day she is as good as new.
-
-“Now, this same lawyer had a friend who had been treated for months by
-a stomach specialist of some reputation. Under the treatment he had
-grown steadily thinner, paler, and weaker. ‘Indigestion, gastric
-intoxication,’ the specialist repeated, parrotlike, until the man
-himself, in his misery, began to suspect. At this point the lawyer
-friend got hold of him and took him to the hospital where his wife had
-been. The surgeons refused the case and sent the man away to die.
-Indignant, the lawyer sought the superintendent of the hospital.
-
-“‘Why won’t you take my friend’s case?’
-
-“‘It is inoperable.’
-
-“‘Isn’t it cancer of the stomach, like my wife’s?’
-
-“‘Yes.’
-
-“‘You cured my wife. Why can’t you cure my friend?’
-
-“The official shook his head.
-
-“I want an answer,” insisted the lawyer.
-
-“‘Well, frankly,’ said the other, ‘your wife’s physician knew his
-business. Your friend’s physician is a fool. He has killed his patient
-by delay.’
-
-“Back home went the lawyer, and spread that story quietly. To-day the
-specialist’s practice is almost ruined; but he has learned an expensive
-lesson. The moral is this: If your doctor is doubtful whether your
-trouble is cancerous, and advises delay, get another doctor.
-
-“Then, there is the ‘conservative’ type of practitioner, who is timid
-about making a complete job of his operation. One of this kind had the
-case of an acquaintance of mine who was stricken with cancer of the
-breast. The physician, under persuasion of his patient, I presume,
-advised excising only the tumor itself, but the husband, who had been
-reading up on cancer, insisted on a radical operation. The entire
-breast was removed. A year later the woman’s unmarried sister was
-afflicted in exactly the same way; but the discovery was made earlier,
-so that the case was a distinctly favorable one. The girl, however,
-would not consent to the radical operation, and the physician (the same
-man) declared it unnecessary. The tumor alone was cut out. The cancer
-reappeared and another operation was necessary. The girl died after
-cruel suffering. The married sister is alive, and, five years after the
-operation, as sound as a bell. That physician is a wiser man; also a
-sadder one. There’s a special moral to this, too: the operator has but
-one chance; he must do his work thoroughly, or he might better not do
-it at all. When cancer returns after operation—which means that the
-roots were not eradicated—it is invariably fatal.
-
-“Here are a few things which I want every one of you to remember. Had I
-had time I’d have had them printed for each of you to take home, so
-important do I think them:—
-
-“No cancer is hopeless when discovered early.
-
-“Most cancer, discovered early, is permanently curable.
-
-“The only cure is the knife.
-
-“Medicines are worse than useless.
-
-“Delay is more than dangerous; it is deadly.
-
-“The one hope, and a strong one, is prompt and radical operation. A
-half-operation is worse than none at all.
-
-“Most, if not all, cancer is preventable by correcting the minor
-difficulty from which it develops.
-
-“With recognition of, and prompt action upon early symptoms, the death
-rate can be cut down at least a half; probably more.
-
-“The fatalism which says: ‘If it’s cancer, I might as well give up,’ is
-foolish, cowardly, and suicidal.
-
-“And, finally, here is some simple advice, intelligible to any thinking
-human being, which has been indorsed in printed form by the Congress of
-Surgeons of North America:—
-
-“‘Be careful of persistent sores or irritations, external or internal.
-
-“‘Be careful of yourself, without undue worry. At the first suspicious
-symptom go to some good physician and demand the truth. Don’t wait for
-pain to develop.
-
-“‘If the doctor suspects cancer insist that he confirm or disprove his
-suspicions.
-
-“‘Don’t be a hopeless fatalist. If it’s cancer face it bravely. With
-courage and prompt action the chances of recovery are all in your
-favor.
-
-“‘Don’t defer an advised operation even for a day; and don’t shrink
-from the merciful knife, when the alternative is the merciless anguish
-of slow death.’
-
-“For the woman who fears the knife, Dr. Charles H. Mayo, one of the
-greatest of living surgeons, has spoken the final words: ‘The risk is
-not in surgery, but in _delayed surgery_.’
-
-“I have said my say, ladies, and there are five minutes left. Has any
-one any further questions?”
-
-There was none. But as he stepped down, Mrs. Sharpless whispered to
-him: “I watched them while you talked, and half of those women are
-thinking, and thinking _hard_.”
-
-
-Six months thereafter, Mrs. Clyde came into the Health Master’s office
-one day.
-
-“I’ve just come from a sort of experience meeting of the Mothers’
-Club,” she said.
-
-“What was the topic this time?” asked Dr. Strong.
-
-“Aftermath.”
-
-“Of what?”
-
-“Your cancer talk.”
-
-“Anything definite?”
-
-“Definite, indeed! Between fifteen and twenty of the members went away
-from that meeting where you talked, suspecting themselves of cancer.”
-
-“That’s too many.”
-
-“Yes. Ten of them had their fears set at rest right away.”
-
-“I’m sorry to have frightened them; but one has to do a little harm in
-aiming at almost any good.”
-
-“This was worth it. Half a dozen others had minor operations.”
-
-“Perhaps saving major ones later.”
-
-“Very likely. And four of them actually had cancer. Three out of the
-four are going to be well women. The fourth has an even chance. Dr.
-Strong, I don’t think you’ve done so good a day’s work since you
-brought health into this house.”
-
-“I thank you,” said the doctor simply; “I think you are right. And
-you’ve given me the most profound and about the rarest satisfaction
-with which the physician is ever rewarded.”
-
-“And that is?” she asked.
-
-“The practical certainty of having definitely saved human life,” said
-the Health Master.
-
-
-
-
-IX.
-THE GOOD GRAY DOCTOR
-
-
-A twenty-dollar bill! Crisp, fresh, and golden, it rose monumentally
-from the basis of nickels, dimes, and quarters which made up the
-customary collection of the Bairdstown Memorial Church. Even the
-generosity of the Clyde family, who, whenever they spent a week-end at
-Mr. Clyde’s farm outside the little city, attended the Sunday services,
-looked meager and insignificant beside its yellow-backed splendor.
-Deacon Wilkes, passing the plate, gazed at it in fascination.
-Subsequent contributors surreptitiously touched it in depositing their
-own modest offerings, as if to make certain of its substance. It was
-even said at the Wednesday Sewing Circle that the Rev. Mr. Huddleston,
-from his eminence in the pulpit, had marked its colorful glint with an
-instant and benign eye and had changed the final hymn to one which
-specially celebrated the glory of giving.
-
-In the Clyde pew also there was one who specially noted the donor, but
-with an expression far from benign. Dr. Strong’s appraising glance
-ranged over the plump and glossy perfection of the stranger, his
-symphonic grayness, beginning at his gray-suède-shod feet, one of which
-unobtrusively protruded into the aisle, verging upward through gray
-sock and trouser to gray frock coat, generously cut, and terminating at
-the sleek gray head. Even the tall hat which the man dandled on his
-knees was gray. Against this Quakerish color-scheme the wearer’s face
-stood out, large, pink, and heavy-jowled, lighted by restless brown
-eyes. His manner was at once important and reverent, and his “amen” a
-masterpiece of unction. No such impressive outlander had visited
-Bairdstown for many a moon.
-
-After the service the visitor went forward to speak with Mr.
-Huddleston. At the same time Dr. Strong strolled up the aisle and
-contrived to pass the two so, as to obtain a face-to-face view of the
-stranger.
-
-“At nine o’clock to-morrow, then, and I shall be delighted to see you,”
-the pastor was saying as Dr. Strong passed.
-
-“Good-morning, Professor,” said Dr. Strong, with an accent on the final
-word as slight as the nod which accompanied it.
-
-“Good-morning! Good-morning!” returned the other heartily. But his
-glance, as it followed the man who had accosted him, was puzzled and
-not wholly untroubled.
-
-“Who is your munificent friend?” asked Mrs. Clyde, as the Health Master
-emerged from the church and joined her husband and herself in their
-car.
-
-“When I last ran across him he called himself Professor Graham Gray,
-the Great Gray Benefactor,” replied Dr. Strong.
-
-“Dresses the part, doesn’t he?” observed Mr. Clyde. “Where was it that
-you knew him?”
-
-“On the Pacific Coast, five years ago. He was then ‘itinerating’—the
-quack term for traveling from place to place, picking up such practice
-as may be had by flamboyant advertising. Itinerating in eyes, as he
-would probably put it.”
-
-“A wandering quack oculist?”
-
-“Optician, rather, since he carried his own stock of glasses. In fact
-that’s where his profit came in. He advertised treatment free and
-charged two or three dollars for the glasses, special rates to
-schoolchildren. The scheme is an old one and a devilish. Half of the
-children in San Luis Obispo County, where I chanced upon his trail,
-were wearing his vision-twisters by the time he was through with them.”
-
-“What kind of glasses were they?”
-
-“Sometimes magnifying lenses. Mostly just plain window glass. Few
-children escaped him, for he would tell the parents that only prompt
-action could avert blindness.”
-
-“At least the plain glass couldn’t hurt the children,” suggested Mrs.
-Clyde.
-
-“Couldn’t it! It couldn’t fail to hurt them. Modify the sight of a
-delicate instrument like a child’s eye continuously by the most
-transparent of barriers, and it is bound to go wrong soon. The
-magnifying glasses are far worse. There are hundreds of children in
-that one locality alone who will carry the stigma of his quackery
-throughout their lives.”
-
-“Do you think he is here with a view to practicing his amiable trade?”
-inquired Clyde.
-
-“Only in part, if at all. I understand that he has changed his line.”
-
-“How comes he by all that showy money, then?”
-
-“By murder.”
-
-The Clydes, accustomed to their physician’s hammerstroke turns of
-speech, took this under consideration.
-
-“But he wasn’t committing murder in the church just now, I suppose,”
-insinuated Mrs. Clyde at length.
-
-“Not directly. His immediate business there, I suspect, was bribery.”
-
-“Of whom?”
-
-“The minister.”
-
-“Oh, come, Strong!” protested Mr. Clyde. “Mr. Huddleston isn’t an
-intellectual giant, I grant you; but he’s certainly a well-meaning and
-honorable old fellow.”
-
-“Some cynical philosopher has remarked that wicked men have a talent
-for doing harm, but fools have a genius. Mr. Huddleston’s goodness and
-honesty, taken in connection with his hopeless ignorance of human
-nature, are just so much capital to hand for a scoundrel like this
-Gray.”
-
-“What does he expect to get for his twenty-dol-lar bill?”
-
-“First, a reputation for piety and generosity. Second, that reputation
-duly certified to by the leading minister of the town.”
-
-“In other words, a testimonial.”
-
-“Precisely. For home use, and cheap at twenty dollars. Preparatory to
-operating in a town, your itinerating quack bribes two people—if he
-can. First, the editor of the local paper; second, the pastor of the
-leading church. The editor usually takes the money with his eyes wide
-open; the minister with his eyes tight shut.”
-
-“How can his eyes be shut to such a business?” asked Mrs. Clyde.
-
-“Because so much dust has been thrown in them by the so-called
-religious journals.”
-
-“Surely you don’t mean that religious journals exploit quackery in
-their pages!” cried Mrs. Clyde.
-
-“They are the mainstay of the quack and patent medicine business,”
-declared the Health Master. “Leaving out the Christian Science papers,
-which, of course, don’t touch this dirty money, the religious press of
-all denominations, with a few honorable individual exceptions, sells
-out to any form of medical fraud which has a dollar to spend. Is it
-strange that the judgment of some of the clergy, who implicitly trust
-in their sectarian publications, becomes distorted? It’s an even chance
-that our Great Gray faker’s advertisement is in the religious weekly
-which lies on Mr. Huddleston’s study-table at this moment.”
-
-Grandma Sharpless turned around from her seat in front, where she
-always ensconced herself so that, as she put it, she could see what was
-coming in time to jump. “I know it is,” she stated quietly. “For while
-I was waiting in the parsonage last week I picked up the ‘Church
-Pillar’ and saw it there.”
-
-“Trust Grandma Sharpless’s eyes not to miss anything that comes within
-their range,” said Dr. Strong.
-
-“Well, I missed the sense of that advertisement till just now,”
-retorted the old lady. “I’ve just remembered about this Graham Gray.”
-
-“What about him?” asked the Health Master with eagerness, for Mrs.
-Sharpless’s memory was as reliable for retaining salient facts as her
-vision was for discerning them. “Do you know him?”
-
-“Only by his works. Last year a traveling doctor of that name stopped
-over at Greenvale, twenty miles down the river, and gave some of his
-lectures to Suffering Womanhood, or some such folderol. He got hold of
-Sally Griffin, niece of our farmer here, while she was visiting there.
-Sally’s as sound as a pippin, except for an occasional spell of
-fool-in-the-head, and I guess no school of doctoring ever helps that
-common ailment much. Well, this Gray got her scared out of her wits
-with symptoms, and sold her twenty-five dollars’ worth of medicine to
-cure her of something or other she didn’t have. Cured!” sniffed the
-lively narrator. “If I hadn’t taken the stuff away from her and locked
-it up, I expect she’d be in the churchyard by now.”
-
-“The whole philosophy of quackery explicated and punctured, by one who
-knows,” chuckled Dr. Strong.
-
-“None of your palaver with me, young man!” returned the brisk old lady,
-who was devoted to the Health Master, and showed it by a policy of
-determined opposition of the letter and whole-hearted support of the
-spirit and deed, in all things. “Probably he knows as much as most of
-your regular doctors, at that!”
-
-“At least he seems to know human nature. That’s the strong point of the
-charlatan. But have you got any of his medicine left?”
-
-“Yes; I think I can lay my hands on what’s left of it. I remember that
-Sally boohooed like a baby, grown woman that she is, when I took it
-away from her.” Dr. Strong’s eyebrows went up sharply. “As soon as we
-get to the house I’ll look it up.”
-
-On their arrival at the roomy old farmstead which Mr. Clyde had
-remodeled and modernized for what he called “an occasional three days
-of grace” from his business in the city of Worthington, Grandma
-Sharpless set about the search, and presently came to the living-room
-bearing in one hand a large bottle and in the other a newspaper.
-
-“Since you’re interested in Professor Gray,” she said, “here’s what he
-says about himself in yesterday’s ‘Bairdstown Bugle.’ I do think,” she
-added, “that the Honorable Silas Harris might be in better business
-with his paper than publishing such truck as this. Listen to it.”
-
-GOSPEL HERBS WILL CURE YOUR ILLS
-
-
-Women of Bairdstown; Read your Bible! Revelation 22d chapter, 2d verse.
-God promises that “the Herbs of the field shall heal the nations.” In a
-vision from above, the holy secret has been revealed to me. Alone of
-all men, I can brew this miracle-working elixir.
-
-
-“The blasphemous old slinkum!” Grandma Sharpless interrupted herself to
-say angrily. “He doesn’t even quote the Scriptures right!”
-
-“Oh, blasphemy is a small matter for a rascal of his kind,” said the
-Health Master lightly. “Go on.”
-
-She read on:—
-
-Come to me, ye women who suffer, and I will give you relief. All those
-wasting and wearing ailments from which the tender sex suffers, vanish
-like mist before the healing, revivifying influence of Gospel Herbs.
-Supposed incurable diseases: Rheumatism, Dropsy, Diabetes and all
-kidney ills, Stomach Trouble, Scrofula, Blood Poison, even the dreaded
-scourge, Consumption, yield at once to this remedy.
- Though my special message is to women, I will not withhold this
- boon from any suffering human. Come one and all, rich and poor,
- young and old, of either sex. Your money refunded if I do not cure
- you. Public meeting Monday and Tuesday evenings, at eight o’clock
- sharp in the Scatcherd Opera House; admission free to all. Private
- consultation at the Mallory Hotel, Monday, Tuesday, and Wednesday
- from 10 a.m. to 4 p.m. Remember, I cure where the doctors fail; or
- no pay.
-
-
-Prof. Graham Gray,
-The Great Gray Benefactor.
-
-
-Mrs. Sharpless held out for the general view the advertisement, which
-occupied, in huge type, two thirds of a page of the “Bugle.” The
-remainder of the page was taken up with testimonials to the marvelous
-effects of the Gospel Herbs. Most of the letters were from far-away
-towns, but there were a few from the general vicinity of Bairdsville.
-
-Meantime Dr. Strong had been delicately tasting and smelling the
-contents of the bottle, which were thick and reddish.
-
-“What do you make out is in it?” asked Clyde.
-
-“Death—and a few worse things. Grandma Sharpless, you say that the girl
-cried for this after you took it from her?”
-
-“Not only that; she wrote to the Professor for more. And when it came I
-smashed the bottle.”
-
-“You ought to have the honorary degree of M.D. Well, it’s pretty plain,
-but to make sure I’ll send this to Worthington for an analysis.”
-
-“So our friend, the gray wolf, is going to prowl in Bairdstown for the
-next three days!” Thomas Clyde began to rub his chin softly; then not
-so softly; and presently quite hard. His wife watched him with troubled
-eyes. When his hand came down to rest upon his knee, it was doubled
-into a very competent-looking fist. His face set in the expression
-which the newspapers of his own city had dubbed, after the tenement
-campaign of the year before, “Clyde’s fighting smile.”
-
-“Oh, Tom!” broke out his wife, “what kind of trouble are you going to
-get into now?”
-
-“Trouble?” repeated the head of the family, in well-simulated surprise.
-“Why, dear, I wasn’t even thinking of trouble—for myself. But I believe
-it is time for a little action. Let’s call this a household meeting”
-(this was one of the established methods of the Clyde clan) “and find
-out. As it isn’t a family affair, we won’t call in the children this
-time. Strong, what, if anything, are we going to do about this stranger
-in our midst? Are we going to let him take us in?”
-
-“The question is,” said Dr. Strong quickly, “whether the Clyde family
-is willing to loan its subsidized physician temporarily to the city of
-Bairdstown.”
-
-“On the Chinese plan,” supplemented Clyde.
-
-“Certainly. On the Chinese plan of trying to save the community from a
-visitation instead of waiting to cure them of the incurable results of
-it.”
-
-“By visitation I suppose you mean Professor Gray?” said Mrs. Sharpless.
-
-“Exactly. I should rank him rather higher than an epidemic of scarlet
-fever, as an ally of damage and death.”
-
-“I’ll vote ‘Yes,’” said Mrs. Clyde rather plaintively. “Only, I wish
-you two men didn’t have so much Irish in your temperament.”
-
-“I scorn your insinuation,” replied her husband. “I’m the original dove
-of peace, but this Gray person ruffles my plumage. What do you say,
-Grandma?”
-
-“Bairdstown is my own place, partly. I know the people and they know me
-and I won’t sit quiet and see ‘em put upon. I vote ‘Yes.’”
-
-“Make it unanimous!” said Clyde. “What’s the first move of the army of
-relief? I’m in on this somewhere, Strong.”
-
-“Contribute your car for a couple of days, then, and we’ll go out on a
-still hunt for the elusive clue and the shy and retiring evidence. In
-other words, we’ll scour the county, and look up some of these local
-testimonials which the Great Gray One gathered in last year, and now
-prints in the ‘Bugle.’”
-
-“And I’ll stop in town and see Mr. Huddleston to-morrow,” said Mrs.
-Sharpless.
-
-“You won’t get any results,” prophesied the Health Master. “But,
-anyway, get him to come to the Gray lecture on Tuesday evening. We’ll
-need him.”
-
-During the ensuing two and a half days and two nights Mrs. Clyde had
-speech of her husband but once; and that was at 2 a.m. when he woke her
-up to tell her that he was having the time of his life, and she replied
-by asking him whether he had let the cat in, and returned to her
-dreams.
-
-Bairdstown’s Suffering Womanhood—as per advertisement—turned out
-extensively and self-commiseratingly to the free lecture of Tuesday
-evening, bringing with them a considerable admixture of the male
-populace, curious, cynical, or expectant. On the platform sat a number
-of “special guests,” including the Rev. Mr. Huddleston, mild of face
-and white of hair, and the Honorable Silas Harris, owner of the
-“Bugle.”
-
-“Cured” patients, to the number of half a dozen, fidgeted in the seats
-of honor with expressions of conscious and pleasurable importance.
-
-“They appear to be enjoying poor health quite literally,” whispered
-Clyde to Dr. Strong, as the two, begrimed with the dust of a long day’s
-travel just finished, slipped quietly into side seats.
-
-At once the entertainment began. A lank, harshfaced, muscular man whom
-Professor Gray introduced as his assistant, seated himself at the
-piano, and struck a chord, whereupon the Professor, in a powerful
-voice, sang what he termed the “Hymn of Healing,” inviting the audience
-to “assist” in the chorus, which gem of poesy ran as follows:—
-
-“Ye shall be healed! Ye shall be healed!
- Trust in the gospel advice.
-Cured by the herbs of the wood and the field;
- Healed without money or price.”
-
-
-“Some poetic license in that last line,” murmured Clyde to his
-companion.
-
-“The next portion of our programme,” announced the Great Gray
-Benefactor, “will be corroborative readings from the Good Book.” And he
-proceeded to deliver in oratorical style sundry Bible quotations so
-patched together and garbled as to ascribe, inferentially, miraculous
-powers to the Gospel Herbs. Then came the lecture proper, which was
-merely an amplification of the “Bugle” advertisement, interspersed with
-almanac funny stories and old jokes.
-
-“And now, before our demonstration,” concluded Professor Graham Gray,
-“if there is any here seeking enlightenment or help, let him rise. This
-is your meeting, dear friends, as much as mine; free to your voices and
-your needs, as well as to your welcome presence here. I court inquiry
-and fair investigation. Any questions? If not, we—”
-
-“One moment!” The whole assemblage turned, as on a single pivot, to the
-side aisle where Dr. Strong had risen and now stood, tall, straight,
-and composed, waiting for silence.
-
-“Our friend on the right has the floor,” said the Professor suavely.
-
-“You state that this God-given secret remedy was imparted to you for
-the relief of human misery?” asked Dr. Strong.
-
-“Thousands of grateful patients attest it, my friend.”
-
-“Then, with human beings suffering and dying all about you, why do you
-continue to profit by keeping it secret?”
-
-Down sat the questioner. A murmur rose and ran, as the logic of the
-question struck home. But the quack had his answer pat.
-
-“Does not the Good Book say that the laborer is worthy of his hire? Do
-your regular physicians, of whom I understand you are one, treat cases
-for nothing? Ah,” he went on, outstretching his hands to the audience
-with a gesture of appeal, “the injustice which I have suffered from the
-jealousy and envy of the medical profession! Never do I enter a town
-without curing many unfortunates that the regular doctors have given up
-as hopeless. Hence the violence of their attacks upon me. But I forgive
-them their prejudice, as I pity their ignorance.”
-
-Some applause followed the enunciation of this noble sentiment.
-
-“We have with us to-night,” pursued the speaker, quick to catch the
-veering sentiment, “a number of these marvelous cures. You shall hear
-from the very mouths of the saved ones testimony beyond cavil. I will
-call first on Mrs. Amanda Gryce, wife of Mr. Stanley Gryce, the well
-and favorably known laundryman. Speak up clearly, Mrs. Gryce, and tell
-your story.”
-
-“It’s two years now that I been doctorin’,” said the lady thus adjured,
-in a fluttering voice. “I doctored with a allopathic physician here,
-an’ with a homypath over to Roxton, an’ with a osty-path down to
-Worthington, an’ with Peruny in betwixt, an’ they didn’t any of ‘em do
-me no good till I tried Professor Gray. He seen how I felt without
-askin’ me a question. He just pulled down my eyelid an’ looked at it.
-‘You’re all run down; gone!’ says he. An’ thet’s jest what I was. So he
-treated me with his herb medicine an’ I feel like a new woman. An’ I
-give Professor Graham Gray the credit an’ the thanks of a saved woman.”
-
-“Not to mention seven dollars an’ a half,” supplemented a mournful
-drawl from the audience.
-
-“You hush, Stan Gryce!” cried the healed one, shrill above the laughter
-of the ribald. “Would you begrutch a few mizzable dollars for your
-poor, sufferin’ wife’s health?”
-
-An alarmed child of ten was next led forward and recited in sing-song
-measure:—
-
-“I—had—the—fits—for—most—three— years—and—I—was—cured—by
-Gospel—Herbs—and—I—have—come—here—to—say—God—bless—my—dear
-benefactor—Professor—Graham—Gray,”—and sat down hard at the last word,
-whereupon a tenor squeak in the far gallery took up the refrain:
-
-“You’d scarcex peckwon of my yage
-To speakin public on the stage.”
-
-
-Again there was a surge of mirth, and the lecturer frowned with
-concern. But he quickly covered whatever misgivings he might have had
-by bringing forward other “testimonies”: old Miss Smithson whose
-nervousness had been quite dispelled by two doses of the herbs; Auntie
-Thomas (colored) whose “misery” had vanished before the wonder-working
-treatment; and the Widow Carlin, whose boy had been “spittin’ blood
-like as if he was churchyard doomed,” but hadn’t had a bad coughing
-spell since taking the panacea. And all this time Dr. Strong sat quiet
-in his seat, with a face of darkening sternness.
-
-“You have heard your fellow-citizens,” the lecturer took up his theme
-again, “testify to the efficacy of my methods. And you see on this
-rostrum with me that grand and good old man, the worthy pastor of so
-many of you, my dear and honored friend—I feel that I may call him
-friend, since I have his approval of my humble labors—the Reverend
-Doctor Huddleston. You see also here, lending the support of his valued
-presence, the Honorable Silas Harris, whom you have twice honored by
-sending him to the state legislature. Their presence is the proudest
-testimonial to my professional character. In Mr. Harris’s fearless and
-independent journal you have read the sworn evidence of those who have
-been cured by my Godgiven remedies; evidence which is beyond
-challenge—”
-
-“I challenge it.”
-
-Dr. Strong, who had been hopefully awaiting some such opening, was on
-his feet again.
-
-“You have had your say!” cried Professor Gray, menacing him with a
-shaking hand. “These people don’t want to hear you. They understand
-your motives. You can’t run this meeting.”
-
-The gesture was a signal. The raw-boned accompanist, whose secondary
-function was that of bouncer, made a quick advance from the rear,
-reached for the unsuspicious Health Master—and recoiled from the impact
-of Mr. Thomas Clyde’s solid shoulder so sharply that only the side wall
-checked his subsidence.
-
-“Better stay out of harm’s way, my friend,” suggested Clyde amiably.
-
-Immediately the hall was in an uproar. The more timid of the women were
-making for the exits, when a high, shrill voice, calling for order
-strenuously, quelled the racket, and a very fat man waddled down the
-middle aisle, to be greeted by cries of “Here’s the Mayor.” Several
-excited volunteers explained the situation to him from as many
-different points of view, while Professor Graham Gray bellowed his
-appeal from the platform.
-
-“All I want is fair play. They’re trying to break up my meeting.”
-
-“Not at all,” returned Dr. Strong’s calm voice. “I’m more than anxious
-to have it continue.”
-
-With a happy inspiration, Mr. Clyde jumped up on his bench.
-
-“I move Mayor Allen take the chair!” he shouted. “Professor Gray says
-that he courts fair investigation. Let’s give it to him, in order.”
-
-A shout of acclaim greeted this suggestion. Bairdstown’s Suffering
-Womanhood and Bored Manhood was getting more out of a free admission
-than it had ever had in its life before. Ponderously the obese Mayor
-hoisted his weight up the steps and shook hands with the reluctant
-lecturer. He then invited Dr. Strong to come to the platform.
-
-“This is my meeting!” protested the Great Gray Benefactor. “I hired
-this hall and paid good money for it.”
-
-“You said it was our meeting as much as yours!” roared an insurgent
-from the crowd, and a chorus of substantiation followed.
-
-“Ten minutes will be all that I want,” announced Dr. Strong as he took
-a chair next the Mayor.
-
-“That’s fair!” shrilled the Chairman. “On the Professor’s own
-invitation.” In a tone lowered to the alarmed quack’s ear, he added:
-“Of course, you can back out if you want to. But I’d advise you to do
-it quick if you’re going to do it at all. This is a queer-tempered
-town.”
-
-So significant was his tone that the other judged advance to be safer
-than retreat. Therefore, summoning all his assurance, he sought, in an
-impassioned speech, to win back his hearers. He was a natural orator,
-and, when he reached his peroration, he had a large part of his
-audience with him again. In the flush of renewed confidence he made a
-grave tactical error, just when he should have closed.
-
-“Let this hireling of the Doctors’ Trust, the trust that would strangle
-all honest competition, answer these if he can!” he shouted, shaking
-the page of testimonials before his adversary’s face. “Let him confute
-the evidence of these good and honorable women who have appeared here
-to-night; women who have no selfish aims to subserve. Let him impugn
-the motives of the reverend clergyman and of the honored statesman who
-sit here with me. Let him do this, or let him shrink from this hall in
-the shame and dishonor which he seeks to heap upon one whose sole
-ambition it is to relieve suffering and banish pain and death.”
-
-There was hearty applause as the speaker sat down and Dr. Strong arose
-to face a gathering now turned for the most part hostile. He wasted no
-time in introduction or argument. “Mr. Chairman,” said he, “Professor
-Gray rests his case on his testimonials. With Mr. Clyde I have
-investigated a number of them, and will give you my results. Here are
-half a dozen testimonials to the value of one of his nostrums, the
-Benefaction Pills, from women who have been cured, so they state, of
-diseases ranging from eczema through indigestion to consumption. All,
-please note, by the same wonderful medicine. And here,” he drew a small
-box from his pocket, “is a sample of the medicine. I have just had it
-analyzed. What do you suppose they are? Sugar! Just plain sugar and
-nothing else.” Professor Gray leaped to his feet. “You don’t deny the
-cures!” he thundered.
-
-“I don’t deny that these people are well to-day. And I don’t deny that
-the testimonials from them are genuine, as documents. But your sugar
-pills had no more to do with the cure than so much moonshine. Listen,
-you people! Here is the core and secret of quackery:
-
-“All diseases tend to cure themselves, through the natural resistance
-of the body. But for that we should all be dead. This man, or some
-other of his kind, comes along with his promises and pills, and when
-the patient recovers from the disease in the natural course of events,
-he claims the credit. Meantime, he is selling sugar at about one
-hundred dollars per pound.”
-
-“Sugar,” said the quack, quick-wittedly. “But what kind of sugar? This
-sugar, as he calls it, is crystal precipitated from the extract of
-these healing herbs. No chemist can determine its properties by any
-analysis.”
-
-“Very well turned,” said Dr. Strong, with a smile. “I can’t immediately
-disprove that, though I could with time. But, whatever the case with
-his sugar, any chemist can analyze this.” He held up a small bottle,
-half filled with a red-brown liquid. “This is the Extract of Gospel
-Herbs. Now, let us see what this does.”
-
-He referred to his copy of the “Bugle,” containing the testimonials.
-“Here is Mrs. Sarah Jenkins, of the neighboring town of Maresco, where
-Professor Gray lectured a year ago, cured of Bright’s disease and
-dropsy; Miss Allie Wheat, of Weedsport, cured of cancer of the stomach;
-and Mrs. Howard Cleary, of Roxton, wholly relieved of nervous breakdown
-and insomnia. All genuine testimonials. Mr. Clyde and I have traced
-them.”
-
-Professor Gray raised his head with a flash of triumph. “You see!” he
-cried. “He has to admit the genuineness of my testimonials!”
-
-“Of your testimonials; yes. But what about your cures? Mrs. Jenkins
-has, as she said, ceased to suffer from her ills. She died of Bright’s
-disease and dropsy three months after Professor Gray cured her of them.
-Miss Wheat, whose cancer was purely imaginary, is now a hopeless wreck,
-in a sanitarium whither the Gospel Herbs drove her. Mrs. Cleary—but let
-me read what she testified to. Here it is in the paper with a picture
-of the Cleary home:—”
-
-_Dear Professor Gray: You have indeed been a benefactor to me. Before
-our baby was born my husband and I were the happiest of couples. Then I
-became a nervous wreck. I couldn’t sleep. I was cross and irritable. My
-nerves seemed all on fire. Your first treatment worked wonders. I slept
-like a log. Since then I have not been without Gospel Herbs in the
-house, and I am a well woman._
-
-(Signed) Mrs. Howard Cleary.
-
-“That was a year ago,” continued Dr. Strong. “Yesterday we visited the
-Cleary home. We found a broken husband and a deserted baby. The young
-wife we traced to Worthington, where we discovered her—well, I won’t
-name to this audience the sort of place we found her in.
-
-“But so far as there can be a hell on this earth, she had descended
-into it, and this,” he held the vial high to view, “_this_ sent her
-there.” His fingers opened; there was a crisp little crash of glass,
-and the red-brown liquid crept and spread along the floor, like blood.
-
-“Morphine,” said Dr. Strong. “Morphine, which enslaves the body and
-destroys the soul. There are your Gospel Herbs!”
-
-A murmur rose, and deepened into a growl. The Great Gray Benefactor,
-his face livid, sprang forward.
-
-“Lies!” he shouted. “All lies! Where’s his proof? What’s he got to
-show? Nothing but his own say-so. If there’s a law in the land, I’ll
-make him sweat for this. Mr. Huddleston, I appeal to you for justice.”
-
-“We shall be glad to hear from the Reverend Mr. Huddleston,” mildly
-suggested the chairman, who was evincing an enjoyment of the
-proceedings quite puzzling to Dr. Strong.
-
-The old clergyman got slowly to his feet. His mild, weak face was
-troubled. “Let us bear and forbear,” he pleaded in a tremulous voice.
-“I cannot believe these charges against our good friend, Professor
-Gray. I am sure that he is a good and worthy man. He has given most
-liberally to the church. I am informed that he is a member of his home
-church in good and regular standing, and I find in the editorial
-columns of the ‘Church Pillar’ a warm encomium upon his beneficent
-work, advising all to try his remedies. Surely our friend, Dr. Strong,
-has been led astray by mistaken zeal.
-
-“Only yesterday two members of my congregation, most estimable ladies,
-called to see me and told me how they had benefited by a visit just
-made to Professor Gray. He had treated them with his new Gospel Elixir,
-of which he has spoken to me. There was evidence of its efficacy in
-their very bearing and demeanor—”
-
-“I should say there was! _And_ in their breath. Did you smell it?”
-
-The interruption came in a very clear, positive, and distinct
-contralto.
-
-“Great Grimes’s grass-green ghost!” exclaimed Mr. Thomas Clyde, quite
-audibly amidst the startled hush. “Grandma Sharpless is among those
-present!”
-
-“I—I—I—I do not think,” began the clergyman, aghast, “that the matter
-occurred to me.”
-
-“Because, if _you_ didn’t, _I_ did,” continued the voice composedly.
-“They reeked of liquor.”
-
-The tension to which the gathering had been strung abruptly loosened in
-mirth.
-
-“Mrs. Sharpless will please take the platform,” invited the
-Mayor-chairman.
-
-“No, I’ll do my talking from here.” The old lady stood up, a straight,
-solid, uncompromising figure, in the center of the floor. “I met those
-two ladies in the parsonage hall,” she explained. “They were coming out
-as I was going in. They stopped to talk to me. They both talked at
-once. I wouldn’t want to say that they were—well—exactly—”
-
-“Spifflicated,” suggested a helpful voice from the far rear.
-
-“Spifflicated; thank you,” accepted the speaker. “But they certainly
-were—”
-
-“Lit up,” volunteered another first-aid to the hesitant.
-
-“Yes, lit up. One of them loaned me her bottle. If I’m any judge of bad
-whiskey, that was it.”
-
-An appreciative roar from the house testified to the fact that Mrs.
-Sharpless had her audience in hand.
-
-“As for you women on the stage,” she pursued, rising to her topic, “I
-know what’s wrong with you.‘Mandy Gryce, if you’d tend more to your
-house and less to your symptoms, you wouldn’t be flitting from
-allopathic bud to homoeopathic flower like a bumblebee with the
-stomach-ache.” (“Hear, hear!” from Mr. Gryce.) “Lizzie Tompy, your fits
-are nine tenths temper. I’d cure you of ‘em without morphine. Miss
-Smithson, if you’d quit strong green tea, three times a day, those
-nerves of yours would give you a fairer chance—and your neighbors,
-too.” (Tearful sniffs from Miss Smithson.)
-
-“Auntie Thomas, you wait and see what your rheumatism says to you
-to-morrow, when the dope has died out of your system. Susan Carlin, you
-ought to be home this minute, looking after your sick boy, instead of
-on a stage, in your best bib and tucker, giving testimonials to
-you-don’t-know-what-all poison.
-
-“Bairdstown’s Suffering Womanhood!” exclaimed the vigorous old lady,
-her color rising with her voice. “Go home! Go home, you poor,
-self-coddling fussybuddies, to your washboards and your sewing-machines
-and forget your imaginary symptoms.
-
-“There!” she drew a long breath, looking about over the group of
-wilting testimonial-givers. “That’s the first speech I have ever made,
-and I guess it’ll be the last. But before I stop, I’ve got a word to
-say to you, Professor Graham Gray. Bless us! Where’s the man gone?”
-
-“Professor Gray,” announced the chairman with a twinkle in his voice,
-“has retired to obtain fresh evidence. At least, that is what he _said_
-he had gone for.”
-
-From the main floor came a hoarse suggestion which had the words “tar
-and feathers” in it. It was cut short by a metallic shriek from
-without, followed by a heavy rumbling.
-
-“Something seems to tell me,” said the fat Mayor solemnly, “that the
-9.30 express, which just whistled for the crossing, is the heavier by
-about two hundred pounds of Great Gray Benefactor clinging to the rear
-platform, and happy to be there.”
-
-“And your money back if not benefited,” piped a reedy voice from the
-front, whereupon there was another roar.
-
-“The bright particular star of these proceedings having left, is there
-anything else to come before the meeting?” inquired the chairman.
-
-“I’d like to have one more word,” said Dr. Strong. “Friends, as one
-quack is, all quacks are. They differ only in method and degree. Every
-one of them plays a game with stacked cards, in which you are his
-victims, and Death is his partner. And the puller-in for this game is
-the press.
-
-“You have heard to-night how a good and wellmeaning clergyman has been
-made stool-pigeon for this murderous charlatan, through the lying of a
-religious—God save the mark!—weekly. That publication is beyond our
-reach. But there is one here at home which did the quack’s work for
-him, and took his money for doing it. I suggest that the Honorable
-Silas Harris explain!”
-
-“I’m running my paper as a business proposition,” growled the baited
-editor and owner of the ‘Bugle,’ “and I’m running it to suit myself and
-this community.”
-
-“You’re running it to suit the crooked and cruel advertisers who prey
-on this community,” retorted the other. “And you’ve served them further
-in the legislature, where you voted to kill the patent-medicine bill,
-last session, in protection of your own profits. Good profits, too. One
-third of all your advertising is medical quackery which takes good
-money out of this town by sheer swindling; money which ought to stay in
-town and be spent on the legitimate local products advertised in your
-paper. If I were a local advertiser, I’d want to know why.”
-
-“If that’s the case,” remarked Mr. Stanley Gryce, quick to catch the
-point, “I guess you owe my family seven dollars an’ a half, Silas, and
-till it’s paid up you can just drop my laundry announcement out of your
-columns.”
-
-“I guess I’ll stay out for a spell, too,” supplemented Mr. Corson, the
-hay and feed man. “For a week, my ad’s been swamped by Swamp Root so
-deep you can’t see it.”
-
-“While you’re about it,” added a third, “leave me out. I’m kinder sick
-of appearin’ between a poisonous headache powder and a consumption
-dope. Folks’ll be accusin’ me of seekin’ trade untimely.” This was
-greeted with a whoop, for the speaker was the local undertaker.
-
-“We’ve got a league for Clean Advertising in Worthington,” announced
-Mr. Clyde. “Why not organize something of the kind here?”
-
-“Help!” shouted the Honorable Silas, throwing up his hands. “Don’t
-shoot! I holler ‘Enough!’ As soon as the contracts are out, I’ll quit.
-There’s no money in patent-medicine advertising any more for the small
-paper, anyway.”
-
-“Well, we’ve done our evening’s chores, I reckon,” remarked the
-chairman. “A motion to adjourn will now be in order.”
-
-“Move we adjourn with the chorus of the ‘Hymn of Healing,’” piped the
-wag with the reedy voice, and the audience filed out, uproariously and
-profanely singing:—
-
-“Ye shall be healed! Ye shall be healed!
- Trust in the gospel advice.
-Cured by the herbs of the wood and the field;
- Healed without money or price.”
-
-
-“Well, young man,” said Grandma Sharpless, coming forward to join the
-Health Master, “you certainly carried out your programme.”
-
-“I?” said Dr. Strong, affectionately tucking the old lady’s arm under
-his. “To you the honors of war. I only squelched a quack. You taught
-Bairds-town’s self-coddling womanhood a lesson that will go down the
-generations.”
-
-“What I want to know,” said the Mayor, advancing to shake hands with
-Mrs. Sharpless, “is this: what’s a fussybuddy?”
-
-“A fussybuddy,” instructed Grandma Sharpless wisely, “is a woman who
-catches a stomach-ache from a patent-medicine almanac. What I want to
-know, Tom Allen, is what you had against the man. I seemed to get an
-inkling that you didn’t exactly like him.”
-
-“He’s forgotten me,” chuckled the Mayor, “but I haven’t forgotten him.
-Fifteen years ago he came along here horse-doctoring and poisoned a
-perfectly good mare for me. He won’t try to poison this town again in a
-hurry. You finished him, Mrs. Sharpless, you and Dr. Strong.”
-
-“What _I_ want to know,” said the Health Master, “is how poor old Mr.
-Huddleston feels about that contribution, now.”
-
-A month later he found out. Traveling by trolley one evening, he felt a
-hand on his shoulder, and turned to face Professor Graham Gray.
-
-“No hard feelings, I hope,” said the quack with superb urbanity. “All
-in the way of business, I take it. I’d have done the same to you, if
-you’d come butting in on my trade. Say, but that old lady was a Tartar!
-She cooked my goose in Bairdstown. For all that, I got an unsolicited
-testimonial from there two weeks ago that’s a wonder. Anonymous, too.
-Not a word of writing with it to tell who the grateful patient might
-be.”
-
-“What was it?” asked Dr. Strong with polite interest.
-
-“A twenty-dollar bill. Now, _what_ do you think of that?”
-
-When Dr. Strong spoke again—and the Great Gray Benefactor has always
-regarded this as the most inconsequential reply he ever received to a
-plain question—it was after a long and thoughtful pause.
-
-“I think,” said he with conviction, “that I’ll start in going to church
-again, next Sunday.”
-
-
-
-
-X.
-THE HOUSE THAT CAUGHT COLD
-
-
-“Can you cure a cold?” asked Grandma Sharpless.
-
-A flare from the soft-coal fire flickered across the library, revealing
-a smile on the Health Master’s face.
-
-“Am I a millionaire?” he countered.
-
-“Not from your salary as Chinese physician to the Clydes,” laughed the
-head of that family.
-
-“If I could cure a cold, I should be, easily, more than that. I’d be
-the foremost medical discoverer of the day.”
-
-“Then you can’t cure a cold,” pursued Mrs. Sharpless.
-
-“What _is_ a cold?” countered the Health Master in that insinuating
-tone of voice which he employed to provoke the old lady into one of
-those frequent verbal encounters so thoroughly enjoyed by both of them.
-
-“An ordinary common cold in the head. You know what I mean perfectly
-well, young man. The kind you catch by getting into drafts.”
-
-“Oh, _that!_ Well, you see, there’s no such thing.”
-
-“No such thing as a cold in the head, Dr. Strong?” said Julia, looking
-up from her book. “Why, we’ve all had ‘em, loads of times.”
-
-“And Bettina is coming down with one now, if I’m any judge,” said Mrs.
-Sharpless. “She’s had the sniffles all day.”
-
-“Let’s hope it isn’t a cold. Maybe it’s only chicken-pox or mumps.”
-
-“Are you wishing chicken-pox and mumps on my baby?” cried Mrs. Clyde.
-
-In the three years during which Dr. Strong had been the “Chinese
-physician” of the household, earning his salary by keeping his patients
-well instead of curing them when ill, Mrs. Clyde had never quite
-learned to guard against the surprises which so often pointed the
-Health Master’s truths.
-
-“Not by any means; I’m only hoping for the lesser of evils.”
-
-“But mumps and chicken-pox are real diseases,” protested Clyde.
-
-“And you think that a ‘cold,’ as you call it, isn’t.”
-
-“Why, no,” said Clyde hesitantly. “I wouldn’t call it a disease, any
-more than I’d call a sprain a broken leg.”
-
-“But it is. A very real, serious disease. Its actual name is coryza.”
-
-“Bogy-talk,” commented Grandma Sharpless scornfully. “Big names for
-little things.”
-
-“Not a little thing at all, as we should all realize if our official
-death-records really dealt in facts.”
-
-“Death-records?” said Grandma Sharpless incredulously. “People don’t
-die of colds, do they?”
-
-“Hundreds every year; all around us.”
-
-“Well, _I_ never hear of it.”
-
-“Are you sure? Think back and recall how many of your friends’ obituary
-notices include some such sentence as this: ‘Last Thursday evening Mr.
-Smith caught a severe cold, from which he took to his bed on Saturday,
-and did not leave it again until his death yesterday morning?’ Doesn’t
-that sound familiar?”
-
-“So familiar,” cried Mr. Clyde, “that I believe the newspapers keep it
-set up in type.”
-
-“But the newspaper always goes on to say that Mr. Smith developed
-pneumonia or grip or bronchitis, and died of that, not of the cold,”
-objected Mrs. Sharpless.
-
-“Oh, yes. In the mortality records poor Smith usually appears under the
-heading of one of the well-recognized diseases. It would hardly be
-respectable to die of a cold, would it?”
-
-“He doesn’t _die_ of the cold,” insisted the old lady. “He catches the
-cold and dies of something else.”
-
-“If I take a dose of poison,” the Health Master mildly propounded, “and
-fall down and break my neck, what do I die of?”
-
-“It’s no parallel,” said Grandma Sharpless. “And even if it is,” she
-added, tacitly abandoning that ground, “we’ve always had colds and we
-always will have ‘em.”
-
-“Not with my approval, at least,” remarked the Health Master.
-
-“I guess Providence won’t wait for your approval, young man.”
-
-“Then you regard coryza as a dispensation of Providence? The
-Presbyterian doctrine of foreordination, applied to the human nose,”
-smiled the physician. “We’re all predestined to the ailment, and
-therefore might as well get out our handkerchiefs and prepare to sneeze
-our poor sinful heads off. Is that about it?”
-
-“No, it isn’t! This is a green December and it means a full churchyard.
-We’re in for a regular cold-breeding season.”
-
-“Nonsense! Weather doesn’t breed colds.”
-
-“What does, then?”
-
-“A very mean and lively little germ. He’s rather more poisonous than
-the chicken-pox and mumps variety, although he hasn’t as bad a name. In
-grown-ups he prepares the soil, so to speak, for other germs, by
-getting all through the system and weakening its resistant powers,
-thereby laying it open to the attacks of such enemies as the
-pneumococcus, which is always waiting just around the corner of the
-tongue to give us pneumonia. Or bronchitis may develop, or tonsillitis,
-or diphtheria, or kidney trouble, or indeed almost anything. I once
-heard an eminent lecturer happily describe the coryza bacillus as the
-bad little boy of the gang who, having once broken into the system,
-turns around and calls back to the bigger boys: ‘Come on in, fellers.
-The door’s open.’
-
-“With children the coryza-bug makes various trouble without necessarily
-inviting the others in. A great proportion of the serious ear-troubles
-come from colds; all the way from earache to mastoiditis, and the
-consequent necessity of quick operations to save the patient’s life.
-Almost any of the organs may be impaired by the activity of the little
-pest. And yet as intelligent a family as this”—he looked around the
-circle—“considers it a ‘mere cold.’”
-
-“Why haven’t you told us before?” asked Mr. Clyde bluntly.
-
-“A just reproach,” admitted the Health Master. “Not having been
-attacked, I haven’t considered defense—a wretched principle in health
-matters. In fact, I’ve let the little matters of life go, too much, in
-my interest in the bigger.”
-
-“But what about Bettina?” said the mother anxiously.
-
-“Let’s have her in,” said the Health Master, and the six-year-old
-presently trotted into the room, announcing through a somewhat reddened
-nose, “I’m all stobbed ub; and Katie rubbed me with goose-grease, and I
-don’d wand to take any paregoric.”
-
-“Paregoric?” said the physician. “Opium? I guess not. Off to bed with
-you, Toots, and we’ll try to exorcise the demon with hot-water bottles
-and extra blankets.”
-
-Following her usual custom of kissing everybody good-night around the
-circle, Bettina held up her arms to her sister, who was nearest.
-
-“Stop!” said the Health Master. “No kissing.”
-
-“Not even my mamma?” queried the child. “I’m afraid not. You remember
-when Charley had scarlet fever he wasn’t allowed even to be very near
-any of you.”
-
-“But scarlet fever is the most contagious of any of the diseases, isn’t
-it?” asked Julia.
-
-“Not as contagious as a cold in the head.”
-
-“I don’t know how contagious a cold is,” said Grandma Sharpless; “but I
-do know this: once it gets into a house, it goes through it like
-wildfire.”
-
-“Then the house ought to be ashamed of itself. That’s sheer
-carelessness.”
-
-“Half the kids in our school have got stopped-up noses,” contributed
-Charley.
-
-“Why hasn’t the Committee on Schools reported the fact?” demanded the
-Health Master, turning an accusing eye on Julia.
-
-“Why—why, I didn’t think of it,” said she. “I didn’t think it was
-anything.”
-
-“Oh, you didn’t! Well, if what Charley says is correct, I should think
-your school ought to be put under epidemic regimen.”
-
-“You’d have a fine row with the Board of Education, trying to persuade
-them to special action for any such cause as that,” remarked Mr. Clyde.
-
-“There’s the measure of their intelligence, then,” returned the Health
-Master. “Sickness is sickness, just as surely as a flame is fire; and
-there is no telling, once it’s well started, how much damage it may
-do.”
-
-“But a cold is only in the head, or rather, in the nose,” persisted
-Mrs. Sharpless.
-
-“That’s where you’re wrong. Coryza is a disease of the whole system,
-and it weakens the whole system. The symptoms are most apparent in the
-nose and mouth: and it is from the nose and mouth that the disease is
-spread. But if you’ve got the cold you’ve got it in every corner of
-your being. You won’t be convinced of its importance, I suppose, until
-I can produce facts and figures. I only hope they won’t be producible
-from this house. But by the end of the season I’ll hope to have them.
-Meantime we’ll isolate Bettykin.”
-
-Bettina was duly isolated. Meanwhile the active little coryza bacillus
-had got its grip on Mr. Clyde, who for three days attended to his
-business with streaming eyes, and then retired, in the company of
-various hot-water bags, bottles, and foot-warmers, to the sanctuary of
-his own bedroom, where he led a private and morose existence for one
-week. His general manager succeeded to his desk; likewise, to his
-contaminated pencils, erasers, and other implements, whereby he
-alternately sneezed and objurgated himself into the care of a doctor,
-with the general and unsatisfactory result that the balance-sheet of
-Clyde & Co., Manufacturers, showed an obvious loss for the month—as it
-happened, most unfortunately, an unusually busy month—of some three
-thousand dollars, directly traceable to that unconsidered trifle, a
-cold in the head.
-
-“At that you got off cheap,” argued the Health Master.
-
-It was three months after the invasion of the Clyde household by
-Bettina’s coryza germ.
-
-“I’m glad somebody considers it cheap!” observed Mr. Clyde. “Personally
-I should rather have taken a trip to Europe on my share of that three
-thousand dollars.”
-
-“Yet you were lucky,” asserted Dr. Strong. “Bettykin got through her
-earache without any permanent damage. Robin’s attack passed off without
-complications. Your own onset didn’t involve any organ more vital than
-your bank account. And the rest of us escaped.”
-
-“Doesn’t it prove what I said,” demanded Grandma Sharpless; “that a
-cold in the head is only a cold in the head?”
-
-“‘Answer is No,’ as Togo would put it,” replied the Health Master. “In
-fact, I’ve got proof here of quite the opposite, which I desire to
-present to this gathering.”
-
-“This meeting of the Household Protective Association is hereby called
-to order!” announced Mr. Clyde, in the official tones proper to the
-occasion. The children put aside their various occupations and assumed
-a solemn and businesslike aspect which was part of the game. “The lone
-official member will now report,” concluded the chairman.
-
-“Let the Health Officer of the city report for me,” said Dr. Strong,
-taking a printed leaflet from his pocket. “He is one of those rare
-officials who aren’t afraid to tell people what they don’t know, and
-may not want to know. Listen to what Dr. Merritt has to say.” And he
-read:—
-
-“‘The death-rate of the city for the month of February, like the rate
-for December and January, is abnormally high, being a shade over ten
-per cent above the normal for this time of year. While the causes of
-mortality range through the commoner diseases, with a special rise in
-pulmonary troubles, it is evident that the increase must be due to some
-special cause. In the opinion of the Bureau of Health this cause is the
-despised and infectious “cold,” more properly known as coryza, which
-has been epidemic this winter in the city. Although the epidemic wave
-is now receding, its disastrous aftereffects may be looked for in high
-mortality rates for some months. Should a similar onset occur again,
-the city will be asked to consider seriously a thorough school
-campaign, with careful isolation of all suspicious cases.’”
-
-“Did you write that, young man?” asked Mrs. Sharpless suspiciously.
-
-“Why, no; I didn’t _write_ it,” answered the Health Master. “I’ll go as
-far as to admit, however, that Dr. Merritt listens politely to my
-humble suggestions when I offer them.”
-
-“Humph! Ten per cent increase. What is that in real figures?”
-
-“Twenty-five extra deaths a month,” said Manny Clyde, a growing expert
-on local statistics.
-
-“Seventy-five needless deaths for the three months, and more to come,”
-said the Health Master, “besides all the disability, loss of time and
-earning power and strength, and all the pain and suffering—which things
-never get into the vital statistics, worse luck! So much to the account
-of the busy little coryza-bug.”
-
-“Can’t the Health Bureau do something?” asked the practical Mr. Clyde.
-
-“Not much, until its public is better educated,” said Dr. Strong
-wearily. “The present business of a health official is to try and beat
-the fool-killer off from his natural prey with a printed tract. It’s
-quite a job, when you come to consider it.”
-
-“What he ought to have, is the club of the law!” said Mr. Clyde.
-
-“Precisely. The people won’t give it to him. In this household we’re
-better off, since we can make our own laws. Since Betty’s attack we’ve
-tried out the isolation plan pretty effectually; and we’ve followed, as
-well as might be, the rule of avoiding contact with people having
-coryza.”
-
-He glanced up at a flamboyant poster which Mrs. Clyde, who had a
-natural gift of draftsmanship, had made in a spirit of mischief,
-entitling it “The Red Nose as a Danger Signal.”
-
-“As much truth as fun in that,” he remarked. “But, at the best, we
-can’t live among people and avoid all danger. In fact, avoidance is
-only the outer line of defense. The inner line is symbolized by a
-homely rule, ‘Keep Comfortable.’”
-
-“What’s comfort to do with keeping well?” asked Grandma Sharpless.
-
-“What are your nerves for?” retorted Dr. Strong with his quizzical
-smile.
-
-“Young man,” said the old lady plaintively, “did I ever ask you a
-question that you didn’t fire another back at me before it was fairly
-out of my mouth? My nerves, if I let myself have any, wouldn’t be for
-anything except to plague me.”
-
-“Oh, those are pampered nerves. Normal nerves are to warn you. They’re
-to tell you whether the little things of life are right with you.”
-
-“And if they’re not?” asked Mr. Clyde.
-
-“Why, then you’re uncomfortable. Which is to say, there’s something
-wrong; and something wrong means, in time, a lessening of vitality, and
-when you let down your body’s vitality you’re simply saying to any germ
-that may happen along, ‘Come right in and make yourself at home.’
-
-“Perhaps you remember when the house caught cold, how shocked Grandma
-Sharpless was at my saying that colds aren’t caught in a draft. Well,
-they’re not. Yet I ought to have qualified that. Now, what is a draft?
-Air in motion. If there is one thing about air that we thoroughly know,
-it’s this: that moving air is infinitely better for us than still air.
-Even bad, stale air, if stirred vigorously into motion, seems to purify
-itself and become breathable and good. Now, the danger of a draft is
-that it may mean a sudden change of the body’s temperature. Nobody
-thinks that wind is unhealthful, because when you’re out in the
-wind—which is the biggest and freest kind of a draft—you’re prepared
-for it. If not, your nerves say to you, ‘Move faster; get warm.’ It’s
-the same indoors. If the draft chills you, your nerves will tell you
-so. Therefore, mind your nerves. Otherwise, you’ll become specially
-receptive to the coryza germ and when you’ve caught _that_, you’ll have
-caught cold.”
-
-“I wish,” remarked Mr. Clyde, “that my nerves would tell me why I feel
-so logy every morning. They don’t say anything definite. It isn’t
-indigestion exactly. But I feel slow and inert after breakfast, as if
-my stomach hadn’t any enthusiasm in its job.”
-
-“Breakfast is the only meal I don’t have with you, so I don’t know,”
-replied the Health Master, who was a very early riser. “But I should
-say you were eating the wrong things, perhaps.”
-
-“How could that be?” said Mrs. Clyde. “Tom has the simplest kind of
-breakfast, and it’s the same every day.”
-
-“Well, there you are.” The Health Master’s tone assumed that the
-solution was found.
-
-“Where are we?” queried Mr. Clyde. “I’m up in the air!”
-
-“What is this remarkably regular breakfast?”
-
-“Eggs, rolls, and coffee.”
-
-“Oh! Eggs every morning?”
-
-“Two of them. Medium boiled.”
-
-“Not even the method is varied. Same eggs, same preparation every
-morning, seven days a week, four weeks a month, twelve months—”
-
-“No. That’s my winter breakfast only.”
-
-“Very well; four or five months in the year. No wonder your poor
-stomach gets bored.”
-
-“What’s the matter with eggs, Dr. Strong?” inquired Manny. “They let us
-have ‘em, in training.”
-
-“Nothing is the matter with two eggs, or twenty. But when you come to
-two hundred, there’s something very obvious the matter—monotony. Your
-stomach is a machine, it’s true, but it’s a human machine. It demands
-variety.”
-
-“Then Charles ought to be a model. He wants everything from soup to
-pie.”
-
-“A thoroughly normal desire for a growing boy.”
-
-“He eats an awful lot of meat,” observed Julia, who was a somewhat
-fastidious young lady. “My Sunday-school teacher calls meat-eaters
-human tigers.”
-
-“Oh, that’s too easy a generalization, Junkum,” replied the Health
-Master. “With equal logic she could say that vegetable-eaters are human
-cows.”
-
-“But the vegetarians make very strong arguments,” said Mrs. Clyde.
-
-“A lot of pale-eyed, weak-blooded nibblers!” stated Grandma Sharpless.
-“If meat weren’t good for us, we wouldn’t have been eating it all these
-generations.”
-
-“True enough. Perhaps we eat a little too much of it, particularly in
-the warm months. But in winter it’s practically a necessity.”
-
-“Some of the big athletes say they’re vegetarians,” said Manny.
-
-“There are individual cases,” admitted the Health Master; “but in the
-long run it doesn’t work. A vegetarian race is, generally speaking,
-small of stature and build, and less efficient than a meat-eating race.
-The rule of eating is solid food, sound food, plenty of it, and a good
-variety. Give your stomach a fair chance: don’t overload it, don’t
-understock it, and don’t let it get bored.”
-
-For some time Miss Bettina had been conducting a quiet and strategic
-advance upon the Health Master, and now by a sudden onslaught she
-captured his knee and, perching herself thereon, put a soft and chubby
-hand under his chin.
-
-“You want something, Miss Toodles,” he accused with a formidable frown.
-“None of your wheedling ways with me! Out with it!”
-
-“Candy,” said the child, in no way impressed by his severity.
-
-“Candy, indeed! When?”
-
-“Now. Any time. Lots of it. Lots of sugar, too.”
-
-“Betty’s developing _such_ a sweet tooth!” mourned her mother. “I have
-to limit her rigidly.”
-
-“Why?”
-
-“You wouldn’t let the child stuff herself on sweets all the time,”
-protested Grandma Sharpless, scandalized.
-
-“Nor on anything else. But if she craves sweets, why not let her have
-them at the proper time?”
-
-“Well, in my day children ate plain food and were thankful.”
-
-“Hm! I’m a little dubious about the thankfulness. And in your day
-children died more frequently and more easily than in ours.”
-
-“They weren’t pampered to death on candy, anyway!”
-
-“Possibly they weren’t pampered quite enough. Take the Cherub, here,”
-he tossed Betty in the air and whisked her to his shoulder. “She’s a
-perfect little bundle of energy, always in motion. She needs
-energy-producing food to keep going, coal for that engine. Sugar is
-almost pure carbon; that is, coal in digestible form. Of course she
-wants sweets. Her little body is logical.”
-
-“But isn’t it bad for her teeth?” asked Mrs. Clyde.
-
-“No; nor for her last year’s overshoes or her tin dog’s left hind leg,”
-chuckled the Health Master. “Sometimes I marvel that the race has
-survived all the superstitions surrounding food and drink.”
-
-“In my father’s household,” said Mr. Clyde, “the family principle was
-never to drink anything with meals. The mixture of solids and liquids
-was held to be bad. Another superstition, I suppose.”
-
-“At that rate, bread and milk would be rank poison,” said Dr. Strong.
-“Next to food, water has got the finest incrustation of old-wives’
-warnings. Now, there’s some doubt whether a man should eat whenever he
-wants to. Appetite, in the highly nervous American organization, is
-sometimes tricky. But thirst is trustworthy. The normal man is
-perfectly safe in drinking all the water he wants whenever he wants
-it.”
-
-“I can still remember the agonies that I suffered when, as a boy, I had
-scarlet fever, and they would allow me almost no water,” said Mr.
-Clyde.
-
-“One of medicine’s direst errors,” said Dr. Strong. “Nobody will ever
-know how much that false and cruel system has added to our death-rate
-in the past. To-day a practitioner who kept water from a fever
-patient—unless there were unusual complications—would be properly
-citable for malpractice. By the way,” he continued, “we’re changing our
-views about feeding in long illnesses. Typhoid patients have always
-been kept down to the lowest possible diet, nothing but milk. Now, some
-of the big hospitals are feeding typhoid cases, right through the
-fever, on foods carefully selected for their heat and energy values,
-with the result that not only has the patient more strength to fight
-the disease, but he pulls through practically free from the emaciation
-which has always been regarded as inevitable.”
-
-“Can I have my candy?” inquired Bettina, holding to her own point.
-
-“If it’s good, sound candy. Now I’m going to utter an awful heresy.
-Generally speaking, and in moderation, what you want is good for you.”
-
-“Pure anarchy,” laughed Mr. Clyde.
-
-“Not at all; the law of the body, always demanding what is best for its
-development.”
-
-“Well, I want,” declared Robin, with a sudden energy, “to take off
-these hot, scratchy flannels.”
-
-“Too late now,” said the Health Master, “until spring. You’ve been
-wearing them all winter. But another year, if I have my way, you won’t
-have to put them on.”
-
-“You’d let him tempt pneumonia by going through a winter with light
-summer underwear?”
-
-“Unless you get out an injunction against me,” smiled the physician.
-“Bobs had a pretty tough time of it for the first week when he changed
-to flannels. He’s thin-skinned, and the rough wool irritated him pretty
-badly. In fact, he had a slight fever for two days. It isn’t worth that
-suffering. Besides, he’s a full-blooded youngster, and doesn’t need the
-extra warmth. You can’t dress all children alike in material any more
-than you can dress them all from the same pattern.”
-
-“Then I want to leave off mine, too,” announced Charles.
-
-“Nonsense! You little ruffian, you could wear sandpaper on that skin of
-yours. Don’t talk to me, or next time I see you without your overcoat
-I’ll order a hair shirt for you.”
-
-“I’ve never thought much about the children’s clothes, except to change
-between the seasons,” confessed Mrs. Clyde. “I supposed that was all
-there is to it.”
-
-“Not wholly. I once knew a man who died from changing his necktie.”
-
-“Did he put on a red tie with a pink shirt?” interestedly queried
-Manny, who had reached the age where attire was becoming a vital
-interest.
-
-“He changed abruptly from the big puff-tie which he had worn all
-winter, and which was a regular chest-protector, to a skimpy bow,
-thereby exposing a weak chest and getting pneumonia quite naturally.
-Yet he was ordinarily a cautious old gentleman, and shifted the weight
-of his underclothes by the calendar—a rather stupid thing to do, by the
-way.”
-
-“On the first of November,” began Grandma Sharpless severely—
-
-“Yes, I know,” cut in the Health Master. “Your whole family went into
-flannels whether the thermometer was twenty or seventy. And we’ve seen
-it both, more than once on that date.”
-
-“What harm did it ever do them?”
-
-“Bodily discomfort. In other words, lessened vitality. Think how much
-nervous wear is suffered by a child itching and squirming in a scratchy
-suit of heavy flannels on a warm day.”
-
-“Children can’t be changing from one weight to another every day, can
-they?” asked Mrs. Clyde.
-
-“No need of that. But in the fall and spring we can regulate that
-matter a little more by the thermometer, and a little less by the
-almanac. There is also the consideration of controlling heat. Now,
-Charley, what would you think of a man who, in June, say, with the
-mercury at seventy-five, wandered around in a heavy suit and his winter
-flannels.”
-
-“I’d think he was sick,” said the nine-year-old promptly, “or else
-foolish. But what makes you ask me?”
-
-“Just by way of calling your attention to the thermometer, which in
-this room stands at seventy-nine. And here we all sit, dressed
-twenty-five per cent warmer than if we were out doors in a June
-temperature several degrees colder. You’re the Committee on Air and
-Light, Charley. I think this matter of heat ought to come within your
-province.”
-
-“And it makes you feel so cold when you go out,” said Julia.
-
-“Of course. We Americans live in one of the most trying climates in the
-world, and we add to its rigors by heating our houses like incubators.
-No room over seventy, ought to be the rule.”
-
-“It’s hard to work in a cold room,” said Mr. Clyde.
-
-“Not when you’re used to it. The Chicago schools that have started
-winter roof classes for sickly children, find that the average of
-learning capacity goes up markedly in the cold, clean air.”
-
-“But they can’t be as comfortable,” said Mrs. Clyde.
-
-“Much more so. As soon as the children get used to it, they love it,
-and they object strenuously to going back into the close rooms. The
-body grasps and assimilates the truth; the mind responds.”
-
-“Well, I like to be comfortable as well as anybody,” said Mrs.
-Sharpless, “but I don’t consider it the chief end of life.”
-
-“Not the chief end,” assented Dr. Strong; “the chief means.”
-
-“Comfort and health,” mused Mrs. Clyde. “It seems a natural
-combination.”
-
-“The most natural in the world. Let me put it into an allegory. Health
-is the main line, the broad line, the easy line. It’s the simple line
-to travel, because comfort keeps pointing it out. Essentially it is the
-line of the least resistance. The trouble with most of us is we’re
-always unconsciously taking transfers to the cross-lines. The transfer
-may be Carelessness, or Slothfulness, or Gluttony, or one of the
-Dissipations in food, drink, work or play; or it may be even Egotism,
-which is sometimes a poison: but they all take you to Sick Street.
-Don’t get a transfer down Sick Street. The road is rough, the scenery
-dismal, and at the end is the cemetery.”
-
-“That’s the end of all roads,” said Grandma Sharpless.
-
-“Then in Heaven’s name,” said the Health Master, “let us take the
-longest and sunniest route and sing as we go!”
-
-
-
-
-XI.
-THE BESIEGED CITY
-
-
-To Bettina falls the credit of setting the match to the train. That
-lively-minded young lady had possessed herself of a large, red square
-of cardboard, upon which, in the midst of the Clyde family circle, she
-wrought mightily with a paint-brush.
-
-“What comes after p in ‘diphtheria,’ Charley?” she presently appealed
-to her next older brother.
-
-Charley considered the matter with head aslant. “Another p,” he
-answered, tactfully postponing the evil moment.
-
-“It doesn’t look right,” announced the Cherub, after a moment’s
-contemplation. “Dr. Strong, how do you spell ‘diphtheria’?”
-
-“I? Why, Toots, I spell it with a capital, but leave off the final x,”
-replied the Health Master cheerfully. “What kind of a game are you
-playing? Quarantining your dolls?”
-
-“It isn’t a game.” Betty could be, on occasion, quite a self-contained
-young person.
-
-“What is it, then, if I’m not prying too far into personal matters?”
-
-“It’s for Eula Simms to put on her house.”
-
-“The Simmses _will_ be pleased,” remarked Julia.
-
-“They ought to be,” said Betty complacently. “I don’t suppose they can
-afford a regular one like the one we put up when Charley had scarlet
-fever, two years ago. And Eula’s big sister’s got diphtheria,” she
-added quite casually.
-
-“What’s that?” The Health Master straightened up sharply in his chair.
-“How do you know that, Twinkles?”
-
-“Eula told me across the fence this morning. She’s excused from school.
-Three other houses on the street have got it, too. I’m going to make
-placards for them.”
-
-“And do the work in play that the Health Department ought to be doing
-in the deadliest earnest! What on earth is Dr. Merritt thinking of?”
-And he went to the telephone to call up the Health Officer and find
-out.
-
-“We’re due for a bad diphtheria year, too,” observed Grandma Sharpless,
-whose commentaries on practical matters, being always the boiled-down
-essence of first-hand observation, carried weight in the household.
-“I’ve noticed that it swings around about once in every five or six
-years. And it was six years ago we had that bad epidemic.”
-
-“Then there is the influenza epidemic of last spring to consider,” said
-Mrs. Clyde. “Dr. Strong told us then that we’d have to pay for that for
-months. So, I suppose, the city is still in a weakened condition and
-easy soil for diphtheria or any other epidemic.”
-
-“There’s measles already in our school,” said Julia. “That’ll help,
-too.”
-
-“Why haven’t you reported it, Junkum?” asked her father. “You’re
-Chairman of the Committee on School Conditions of the Clyde Household
-Protective Association.”
-
-“We only found out to-day,” said Bobs, “when they told us maybe school
-would close.”
-
-“Three years I’ve been President of the Public Health League,” remarked
-Mr. Clyde with a wry face, “and nothing has happened. Now that I’m just
-about retiring I hope there isn’t going to be serious trouble. What
-does the Health Department say, Strong?” he inquired, turning as the
-Health Master entered.
-
-“Something very wrong there. Merritt won’t talk over the ‘phone. Wants
-me to come down.”
-
-“This evening?”
-
-“Yes. He’s ill, himself, and badly worried. What do _you_ think?”
-
-“It looks like some skullduggery,” declared Mr. Clyde, borrowing one of
-his mother-in-law’s expressive words. “Is it possible that reports of
-diphtheria are being suppressed, and that is why the infected houses
-are not placarded?”
-
-“If it is, we’re in for trouble. As I told you, when I undertook the
-Chinese job of keeping this household in health,” continued the Health
-Master, addressing the family, “I can’t reliably protect a family in a
-community which doesn’t protect itself. There are too many loopholes
-through which infection may penetrate. So the Protective Association,
-in self-defense, may have to spur up the city to its own defense.
-First, though, I’m going over the throats of this family and take
-cultures.”
-
-“You don’t think,” began the mother anxiously, “that the children—”
-
-“No; I don’t think they’ve got it. But the bacteriological analysis
-will show.”
-
-“I hate to have it done,” said Mrs. Clyde, shuddering. “It seems so—so
-inviting of trouble.”
-
-“Superstition,” said Dr. Strong, smiling. “Aren’t you just as anxious
-to find out that they _haven’t_ got the infection as that they have?
-Come on, Bettykin; you’re first.” And, having prepared his material, he
-swabbed the throats of the whole company, after which he took the
-cultures with him to Dr. Merritt.
-
-It was late when he returned, but he went direct to Mr. Clyde’s room.
-
-“It’s worse than I thought, Clyde,” said he. “We’re in the first stage
-of a bad epidemic. The reports have been suppressed by Mullins, the
-Deputy Health Officer.”
-
-“What did he do that for?”
-
-“To cover his own inefficiency. He is City Bacteriologist, also, and
-the law requires him, in time of epidemic, to make bacteriological
-analyses. He doesn’t know how. So he simply pigeonholed the case
-reports as they came in.”
-
-“How did such a rascal ever get the job?” asked Clyde.
-
-“Political pull. The most destructive of all the causes of death which
-never get into the mortality records,” said Dr. Strong bitterly.
-
-“How many cases?”
-
-“Three or four hundred, at least. It’s got a good start. And more than
-that of measles. While he was in the business of suppressing, Mullins
-threw a lot of measles reports aside, too. I don’t like the prospect.”
-
-“The first thing to do,” decided Mr. Clyde, with customary energy, “is
-to get Dr. Mullins out. I’ll call an emergency meeting of the Public
-Health League to-morrow. By the way, Julia has some matters to report
-from school.”
-
-“Well, suppose we call an emergency meeting of our own of the Household
-Protective Association for to-morrow evening,” suggested Dr. Strong.
-“Since we’re facing an epidemic, we may as well fortify the youngsters
-as soundly as possible.”
-
-Directly after dinner on the following evening the Association was
-called to order by Mr. Clyde, presiding. It was a full meeting except
-for Maynard, who had not returned for dinner. First Dr. Strong reported
-that the cultures from the throats of the family had turned out
-“negative.”
-
-“So we don’t have to worry about that,” he remarked.
-
-Whereupon Mrs. Clyde and her mother drew long breaths of relief.
-
-“And now for the Committee on School Conditions,” said Mr. Clyde.
-
-“All I’ve heard of in our school is measles,” announced Julia. “There’s
-a lot of the boys and girls away.”
-
-“No diphtheria?” asked Mr. Clyde.
-
-“I asked Miss Brown that at recess, and she looked queer and said,
-‘None that we know of.’ But I heard of some cases in the Academy; so I
-told Manny.”
-
-“Why Manny?” asked Mrs. Clyde.
-
-“He’s Chairman of the Committee on Milk, and the Bliss children from
-our dairy go to the Academy.”
-
-“That explains why Maynard isn’t here, then,” said the grandmother. “I
-suppose he’s gone out to the farm.”
-
-“Yes. He took the interurban trolley out, to make sure that they’d be
-careful about keeping the children away from the dairy.”
-
-“Good team-work, Junkum,” approved the presiding officer.
-
-“And I asked Mary and Jim Bliss to come around to-morrow to see Dr.
-Strong and have him look at their throats.”
-
-“You ought to be drawing a salary from the city, young lady,” said the
-Health Master warmly. “You may have stopped a milk-route infection; one
-of the hardest kind to trace down.”
-
-“They’re talking of closing school after to-morrow,” concluded the
-girl.
-
-“The very worst thing they could do,” declared Dr. Strong.
-
-“The very best, I should think,” controverted Grandma Sharpless, who
-never hesitated to take issue with any authority, pending elucidation
-of the question under discussion. “If you group a lot of children close
-together it stands to reason they’ll catch the disease from each
-other.”
-
-“Not unless you group them too close. Arm’s length is the striking
-distance of a contagious disease. _There’s_ a truth for all of us to
-remember all the time.”
-
-“If it _is_ a truth,” challenged Mrs. Sharpless. “One of the surest and
-one of the most important,” averred the Health Master. “The only
-substance that carries the contagion of diphtheria or measles is the
-mucus from the nose or throat of an infected person. As far as that can
-be coughed or sneezed is the danger area. Of course, any article
-contaminated with it is dangerous also. But a hygienically conducted
-schoolroom is as safe a place as could be found. I’d like to run a
-school in time of epidemic. I’d make it a distributing agency for
-health instead of disease.”
-
-“How would you manage that?”
-
-“By controlling and training the pupils hygienically. Don’t you see
-that school attendance offers the one best chance of keeping track of
-such an epidemic, among the very ones who are most liable to it, the
-children? Diphtheria is contagious in the early stages, as soon as the
-throat begins to get sore, and before the patient is really ill. Just
-now there is an indeterminate number of children in every one of our
-schools who have incipient diphtheria. What is the one important thing
-to do about them?”
-
-“Find out who they are,” said Julia quickly. “Exactly. If you close
-school to-morrow and scatter the scholars far and wide in their homes,
-how are we going to find out this essential fact? In their own homes,
-with no one to watch their physical condition, they will go on
-developing the illness unsuspected for days, maybe, and spread it about
-them in the process of development. Whereas, if we keep them in school
-under a system of constant inspection, we shall discover these cases
-and surround them with safeguards. Why, if a fireman should throw
-dynamite into a burning house and scatter the flaming material over
-several blocks, he’d be locked up as insane. Yet here we propose to
-scatter the fire of contagion throughout the city. It’s criminal
-idiocy!”
-
-“If we could only be sure of controlling it in the schools,” said
-Grandma Sharpless, still doubtful.
-
-“At least we can do much toward it. As a matter of fact the best
-authorities are very doubtful whether diphtheria is a ‘school disease,’
-anyway. There is more evidence, though not conclusive, that measles
-is.”
-
-“Surely we don’t have to consider measles now, in the face of the
-greater danger.”
-
-“Most emphatically we do. For one thing, it will increase the
-diphtheria rate. A child weakened by measles is so much the more liable
-to catch any other disease which may be rife. Besides, measles spreads
-so rapidly that it often kills a greater total than more dangerous
-illnesses. We must prepare for a double warfare.”
-
-“At the Public Health League meeting,” said Mr. Clyde, “the objections
-to closing the schools came from those who feared that an official
-acknowledgment that the city had an epidemic would hurt business.”
-
-“A viciously wrong reason for being right,” said the Health Master. “By
-the way, I suppose that Dr. Mullins will be Acting Health Officer, now
-that Merritt is unfortunately out of it. Merritt went to the hospital
-in collapse after the session of the Board of Education at which he
-appeared, to argue for keeping the schools open.”
-
-“No,” said Clyde. “We’ve blocked Mullins off. But it’s the next step
-that is troubling me. What would you do, Strong, if you were in
-control?”
-
-“Put a medical inspector in every school,” answered Dr. Strong
-instantly. “Send home every child with the snuffles or an inflamed
-throat. And send with him full warning and instructions to the parents.
-Have daily inspection and instruction of all pupils.”
-
-“Can you make school children understand?”
-
-“Why not? It is merely a matter of telling them repeatedly: ‘Keep your
-fingers and other objects away from your mouth and nose. Wash your
-hands frequently. Brush your teeth and rinse your mouth well. And keep
-your distance. Remember, that the striking distance of disease is arm’s
-length.’ Then I would break class every hour, throw open every window,
-and march the children around for five minutes. This for the sake of
-improved general condition. Penalize the pupils for any violation of
-hygienic regulations. Hygienic martial law for war-time.”
-
-“Good!” applauded Mr. Clyde. “So much for the schools. What about the
-general public?”
-
-“Educate them to the necessity of watching for danger signals; the
-running nose, the sore throat, the tiny pimples on the inside of the
-mouth or cheek which are the first sign of measles. Above all, furnish
-free anti-toxin. Make it free to all. This is no time to be higgling
-over pennies.”
-
-“I don’t like the principle of coddling our citizens by giving to those
-who can afford to pay.”
-
-“Better coddled citizens than dead children. Unless you give out free
-anti-toxin, physicians to families where every dollar counts will say,
-‘Oh, it may not be diphtheria. We’ll wait and see, and maybe save the
-extra dollars.’ Diphtheria doesn’t wait. It strikes. Then there is the
-vitally important use of anti-toxin as a preventive. To render a whole
-family immune, where there is exposure from a known case of diphtheria,
-is expensive at the present rates, but is the most valuable expedient
-known. It is so much easier to prevent than to cure.”
-
-“All right; I give in. What else?”
-
-“Education, education, education; always education of the public, till
-the last flame is stamped out. Get the press, first; that is the most
-direct and far-reaching agency. Then organize public meetings,
-lectures, addresses in churches and Sunday schools, talks wherever you
-can get people together to listen. That is what I’d do.”
-
-“Go ahead and do it, then.”
-
-“Easily said,” smiled the Health Master. “Who am I, to practice what I
-preach?”
-
-“Provisional Health Officer of Worthington,” came the quick answer. “I
-have the Mayor’s assurance that he will appoint you to-morrow if you
-will take the job.”
-
-“I’ll do it,” said the Health Master, blinking a little with the
-suddenness of the announcement, but speaking unhesitatingly, “on two
-conditions: open schools and free anti-toxin.”
-
-“I’ll get that arranged with the Mayor. Meantime, you have unlimited
-leave of absence as Chinese physician to the Clyde household.”
-
-“But the Household Protective Association will have to back me,” said
-Dr. Strong, as the meeting broke up. “I can’t get along without you.”
-
-Swiftly and terribly moves an epidemic, once it has gained headway. And
-silence and concealment had fostered this onset from the first. Despite
-the best efforts of the new Health Officer, within a week the streets
-of the city were abloom with the malign flower of the scarlet for
-diphtheria and the yellow for measles.
-
-“First we must find out where we stand,” Dr. Strong told his
-subordinates; and, enlisting the services of the great body of
-physicians,—there is no other class of men so trained and inspired to
-altruistic public service as the medical profession,—he instituted a
-house-to-house search for hidden or undiscovered cases. From the best
-among his volunteers he chose a body of auxiliary school inspectors,
-one for every school, whom he held to their daily régime with military
-rigor.
-
-“But my patients are dying while I am looking after a roomful of
-healthy children,” objected one of them.
-
-“You can save twenty lives by early detection of the disease, in the
-time it takes to save one by treatment,” retorted the disciplinarian.
-“In war the individual must sometimes be sacrificed. And this is war.”
-
-The one bright spot in the early days of the battle was Public School
-Number Three which the twins and Bettina attended. The medical
-inspector who had this assignment was young, intelligent, and an
-enthusiast. Backed by Dr. Strong, and effectively aided by the Clyde
-children, he enforced a system which brought prompt results. In every
-instance where a pupil was sent home under suspicion,—and the first
-day’s inspection brought to light three cases of incipient diphtheria,
-and fifteen which developed into measles, besides a score of suspicious
-symptoms,—Julia, or Robin Clyde, or one of the teachers went along to
-deliver printed instructions as to the defense of the household, and to
-explain to the family the vital necessity of heeding the regulations
-until such time as the physician could come and determine the nature of
-the ailment. Within a week, amidst growing panic and peril, Number
-Three was standing like an isle of safety. After that time, not a
-single new case of either disease developed from exposure within its
-limits, and in only two families represented in the school was there
-any spread of contagion.
-
-“It’s the following-up into the house that does it,” said Dr. Strong,
-at an early morning meeting of the Household Protective Association (he
-still insisted on occasional short sessions, in spite of the
-overwhelming demands on his time and energies, on the ground that these
-were “the only chances I get to feel the support of full understanding
-and sympathy”), “that and the checking-up of the three carriers we
-found.”
-
-“What’s a carrier?” asked Bettina, who had an unquenchable thirst for
-finding out things.
-
-“A carrier, Toodlekins, is a perfectly well person who has the germs of
-disease in his throat. Why he doesn’t fall ill himself, we don’t know.
-He can give the disease to another person just as well as if he were in
-the worst stages of it himself. Every epidemic develops a number of
-carriers. One of the greatest arguments for inspection is that it
-brings to light these people, who constitute the most difficult and
-dangerous phase of infection, because they go on spreading the disease
-without being suspected. Now, I’ve got ours from Number Three
-quarantined. If I could catch every carrier in town, I’d guarantee to
-be in control of the situation in three weeks.”
-
-“Our reports show over twenty of them discovered and isolated,” said
-Mrs. Clyde, who had turned her abounding energies to the organization
-of a corps of visiting nurses.
-
-“Perhaps I’d better say something about carriers in my next talk,” said
-Grandma Sharpless, whose natural gift as a ready and convincing
-speaker, unsuspected by herself as well as her family until the night
-when she had met and routed the itinerating quack on his own platform,
-was now being turned to account in the campaign for short talks before
-Sunday schools and club gatherings.
-
-“Develop it as part of the arm’s-length idea,” suggested the Health
-Master. “Any person may be a carrier and therefore a peril on too close
-contact. Tell ‘em that in words of one syllable.”
-
-“Never use any other kind when I mean it,” answered Mrs. Sharpless.
-“What about that party at Mrs. Ellery’s, Manny?”
-
-“I’ve got that fixed,” replied Maynard Clyde, who had been acting as
-general factotum for the household in its various lines of endeavor.
-“Mrs. Ellery gave a party to our crowd Friday night,” he explained to
-Dr. Strong, “and Monday one of the Ellery girls came down with
-diphtheria.”
-
-“What have you done about it?” asked the Health Master.
-
-“Notified all the people who were there. That was easy. The trouble is
-that a lot of the fellows have gone back to college since: to Hamilton,
-Michigan, Wisconsin, Harvard, Columbia,—I suppose there were a dozen
-colleges represented.”
-
-“And you think that’s too wide a field for the follow-up system?” asked
-his father.
-
-“Why, no,” said the boy thoughtfully. “I figured that starting a new
-epidemic would be worse than adding to an old one. So I went to Mrs.
-Ellery and got a list of her guests, and I wrote to every college the
-fellows have gone back to, and wrote to the fellows themselves. They
-probably won’t thank me for it.”
-
-“They ought to give you a life-saving medal each,” declared Dr. Strong.
-“As for the situation here”—his face darkened—“we’re not making any
-general headway. The public isn’t aroused, and it won’t be until we can
-get the newspapers to take up the fight. The thing that discourages me
-is that they won’t help. I don’t understand it.”
-
-“Don’t you? I do,” said Clyde grimly. “Their advertisers won’t let ‘em
-print anything about it. As I told you in the matter of closing the
-schools, business is frightened. The department stores, theaters, and
-other big advertisers are afraid that the truth about the epidemic
-would scare away trade. So they are compelling the papers to keep
-quiet.”
-
-“Idiots!” cried Dr. Strong. “Suppressing news is like suppressing gas.
-The longer you do it, the more violent the inevitable explosion. But
-when I called on the editors, they didn’t say anything to me about the
-advertising pressure. It was, ‘We should be glad to help in any way,
-Dr. Strong. But an alarmist policy is not for the best interests of
-Worthington; and the good of our community must always be the first
-consideration.’—Bah! The variations I’ve heard on that sickening theme
-today! The ‘Press,’ the ‘Clarion,’ the ‘Evening News,’ the ‘Telegram,
-the ‘Observer’—all of ‘em.”
-
-“You didn’t mention the ‘Star,’” said Grandma Sharpless.
-
-“That rag? It’s against everything decent and for everything rotten in
-this town,” said Clyde.
-
-“When I need a danger signal,” observed the old lady with her most
-positive air, “I’ll wave any kind of rag. The ‘Star’ has circulation.”
-
-“Yes,” admitted the Health Master, “and among the very class we want to
-reach. But what’s the use?”
-
-“I don’t know,” said Mrs. Sharpless. “But I’m going to find out.”
-
-One hour later she walked into the editorial sanctum of Mr. “Bart”
-Snyder, editor, proprietor, and controlling mind of as “yellow” a sheet
-as ever subsisted on a combination of enterprise, real journalistic
-ability, and blackmail. Mr. Snyder sat in a perfect slump of apparent
-languor, his body sagging back into his tilted chair, one foot across
-his desk, the other trailing like a broken wing along the floor, his
-shrewd, lined face uplifted at an acute angle with the cigar he was
-chewing, and his green hat achieving the most rakish effect possible to
-a third slant. His brilliant gray eyes were narrowed into a hard
-twinkle as he surveyed his visitor.
-
-“Siddown,” he grunted, and shoved a chair toward her with the grounded
-foot.
-
-Grandma Sharpless did not “siddown.” Instead she marched over to a spot
-directly in front of him, halted, and looked straight into the hard,
-humorous face.
-
-“Bartholomew Snyder,” said she crisply, “I knew you when you were a
-boy. I knew your mother, too. She was a decent woman. Take off that
-hat.”
-
-The Snyder jaw fell so unpremeditatedly that the Snyder cigar dropped
-upon the littered floor. One third of a second later, the Snyder foot
-descended upon it (and it was a twenty-cent cigar, too) as the Snyder
-chair reverted to the perpendicular, and the Snyder hat came off. The
-Snyder countenance quivered into articulation and therefrom came a
-stunned, “Well, I’ll be—”
-
-“No, you don’t! Not in _my_ presence,” cut in his visitor. “Now, you
-listen.”
-
-“I’m listening,” he assured her in a strangled murmur.
-
-She seated herself and threw a quality of rigidity into her backbone
-calculated to impress if not actually to appeal. “I want your help,”
-she said.
-
-“Fine, fat way you’ve got of opening up a request for a favor,” he
-retorted, recovering himself somewhat, and in a particularly
-discouraging voice. But the shrewd old judge of human nature before him
-marked the little pursing at the corners of the mouth. “I’ll bet I know
-what it is.”
-
-“I’ll bet all the money I’ve got in the bank and my best gold tooth
-thrown in you don’t,” was the prompt retort.
-
-“There’s a sporting proposition, all right,” cried the editor in great
-admiration. “I thought you was going to ask me to let up on the city
-administration now you’ve got one of the fat jobs in the family, with
-your Dr. Strong.”
-
-“It’s a good thing you don’t have to make guesses for a living,”
-returned his caller scornfully. “Pitch into the administration as hard
-as you like. I don’t care. All I want is for you to print the news
-about this diphtheria epidemic.”
-
-“Is that all?” There was a profound sardonicism in the final word.
-
-“Come to think of it, it isn’t. I want you to print some editorials,
-too, telling people how to take care of themselves while the disease is
-spreading.”
-
-“Anything more?”
-
-“Well, you might do the same thing about the measles epidemic.”
-
-“Harr-rr-rr!” It was a singular growl, not wholly compounded of wrath
-and disgust. “Doc Strong send you here?”
-
-“No; he didn’t!”
-
-“Don’t bite me. I believe you.”
-
-“Will you publish some articles?”
-
-“Look-a-here, Mrs. Sharpless; the ‘Star’ is a business proposition. Its
-business is to make money for me. That’s all it’s here for. People say
-some pretty tough things about me and the paper. Well, we’re pretty
-tough. We can stand ‘em. Let ‘em talk, so long as I get the circulation
-and the advertising and the cash. Now, you want me to print something
-for you. Come down to brass tacks; what is there in it for me?”
-
-“A chance to be of some real use to your city for once in your life,”
-answered Grandma Sharpless mildly. “Isn’t that enough?”
-
-Bart Snyder threw back his head and laughed immoderately. “Say, I like
-you,” he gurgled. “You’ve got nerve. Me a good Samaritan! It’s so rich,
-I’m half a mind to go you, if it wasn’t for losing the advertising.
-Wha’ d’ ye want me to say, anyway, just for curiosity and cussedness?”
-
-“Just give the people plain talk,” explained the visitor. “Talk to ‘em
-in your editorials as if you had ‘em by the buttonhole. Say to them:
-‘Do you want to get diphtheria? Well, you don’t need to. It’s just as
-easy to avoid it as to have it. Are you anxious to have measles in your
-house? It’s for you to decide. All you need is to take reasonable care
-against it. Infectious disease only kills foo—careless people.’”
-
-“Let it go at ‘fools,’” interjected Mr. Snyder, smiting his thigh. “Go
-on.”
-
-“Then I’d give them simple, straight advice; tell them how to recognize
-the early symptoms; how and where to get anti-toxin. And I’d scare ‘em,
-too. I’d tell ‘em there are five thousand cases of the two diseases in
-town, and there will be ten thousand in a week unless something is
-done.”
-
-Up rose the editor-proprietor, kicked over his own chair, whirled Mrs.
-Sharpless’s chair with its human burden to the desk, thrust a pencil
-into her hand, and slapped down a pad before her.
-
-“Write it,” he adjured her.
-
-“Who? Me?” cried Mrs. Sharpless, her astonishment momentarily
-overwhelming her grammar. “Bless you, man! I’m no writer.”
-
-“Talk it, then, and make your pencil take down the talk. I’ll be back
-in a minute.”
-
-That minute stretched to a good half-hour, during which period Grandma
-Sharpless talked to her pencil. When Mr. Snyder returned, he had with
-him a mournful-looking man who, he explained occultly, “holds down our
-city desk.”
-
-“This is our new Health Editor,” chuckled Snyder, indicating Mrs.
-Sharpless. “How many cases did you say there were in town, ma’am?”
-
-“Five thousand or more.”
-
-The city editor whistled whisperingly. “Where do you get that?” he
-asked.
-
-“From Dr. Strong.”
-
-“That’s news,” said the desk man. “I didn’t suppose it was half so bad.
-If only we dared print it!”
-
-“No other paper in town dares,” suggested the visitor insinuatingly.
-
-“Makes it all the more news,” remarked Snyder. “What if we played it up
-for a big feature, eh?”
-
-“Advertisers,” said the city editor significantly.
-
-“Let ‘em drop out. They’ll come back quick enough, when we’ve shown up
-one or two and told why they quit us. And think of the splash we can
-make! Only paper in the city that dares tell the truth. We’ll rub that
-into our highly respectable rivals. I’ll make you a proposition,” he
-added, turning to his caller.
-
-“Make it.”
-
-“You know I’ve hammered at Tom Clyde pretty hard. I don’t cotton to
-that saintly, holier-than-thou reform bunch at all. Well, let Clyde
-come into the ‘Star’ with a signed statement as President of the Public
-Health League, and we’ll make it the basis of a campaign that will rip
-this town wide open for a couple of weeks. I’d like to see him in my
-paper, after all the roasting we’ve handed him.” And the malicious face
-wrinkled into another grin.
-
-“You’ve bought a bargain,” stated Mrs. Sharpless. “The statement will
-be ready to-night. And another from Dr. Strong for good measure.”
-
-“Fine business!” ejaculated the “Star’s” owner. “Not open to a
-reasonable offer in the newspaper game, are you?” he added, laughing.
-“No? Well, I’m sorry.”
-
-“Would there be any use in my seeing the editors of the other papers?”
-asked Mrs. Sharpless.
-
-“Watch them fall in line,” was the grim response. “Before we’ve been
-out a day, they’ll be tumbling over each other to make the dear,
-deluded public believe that they’re the real pioneers in saving the
-city from the deadly germ.”
-
-“Well, here are my notes, if you can make anything out of them.”
-
-“Eh? Notes?” said the newspaper man, who had been glancing at the
-sheets over Mrs. Sharp-less’s shoulder. “Oh—ah. Yes, of course. All
-right. Glad to have metcher,” he added, politely ushering her to the
-door. “I’ll send a reporter up for the statements at eight o’clock.”
-
-“Thank you very much, Bartholomew Snyder,” said Grandma Sharpless,
-shaking hands.
-
-“Not a bit of it! Thanks the other way. You’ve given me a good tip in
-my own game. Watch me—us—wake ‘em up to-morrow.”
-
-Only the combined insistence of Grandma Sharpless and diplomacy of the
-Health Master overrode Mr. Clyde’s angry objections to “going into that
-filthy sheet” when the matter was broached to him that evening. For the
-good of the cause he finally acceded. And next morning the “Star” was a
-sight! It blazed in red captions. It squirmed and wriggled with
-illustrations of alleged germs. It shrieked in stentorian headlines. If
-the city had been beset by all the dogs of war, it couldn’t have blared
-more martial defiance against the enemy. It held its competitors up to
-infinite scorn and derision as mean-spirited shirks and cowards, and
-slathered itself with fulsome praises as the only original prop of
-truth and righteousness. And, as the centerpoint and core of all this,
-flaunted-the statement and signature of the Honorable Thomas Clyde,
-President of the Worthington Public Health League—with photograph. The
-face of Mr. Clyde, as he confronted this outrage upon his sensibilities
-at the breakfast table, was gloom itself until he turned to the
-editorial page. Then he emitted a whoop of glee. For there,
-double-leaded and double-headed was a Health Column, by “Our Special
-Writer, Grandma Sharpless, the Wisest Woman in Worthington. She will
-contribute opinions and advice on the epidemic to the ‘Star’
-exclusively.” (Mr. Snyder had taken a chance with this latter
-statement.)
-
-“Let me see,” gasped the old lady, when her son-in-law made known the
-cause of his mirth. Then, “They’ve published that stuff of mine just as
-I wrote it. I didn’t dream it was for print.”
-
-“That’s what makes it so bully,” said the Health Master. “You’ve got
-the editorial trick of confidential, convincing, man-to-man talk down
-fine. What’s more, you’ll have to keep it up, now. Your friend, Snyder,
-has fairly caught you. Well, we need an official organ in the
-household.”
-
-Vowing that she couldn’t and wouldn’t do it, nevertheless the new
-“editor” began to think of so many things that she wanted to say that,
-each day, when a messenger arrived from the “Star” with a polite
-request for “copy,” there was a telling column ready of the Health
-Master’s wisdom, simplified and pointed by Grandma Sharpless’s own
-pungent, crisp, vigorous, and homely style. Thanks largely to this, the
-“Star” became the mouthpiece of an anti-epidemic campaign which
-speedily enlisted the whole city.
-
-But the “yellow” was not to have the field to itself. Once the cat was
-out of the bag, the other papers not only recognized it as a cat with
-great uproar, but, so to speak, proceeded to tie a can to its tail and
-pelt it through the streets of the city. As a matter of fact, no
-newspaper wishes to be hampered in the publishing of legitimate news;
-and it was only by the sternest threats of withdrawal of patronage that
-the large advertisers had hitherto succeeded in coercing the press of
-Worthington. Further coercion was useless, now that the facts had found
-their way into type. With great unanimity and an enthusiasm none the
-less genuine for having been repressed, the papers rushed into the
-breach. The “Clarion” organized an Anti-Infection League of School
-Children, with officers and banners. The “Press” “attended to” the
-recreant Dr. Mullins so fiercely that, notwithstanding his pull, he
-resigned his position in the Health Department because of “breakdown
-due to overwork in the course of his duties,” and ceased to trouble, in
-official circles. Enterprising reporters of the “Observer” caused the
-arrest of thirty-five trolley-car conductors for moistening transfers
-with a licked thumb, and then got the street-car company to issue a new
-form of transfer inscribed across the back, “Keep me away from your
-Mouth.” It fell to the “Evening News” to drive the common drinking-cup
-out of existence, after which it instituted reforms in soda fountains,
-restaurants, and barber shops, while the “Telegram” garnered great
-glory by interspersing the inning-by-inning returns of the baseball
-championship with bits of counsel as to how to avoid contagion in the
-theater, in the street, in travel, in banks, at home, and in various
-other walks of life. But the “Star” held foremost place, and clinched
-it with a Sunday “cut-out” to be worn as a badge, inscribed “Hands Off,
-Please, Until It’s Over.” All of which, while it sometimes verged upon
-the absurd, served the fundamentally valuable purpose of keeping the
-public in mind of the peril of contact with infected persons or
-articles.
-
-Slowly but decisively the public absorbed the lesson. “Arm’s length”
-became a catch-phrase; a motto; a slogan. People came slowly to
-comprehend the methods by which disease is spread and the principles of
-self-protection.
-
-And as knowledge widened, the epidemic ebbed, though gradually. Serious
-epidemics are not conquered or even perceptibly checked in a day. They
-are like floods; dam them in one place and they break through your
-defenses in another. Inexplicable outbreaks occur just when the tide
-seems to have turned. And when victory does come, it may not be
-ascribable to any specific achievement of the hygienic forces. The most
-that can be said is that the persevering combination of effort has at
-last made itself felt.
-
-The red placards began to disappear; many of them, alas! only after the
-sable symbol of death had appeared beneath them. Dr. Strong and his
-worn-out aides found time to draw breath and reckon up their accounts
-in human life. The early mortality had been terrific. Of the cases
-which had developed in the period of suppression, before antitoxin was
-readily obtainable, more than a third had died.
-
-“Nobody will ever be indicted for those murders,” said Dr. Strong to
-Mr. Clyde grimly. “But we have the satisfaction of knowing what can
-really be done by prompt work. Look at the figures after the free
-anti-toxin was established.”
-
-There was a drop in the death rate, first to twenty per cent, then to
-ten, and, in the ebb stage of the scourge, to well below five.
-
-“How many infections we’ve prevented by giving anti-toxin to immunize
-exposed persons, there’s no telling,” continued Dr. Strong. “That
-principle of starting a back-fire in diphtheria,—it’s exactly like
-starting a back-fire in a prairie conflagration,—by getting anti-toxin
-into the system in time to head off the poison of the disease itself,
-is one of the two or three great achievements of medical science. There
-isn’t an infected household in the city today, I believe, where this
-hasn’t been done. The end is in sight.”
-
-“Then you can go away and get a few days’ rest,” said Grandma
-Sharpless, who constituted herself the Health Master’s own health
-guardian and undiplomaed medical adviser, and to whom he habitually
-rendered meek obedience; for she had been watching with anxiety the
-haggard lines in his face.
-
-“Not yet,” he returned. “Measles we still have with us.”
-
-“Decreasing, though,” said Mrs. Clyde. “Our nurses report a heavy drop
-in new cases and a big crop of convalescents.”
-
-“It is those convalescents that we must watch. I don’t want a
-generation of deaf citizens growing up from this onset.”
-
-“But can you prevent it if the disease attacks the ears?” asked Clyde.
-
-“Almost certainly. We’ve got to inspect every child who has or had
-measles in this epidemic, and, where the ear-drum is shiny and concave,
-we will puncture it, by a very simple operation, which saves serious
-trouble in ninety per cent of the cases, at least. But it means
-constant watchfulness, for often the infection progresses without
-pain.”
-
-“At the same time your inspectors will watch for other after-effects,
-then,” suggested Mrs. Sharpless.
-
-“Exactly. It’s my own opinion that nearly all the serious diseases of
-the eye, ear, liver, kidney, heart, and so on in early middle age are
-the late remote effects of what we carelessly call the lesser diseases
-of childhood. It is only a theory as yet; though some day I think it
-will be proved. At any rate, we know that a serious and pretty definite
-percentage of all deafness follows measles; and we are going to carry
-this thing through far enough to prevent that sequel and to turn over a
-reasonably cleaned-up situation to Dr. Merritt.”
-
-“He’s out of danger, by the way,” said Mrs. Clyde, “and will be back at
-his desk in a fortnight.”
-
-“Well; he’ll have an easier job henceforth,” prophesied Mr. Clyde.
-“He’s got an enlightened city to watch over. And he can thank you for
-that, Strong.”
-
-“He can thank the Clyde family,” said Dr. Strong with feeling. “I could
-have done little without you back of me.”
-
-“It’s been interesting to extend the principles of our Household
-Protective Association to the larger world,” smiled Clyde. “Beyond our
-own city, too, in one case. Manny has had a letter from the Professor
-of Hygiene at Hamilton College, where he enters next year, thanking him
-on behalf of the faculty for his warning about young Hyland who was
-exposed to diphtheria at the Ellery party. He went back to Hamilton a
-few days after and was starting in to play basketball, which would have
-been decidedly dangerous for his team mates; but the authorities, after
-getting Manny’s letter, kept him out of the gymnasium, and kept a watch
-on him. He developed the disease a week later; but there has been no
-infection from him.”
-
-“There’s direct result,” approved Dr. Strong. “That’s what I call
-spreading the gospel.”
-
-“Grandma’s our real revivalist, at that,” said Julia. “The children at
-Number Three pay more attention to her column than they do to what the
-teachers tell them. The principal told us that it was the greatest
-educational force for health that Worthington had ever known.”
-
-“Only reflected wisdom from you, young man,” said Grandma Sharpless to
-the Health Master. “Thank goodness, I’m through with it. I’m so sick of
-it that I can’t look at writing materials without wanting to cut the
-ink bottle’s throat with my penholder. Bart Snyder has let me off.
-What’s more, he sent me a check for $250. Pretty handsome of him. But
-I’m going to send it back.”
-
-“Why waste good money, grandma?” drawled Mr. Clyde.
-
-“You wouldn’t have me keep it, would you, for doing that work?”
-
-“Who said anything about keeping it? But don’t feed it back to Bart
-Snyder. Why not contribute it to the Public Health League? It’s always
-got a handsome deficit.”
-
-“In graceful recognition of my having a son-inlaw as president of it, I
-suppose.”
-
-“I’m not president any more. My term was up last night. They didn’t
-honor me with a reelection,” said Mr. Clyde, with a rather too obvious
-glumness, which, for once, escaped the sharp old lady.
-
-“The slinkums!” she cried. “After all the time and work you’ve given to
-it!”
-
-“Well,” said the ex-incumbent philosophically, “there’s one comfort.
-They’ve put a better man in my place.”
-
-“No such a thing,” declared his mother-in-law, with vehement
-partisanship. “They couldn’t find one. Who was it?”
-
-“Give you one guess.”
-
-“Was it you, young man?” queried she, fixing the Health Master with a
-baleful eye.
-
-“Oh, no; a better man than I,” he hastened to assure her.
-
-“Well, in the name of sakes, who, then?”
-
-“You,” said Mr. Clyde, grabbing the old lady by both shoulders and
-giving her a vigorous kiss. “Unanimously elected amidst an uproar of
-enthusiasm, as the ‘Star’ puts it. Here it is, on the first column of
-the front page.”
-
-For the first time in the history of the Clyde household, the senior
-member thereof gave way to an unbridled license of speech, in the
-presence of the family.
-
-“Well, I vum!” said Grandma Sharpless.
-
-
-
-
-XII.
-PLAIN TALK
-
-
-“What do you find so interesting in that paper, Strong?” asked Mr.
-Thomas Clyde, from his place in the corner of the big living-room.
-
-Dinner was just finished in the Clyde household, and the elders were
-sitting about, enjoying the easy and intermittent talk which had become
-a feature of the day since the Health Master had joined the family.
-From outside, the play of lively voices, above the harmonized
-undertones of a strummed guitar, told how the children were employing
-the after-dinner hour. Dr. Strong let the evening paper drop on his
-knees.
-
-“Something that has set me thinking,” he said.
-
-“Don’t you ever give that restless mind of yours a vacation, young
-man?” inquired Grandma Sharpless, looking up from her game of
-solitaire.
-
-“All that is good for it. Perhaps you’d like to share this problem, and
-thus relieve me of part of the responsibility.”
-
-“Do go on, if you’ve found anything exciting,” besought Mrs. Clyde,
-glancing up with her swift, interrogating smile. “The paper seemed
-unusually dull to me.”
-
-“Because you didn’t read quite deep enough into it, possibly.” He
-raised the journal, folded it neatly to a half-page, and holding it
-before his eyes, began smoothly:—
-
-“Far, far away, as far as your conscience will let you believe, in the
-Land of Parables—”
-
-“Wait a minute,” interrupted Mr. Clyde. “That ‘Land of Parables’ sounds
-as if we were going to have some Improving Information.” He regarded
-his friend and adviser with a twinkling eye. “Ought the children to
-miss this?”
-
-“That is for you to decide later,” said the Health Master gravely. And
-he resumed:—
-
-“Far, far away, as far as conscience will let you believe, in the Land
-of Parables, there once stood a prosperous and self-contented city. Men
-lived therein by rule and rote. Only what their fathers before them had
-believed and received did they believe and receive. ‘As it hath been,
-so it is now and ever must and shall be,’ was the principle whereby
-their lives were governed. Therefore they endured, without hope as
-without complaint, the depredations of a hideous Monster who preyed
-upon them unceasingly.
-
-“So loathsome was this Monster that the very thought of him was held to
-taint the soul. His name was sealed away from the common speech. Only
-the boldest men spoke of him, and then in paraphrases and by
-circumlocutions. Fouled, indeed, was the fame of the woman who dared so
-much as confess to a knowledge of his existence.
-
-“From time to time the wise and strong men of the city banded together
-and sallied forth to drive back other creatures of prey as they pressed
-too hard upon the people. Not so with the Monster. Because of the ban
-of silence no plan could be mooted, no campaign formulated to check his
-inroads. So he grew great and ever greater, and his blood hunger fierce
-and ever more fierce, and his scarlet trail wound in and out among the
-homes of the people, manifest even to those eyes which most sedulously
-sought to blind themselves against it.
-
-“Seldom did the Monster slay outright. But where his claws clutched or
-his fangs pierced, a slow venom crept through the veins, and life was
-corroded at its very wellsprings. Nor was this the worst. Once the
-blight fell upon one member of a household, it might corrupt, by hidden
-and subtle ways, the others and innocent, who knew not of the curse
-overhanging them.
-
-“Upon the foolish, the reckless, and the erring the Monster most
-readily fastened himself. But man nor woman nor child was exempt.
-Necessity drove young girls, struggling and shuddering, into the
-Monster’s very jaws. The purity of a child or of a Galahad could not
-always save from the serpent-stroke which sped from out the darkness.”
-
-“One moment, Strong,” broke in Mr. Clyde. “You’ve read this before?”
-
-“I know what is in it, if that is what you mean. Why?”
-
-“Nothing,” hesitated the other, glancing toward his wife and her
-mother. “Only, I suspect it isn’t going to be pleasant.”
-
-“It isn’t pleasant. It’s true.”
-
-Grandma Sharpless laid down her cards. “Let him go on, Tom,” she said
-decisively. “We have no ban of silence in this house.”
-
-At a nod from Clyde, the Health Master continued:—
-
-“Always the taboo of silence hedged the Monster about and protected
-him; and men secretly revolted against it, yet were restrained from
-speech by the fear of public dishonor. So, in time, he came to have a
-Scarlet Court of Shame, with his retinue of slaves, whose duty it was
-to procure victims for his insatiate appetite. But this service availed
-his servitors nothing in forbearance, for, sooner or later, his breath
-of fiery venom blasted and withered them, one and all.
-
-“One refuge only did the people seek against the Monster. At every
-doorpost of the city stood a veiled statue of the supposed Goddess and
-Protectress of the Household, worshiped under the name of _Modesty_,
-and to her the people appealed for succor and protection. Also they
-invoked her vengeance against such as spoke the name of the Monster,
-and bitter were the penalties wrought upon these in her name.
-Nevertheless there arose martyrs whose tongues could not be silenced by
-any fear.
-
-“One was a brave priest who stood in his pulpit unashamed and spoke the
-terrible truth of the Monster, bidding his hearers arise and band
-themselves together and strike a blow for their homes and their dear
-ones. But the people hurried forth in dread, and sought refuge before
-the Veiled Idol; and the priest’s words rang hollow in the empty
-tabernacle; and his church was deserted and crumbled away in neglect,
-so that the fearful said:—
-
-“‘Behold the righteous wrath which follows the breaking of the
-prescribed silence.’
-
-“Again, a learned and pious physician and healer gathered the young men
-about him in the marketplace to give them solemn warning against the
-Monster and his scarlet slaves. But his words returned upon himself,
-and he was branded with shame as one who worshiped not the Veiled
-Goddess, and was presently driven forth from his own place into the
-wilderness.
-
-“Then there came into the hall of the City Fathers a woman with
-disheveled hair and tear-worn cheeks, who beat upon her breast and
-cried:—“‘Vengeance, O Wise and Great Ones! My son, my little son went
-to the public baths, and the venom of the Monster was upon the waters,
-and my son is blind forever. What will ye do, that others may not
-suffer my grief?’
-
-“And the Wise and Great Ones spoke together and said:—
-
-“‘Surely this woman is mad, that she thus fouls her lips.’ And they
-drove her out of their presence.
-
-“From among their own number there came a terror and a portent. For
-their Leader, who had been stricken in youth, but thought himself to
-have thrown off the toils of the Monster, rose in his place and spoke
-in a voice that piped and shook:—
-
-“‘Because no man taught me in my unripe days, I strayed into the paths
-of the Scarlet One. For the space of a generation I hoped; but now the
-clutch is upon me again, and I die. See to it, O my Fellows, that our
-youth no longer perish in their ignorance.’
-
-“So he passed out from the place of honor; and the strength of his mind
-and his body was loosened until he died. But, rather than violate the
-taboo, the Wise and Great Ones gave a false name to his death, and he
-was buried under a graven lie.
-
-“Finally there came to the Council Hall one with the fire of martyrdom
-in his eyes.
-
-“‘Though I perish,’ he said, ‘I and mine, yet will I speak the truth
-for once. My daughter I have given in marriage, and the Monster has
-entered into the house of her marriage, and from henceforth she must
-go, a maimed creature, sexless and childless, to the end of her days.
-Shame upon this city, that it endures such shame; for my daughter is
-but one of many.’
-
-“‘The shame be yours,’ replied the Fathers, ‘that you bring scandal
-upon your own. Go forth into exile, in the name of the Veiled Goddess,
-_Modesty_, beneath whose statue we meet.’
-
-“But the man strode forward, and with a violent hand plucked the veil
-from the statue.
-
-“‘Not the Protectress of Homes,’ he cried, ‘but the ally of the
-Monster. Not the Goddess, _Modesty_, but her sham sister, _Prudery_.
-Down with false gods!’
-
-“So saying, he threw the idol to the ground, where it was shattered
-into a thousand pieces. With those pieces the Fathers stoned him to
-death.
-
-“But in many households that night there was a baring of the Veiled
-Idol. And ever, behind the folds, was revealed not the pure gaze of the
-True Goddess, but the simper and leer of _Prudery_, mute accomplice of
-_Shame_.
-
-“Thus did the city awake. Fearfully it gathered its forces; tremblingly
-it prepared its war upon the Monster. But the Monster is intrenched.
-Its venom runs through the blood of the people, poisoning it from
-generation to generation, so that neither the grandsons nor the
-great-grandsons of those who stoned the martyr to the False Goddess
-shall escape the curse. The Prophet has said it: ‘Even unto the third
-and the fourth generations.’
-
-“_De te fabula narratur_; of you is the fable narrated.
-
-“The Land of Parables is your country.
-
-“The stricken city is your city.
-
-“The Monster coils at your doorway, lying in wait for your loved ones;
-and no prudence, no precaution, no virtue can guard them safely against
-his venom so long as the Silence of Prudery holds sway.”
-
-Dr. Strong let the newspaper fall on his lap, and looked slowly from
-face to face of the silent little group.
-
-“Need I tell you the name of the destroyer?” he asked.
-
-“Not me,” said Mrs. Clyde in a low tone. “It is a two-headed monster,
-isn’t it?”
-
-The Health Master nodded. “And because we all fear to utter the words
-‘venereal disease,’ our children grow up in the peril of the Monster
-whose two allies are Vice and Ignorance.”
-
-“One editor in this town, at least, has some gumption,” commented
-Grandma Sharpless, peering over her spectacles at the sheet which Dr.
-Strong had let fall. “Which paper is it?”
-
-“None, if you must know. The fact is, I read that allegory into the
-newspaper, not out of it.”
-
-“Then it was your own?” asked Mrs. Clyde. “Such as it is, mine own. But
-the inspiration came from this headline.” He pointed to a legend in
-heavy type:—
-
-DIVORCE IN THE INSIDE SET
-
-AFTER SEX MONTHS OF MARRIAGE, MRS. BARTLEY STARR SEEKS FREEDOM—NATURE
-OF CHARGES NOT MADE PUBLIC
-
-
-“Do you know what is back of it, Strong?” asked Clyde.
-
-“The ruin of a life. Bartley Starr has been a ‘rounder.’ With the curse
-of his vices upon him he married a young and untaught girl.” He
-repeated with slow significance a passage from the allegory. “The
-Monster entered into the house of her marriage, and from henceforth she
-must go, a maimed creature, sexless and childless, to the end of her
-days.”
-
-“Oh, no, no!” burst out Mrs. Clyde. “Not poor little, lovely, innocent
-Margaret Starr!”
-
-“Too innocent,” retorted the Health Master. “And more than innocent;
-ignorant.”
-
-“But Bartley Starr!” said Mr. Clyde. “Who would have supposed him such
-a scoundrel? And with his bringing-up, too!”
-
-“The explanation lies in his bringing-up.”
-
-“Nonsense! Henry Starr is as upright a man and as good a father as you
-can find in Worthington.”
-
-“The former, perhaps. Not the latter, certainly. He is a worshiper of
-the False Veiled Goddess, I suspect. Hence Bartley’s tragedy.”
-
-“Do you blame Bartley’s viciousness upon his father?” demanded Mrs.
-Clyde.
-
-“In part, at least. I happen to know a good deal about this case.
-Bartley got his sex-education or miseducation from chance talk at
-school. He took that to college with him, and there, unguided, fell
-into vicious ways. I don’t suppose his father ever had a frank talk
-with him in his life. And I judge that little Mrs. Starr’s mother never
-had one with her, either. Look at the result!”
-
-“But boys find out about such things some way,” said Mr. Clyde
-uneasily.
-
-“Some way? What way? And from whom? How much has Manny found out?”
-
-“I don’t know,” said Manny’s father.
-
-“Why don’t you know?” persisted the Health Master relentlessly. “You
-are his father, and, what is more, his friend.”
-
-“Why must Manny know?” cried Mrs. Clyde. “Surely my son isn’t going to
-wallow in that sort of foulness.”
-
-“Pray God he is not!” said Grandma Sharpless, turning her old, shrewd,
-kind face, the eyes bright and soft with feeling, toward her daughter.
-“But, oh, my dear, my dear, the bitterest lesson we mothers have to
-learn is that our children are of the common flesh and blood of
-humanity.”
-
-“Manny is clean-minded and high-spirited,” said Strong. “But not all of
-his companions are. Not a month ago I heard one of the older boys in
-his class assuring some of his fellows, in the terms of the most
-damnable lie that ever helped to corrupt youth, ‘Why, it ain’t any
-worse than an ordinary cold.’”
-
-“That was a stock phrase of the young toughs when I was a boy,” said
-Mr. Clyde. “So it still persists, does it?”
-
-“Any worse than an ordinary cold?” repeated Mrs. Clyde, looking
-puzzled. “What did he mean?”
-
-“Gonorrhoea,” said Dr. Strong.
-
-Mrs. Clyde winced back and half-rose from her chair.
-
-“Are you going?” asked the Health Master rather ‘grimly. “Must I be
-mealy-mouthed on this subject? Here I am, trying to tell you something
-of the most deadly import, and am I to choose perfumed words and pick
-rose-tinted phrases?”
-
-“Speak out, Strong,” said the head of the house. “I’ve been rather
-expecting this.”
-
-“First, then: you need not worry about Manny. I talked to him, long
-ago.”
-
-“But he’s only a boy, still,” said Mrs. Sharpless involuntarily.
-
-“He enters college this fall. And I’ve made sure that he won’t take
-with him the ‘no worse than a cold’ superstition about a disease which
-has wrecked the lives of thousands of Bartley Starrs.”
-
-“But I thought that Starr’s was the—the other and worse form,” said Mr.
-Clyde.
-
-“Plain talk,” adjured the Health Master. “You thought it was syphilis?”
-
-“Yes.”
-
-“And you thought syphilis worse than gonorrhoea?”
-
-“Surely!”
-
-“Well, it isn’t. I’ll explain that in detail presently. Just now—”
-
-“Do I have to hear all of this,” appealed Mrs. Clyde, with a face of
-piteous disgust.
-
-“Well, _I_ told Manny,” said the Health Master in measured tones. “Must
-I be the one to tell Julia, too?”
-
-“Julia!” cried the mother. “Tell Julia?”
-
-“Some one must tell her.”
-
-“That child?”
-
-“Fourteen years old, and in high school. Last year there were ten known
-cases of venereal disease among the high-school girls.”[3]
-
- [3] These and the following instances are based on actual and
- established medical findings.
-
-
-“How horrible!”
-
-“Bad enough. I have known worse elsewhere. In a certain small city
-school, several years ago, it was discovered that there was an epidemic
-of vice which involved practically the whole school. And it was
-discovered only when venereal disease broke out. Our school authorities
-are just beginning to learn that immorality must be combated by
-watchfulness and quarantine, just as contagious disease must.”
-
-“How was the outbreak in our high school found out?” asked Grandma
-Sharpless.
-
-“In a curious and tragic way. One of the boys developed a sudden and
-serious inflammation of the eyes. At first the ophthalmologist to whom
-he went was puzzled. Then he began to suspect. A bateriological
-analysis showed that it was a case of gonorrhoeal infection. It was by
-a hair’s breadth that the less infected eye was saved. The sight of the
-other is lost. Examination showed that the disease was confined to the
-eyes. By a careful bit of medical detective work, the physician and the
-principal of the high school determined that the infection came from
-the use of a bath-towel in the house of a fellow-pupil where the
-patient had spent two or three nights. This pupil was examined and
-found to have a fully developed case, which he had concealed, in fear
-of disgrace. Consequently, the poison is now so deep-seated in him that
-it may be years before he is cured. He made a confession implicating a
-girl in the class above him. A rigid investigation followed which
-brought the other cases to light.”
-
-“I shall take Julia out of that school at once,” said Mrs. Clyde,
-half-crying.
-
-“No,” controverted the Health Master gently. “I shouldn’t do that. In
-the complex life of a city like this, it is impossible to shelter a
-girl completely and permanently. Better armor her with knowledge.
-Besides, the danger in the school, being discovered, is practically
-over now. In time, and using this experience as a lever with the school
-authorities, we hope to get a course of lectures on hygiene
-established, including simple sex-instruction. Meantime this must be
-carried on by the mothers and fathers.”
-
-“But what am I to say to Julia?”
-
-“That is what I am going to tell you,” replied the Health Master, “and
-look to you to pass on the truth in terms too plain to admit of any
-misunderstanding. First, does she know what womanhood and motherhood
-mean?”
-
-“Not yet, I think. She seems so young. And it’s so hard to speak of
-those things. But I thought I would try to explain to her some day.”
-
-“Some day? At once! How can you think her too young? She has already
-undergone the vital change from childhood to womanhood, and without so
-much as a word of warning or reassurance or explanation as to what it
-means.”
-
-“Not quite without,” put in Grandma Sharpless quietly.
-
-“Good!” approved the Health Master. “But be sure that the explanation
-is thorough. Tell her the significance of sex and its relation to
-reproduction and life. If you don’t, be sure that others will. And
-their version may well be in terms which would make a mother shudder to
-hear.”
-
-“Who would tell her?” asked Mrs. Clyde.
-
-“Her playmates. Do you think that girls don’t talk of the mysteries as
-much as boys? If so, you’re sadly in error. The first essential is that
-she should understand truly and wisely what it means to be a woman.
-That is fundamental. And now for the matter of venereal disease. I am
-going to lay certain facts before you all, and you can hand on to the
-children such modifications as you deem best.
-
-“First, gonorrhoea, because it is the worse of the two. That is not the
-accepted notion, I know: but the leading specialists one by one have
-come around to the view, that, by and large, it does more damage to
-humanity than the more greatly dreaded syphilis. For one thing, it is
-much more widespread. While there are no accurate statistics covering
-the field in general, it is fairly certain that forty per cent of all
-men over thirty-five in our larger cities have had the disease at some
-time.”
-
-“That doesn’t seem possible,” broke in Mr. Clyde.
-
-“Not to you, because you married early, and your associations have been
-largely with family, home-loving men. But ask any one of the traveling
-salesmen in your factory his view. Your traveling man is the Ulysses of
-modern life, ‘knowing cities and the hearts of men.’ I think that
-you’ll find that compared with the ‘commercial’ view, my forty per cent
-is optimistic.”
-
-“But it is easily curable, isn’t it?” asked Mrs. Clyde, insensibly
-yielding to the Health Master’s matter-of-fact tone, and finding,
-almost insensibly, that her interest in the hygienic problem had
-overcome her shamed reluctance to speak of it.
-
-“Often in the early stages. But it is very uncertain. And once firmly
-fixed on the victim, it is one of the most obstinate and treacherous of
-diseases. It may lie dormant for months or even years, deceiving its
-victim into thinking himself wholly cured, only to break out again in
-full conflagration, without warning.
-
-“This is the history of many ruined marriages. Only by the most
-searching tests can a physician make certain that the infection is
-stamped out. Probably no disease receives, on the average, such harmful
-treatment by those who are appealed to to cure it. The reason for this
-is that the young man with his first ‘dose’—that loathsome, light term
-of description!—is ashamed to go to his family physician, and so takes
-worthless patent medicines or falls into the hands of some ‘Men’s
-Specialist’ who advertises a ‘sure cure’ in the papers. These
-charlatans make their money, not by skillful and scientific treatment,
-of which they know nothing, nor by seeking to effect a cure, but by
-actually nourishing the flame of the disease, so as to keep the patient
-under their care as long as possible, all the time building up fat fees
-for themselves. If they were able, as they claim, to stop the infection
-in a few days at a small fee, they couldn’t make money enough to pay
-for the scoundrelly lies which constitute their advertisements. While
-they are collecting their long-extended payments from the victim, the
-infection is spreading and extending its roots more and more deeply,
-until the unfortunate may be ruined for life, or even actually killed
-by the ravages of the malignant germs.”
-
-“I didn’t suppose that it was ever fatal,” said Clyde.
-
-“Oh, yes. I’ve seen deaths in hospitals, of the most agonizing’ kind.
-But it is by virtue of its byproducts, so to speak, that gonorrhoea is
-most injurious and is really more baneful to the race than syphilis.
-The organism which causes it is in a high degree destructive to the
-eyes. Newborn infants are very frequently infected in this way by
-gonorrhoeal mothers. Probably a quarter of all permanent blindness in
-this country is caused by gonorrhoea. The effect of the disease upon
-women is disastrous. Half of all abdominal operations on married women,
-excluding appendicitis, are the results of gonorrhoeal infection from
-their husbands. A large proportion of sterility arises from this cause.
-A large proportion of the wives of men in whom the infection has not
-been wholly eradicated pay the penalty in permanently undermined
-health. And yet the superstition endures that ‘it’s no worse than a bad
-cold.’”
-
-“There is no such superstition about syphilis, at least,” remarked
-Clyde.
-
-“No. The very name is a portent of terror, and it is well that it
-should be so. The consequence is that the man who finds himself
-afflicted takes no chances, as a rule. He goes straight to the best
-physician he can find, and obeys orders under terror of his life. Thus
-and thus only, he often is cured. Terrible as syphilis is, there is
-this redeeming feature: we can tell pretty accurately when the organism
-which causes it is eliminated. Years after the disease itself is cured,
-however, the victim may be stricken down by the most terrible form of
-paralysis, resulting from it.”
-
-“Isn’t the Ehrlich treatment regarded as a sure cure?” asked Mrs.
-Sharpless.
-
-“No cure is sure. Salvarsan, skillfully administered, is as near a
-specific as any known form of treatment. But we don’t know whether it
-has any effect at all upon locomotor ataxia or general paralysis, the
-after effects, which may destroy the patient fifteen or twenty years
-after the actual disease has been cured. All locomotor ataxia and all
-general paralysis come from syphilis. And these diseases are not only
-incurable, but are as nearly a hell on earth as poor humanity is ever
-called upon to endure. Of course, you know that a man who is base
-enough to marry with syphilis dooms his children. Fortunately
-seventy-five or eighty per cent of the offspring of such marriages die
-in infancy or early childhood. The rest grow up deficient in mind or
-body or both. Upwards of ten per cent of all insanity is syphilitic in
-its origin.
-
-“Both venereal diseases are terribly contagious. Innocence is no
-protection. Syphilis may be contracted from a drinking-cup or
-eating-utensil, or from the lips of an infected person having an open
-sore on the mouth. Gonorrhoea is spread by towels, by bathtubs, or from
-contaminated toilets. No person, however careful, is immune from either
-of the ‘red plagues.’ And yet the public is just beginning to be
-educated to the peril.”
-
-“Why wouldn’t that be a good topic for the Woman’s Club to discuss?”
-asked Grandma Sharpless.
-
-“Splendid!” said Dr. Strong. “That is, if they would allow you to talk
-about it.”
-
-“_Allow_ me!” The old lady’s firm chin tilted up sharply. “Who’s going
-to put the ban of silence on me?”
-
-“Nobody, I dare say, if you make up your mind to speak,” replied Dr.
-Strong, smiling. “But some will probably try. Would you believe that,
-only a short time since, a professor of hygiene in one of our leading
-universities had to abandon a course of lectures to the students
-because the wives of the faculty and trustees objected to his including
-venereal diseases in his course? And a well-known lecturer, who had
-been invited to speak on health protection before a list of colleges,
-suffered the indignity of having the invitation withdrawn because he
-insisted that he could not cover the ground without warning his hearers
-against the twin pestilences of vice.”
-
-“Are the colleges so greatly in need of that sort of warning?” asked
-Mrs. Clyde.
-
-“Subsequent records obtained from some of the protesting institutions
-showed that one third of the students had at some time been infected.”
-
-“I’m glad you’ve told my boy,” said Mrs. Clyde, rising. “I’ll talk to
-my girls.”
-
-“And I to the women,” said Mrs. Sharpless. “Then I’d better make a
-list, for both of you, of the literature on the subject which you will
-find useful,” said the Health Master. “I’ll give it to you later.”[4]
-
- [4] The list of publications on the sex problem and venereal disease
- recommended by the Health Master to the Clyde family was as follows:—
-Published by the California Social Hygiene Society, Room 256, U.S.
-Custom House, San Francisco, Calif.: The Four Sex Lies, When and How to
-Tell the Children, A Plain Talk with Girls about their Health and
-Physical Development. Published by the Detroit Society for Sex Hygiene,
-Wayne Co. Medical Society Building, Detroit, Mich.: To the Girl who
-does not Know, A Plain Talk with Boys. Published by the Chicago Society
-of Social Hygiene, 305 Reliance Building, Chicago, Ill: Self
-Protection, Family Protection, Community Protection. Published by the
-Maryland Society for Social Hygiene, 15 East Pleasant Street,
-Baltimore, Md.: The So- Called Sexual Necessity in Man, The Venereal
-Diseases. Published by the American Federation for Sex Hygiene, 105
-West 40th St., N.Y. City: List of Publications of the Constituent
-Societies, The Teaching of Sex Hygiene, Sex Instruction as a Phase of
-Social Education. Published by the Society of Sanitary and Moral
-Prophylaxis: The Sex Problem, Health and the Hygiene of Sex.
-
-
-For a time after the women had left, the two men sat silent.
-
-“Strong,” said Mr. Clyde presently, “who is Bartley Starr’s physician?”
-
-“Dr. Emery.”
-
-“Why didn’t he warn him not to marry?”
-
-“He did. He positively forbade it.”
-
-“And Starr married that young girl in the face of that prohibition?”
-
-“He thought he was cured. Dr. Emery couldn’t say positively that he
-wasn’t. He could only beg him to wait another year. Starr hadn’t the
-courage—or the principle; he feared scandal if he postponed the
-wedding. So he disregarded the warning and now the scandal is upon him
-with tenfold weight.”
-
-“Isn’t there any law for such cases?”
-
-“Not in this state. Indiana requires that parties to a marriage swear
-to their freedom from venereal disease and certain other ailments.
-Other states have followed suit. Every state ought to.”
-
-“Why didn’t Dr. Emery go to the girl’s father, then?”
-
-“Because of our damnable law,” returned the Health Master with a sudden
-and rare access of bitterness.
-
-“You mean that the law forbids?”
-
-“It holds the physician liable for any professional confidence
-violated.” Dr. Strong rose and paced up and down the room, talking with
-repressed energy. “Therein it follows medical ethics in its most
-conservative and baneful phase. The code of medical conduct provides
-that a physician is bound to keep secret all the private affairs of a
-patient, learned in the course of practice. One body, the American
-Institute of Homoeopathy, has wisely amended its code to except those
-cases where ‘harm to others may result.’ That amendment was passed with
-particular reference to venereal disease.”
-
-“What about contagious disease?” asked Mr. Clyde. “Doesn’t the law
-require the physician to report diphtheria, for instance, and thus
-violate the patient’s confidence?”
-
-“Certainly it does. All schools recognize that principle of protection
-to the public. Yet, in the case of syphilis or gonorrhoea, when the
-harm to the public health is far greater than from any ‘reportable’
-disease except tuberculosis, the physician must hold his peace, though
-he sees his patient pass out of his hands bearing fire and sword and
-poison to future generations. There’s the Ban of Silence in its most
-diabolical form!”
-
-Mr. Clyde regarded his household physician keenly. “I’ve never before
-seen you so stirred,” he observed.
-
-“I’ve reason to be stirred.” The Health Master whirled suddenly upon
-his friend and employer. “Clyde, you’ve never questioned me as to my
-past.”
-
-“No.”
-
-“Have you never wanted it cleared up?”
-
-“No.”
-
-“You’ve always been willing to take me on trust?”
-
-“Yes.”
-
-“And I appreciate it. But now I’m going to tell you how I happened to
-come to you, a broken and ruined man.”
-
-“Think it over, Strong,” advised Mr. Clyde. “Don’t speak now. Not that
-it would make any difference to me. I know you. If you were to tell me
-that you had committed homicide, I’d believe that it was a necessary
-and justifiable homicide.”
-
-“Suicide, rather,” returned the other with a mirthless laugh;
-“professional suicide. I’ll speak now, if you don’t object.”
-
-“Go ahead, then, if it will ease your mind.”
-
-“I’m a lawbreaker, Clyde. I did, years ago, what you thought Emery
-should have done. I deliberately violated the profession’s Ban of
-Silence. The man was my patient, in the city where I had built up a
-good high-class practice. He had contracted gonorrhoea and I had
-treated him for a year. The infection seemed to be rooted out. But I
-knew the danger, and when he told me that he was engaged to be married,
-to a girl of my own set and a valued friend, I was horror-stricken. I
-pleaded, argued, and finally threatened. It was no use. He was the
-spoiled child of a wealthy family, impatient of any thwarting. One day
-the suspicions of the girl’s mother were aroused. She came to me in
-deep distress. I told her the truth. The engagement was broken. The man
-did not bring suit against me, but his family used their financial and
-social power to persecute and finally drive me out of the city, a
-nervous wreck. That’s my history.”
-
-“You could have protected yourself by telling the true facts,”
-suggested Clyde. .
-
-“Yes: but that would have been an unforgivable breach of confidence.
-The public had no right to the facts. The girl’s family had.”
-
-“Then they should have come to your rescue with the truth.”
-
-“I bound them to secrecy.”
-
-Slowly Mr. Clyde rose, walked over, picked up the paper with the
-staring headlines, folded it, laid it on the table, and, in passing the
-physician, set a hand, as if by chance, upon his shoulder. From so
-undemonstrative a man the action meant much.
-
-“So,” he said with affectionate lightness, “my Chinese physician had
-been fighting dragons before he ever came to us; worse monsters than
-he’s been called upon to face, since. That was a splendid defeat,
-Strong.”
-
-“A bitter one,” said the Health Master; “and by the same old Monster,
-in another manifestation that we’ve been fighting here. We’ve downed
-him now and again, you and I, Clyde. But he’s never killed: only
-scotched. He’s the universal ally of every ill that man hands on to
-man, and we’ve only to recognize him under the thousand and one
-different forms he assumes to call him out to battle under his real
-name.”
-
-“And that is?” inquired Clyde.
-
-“Ignorance,” said the Health Master.
-
-THE END
-
-
-
-
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+The Project Gutenberg eBook of The Health Master, by Samuel Hopkins Adams + +This eBook is for the use of anyone anywhere in the United States and +most other parts of the world at no cost and with almost no restrictions +whatsoever. You may copy it, give it away or re-use it under the terms +of the Project Gutenberg License included with this eBook or online at +www.gutenberg.org. If you are not located in the United States, you +will have to check the laws of the country where you are located before +using this eBook. + +Title: The Health Master + +Author: Samuel Hopkins Adams + +Release Date: August 2, 2018 [eBook #57543] +[Most recently updated: April 14, 2021] + +Language: English + +Character set encoding: UTF-8 + +Produced by: David Widger + +*** START OF THE PROJECT GUTENBERG EBOOK THE HEALTH MASTER *** + + + + +THE HEALTH MASTER + +By Samuel Hopkins Adams + +Associate Fellow of the American Medical Association + +Boston And New York Houghton Mifflin Company + +1913 + + + + +_To George W. Goler, M.D., a type of the courageous, unselfish, and +far-sighted health official, whom the enlightened and progressive city +of Rochester, N. Y., hires to keep it well, on the “Chinese plan,” this +book is inscribed, with the hope that it may, by exercising some +influence in the hygienic education of the public, aid the work which +he and his fellow guardians of the public health are so laboriously and +devotedly performing throughout the nation._ + + +Contents + + INTRODUCTORY NOTE + I. THE CHINESE PLAN PHYSICIAN + II. IN TIME OF PEACE + III. REPAIRING BETTINA + IV. THE CORNER DRUG-STORE + V. THE MAGIC LENS + VI. THE RE-MADE LADY + VII. THE RED PLACARD + VIII. HOPE FOR THE HOPELESS + IX. THE GOOD GRAY DOCTOR + X. THE HOUSE THAT CAUGHT COLD + XI. THE BESIEGED CITY + XII. PLAIN TALK + + + + +INTRODUCTORY NOTE + + +To dogmatise on questions of medical practice is to invite controversy +and tempt disaster. The highest wisdom of to-day may be completely +refuted by to-morrow’s discovery. Therefore, for the simple principles +of disease prevention and health protection which I have put into the +mouth of my Health Master, I make no claim of finality. In support of +them I maintain only that they represent the progressive specialized +thought of modern medical science. So far as is practicable I have +avoided questions upon which there is serious difference of belief +among the authorities. Where it has been necessary to touch upon these, +as, for example, in the chapter on methods of isolation in contagious +diseases, a question which arises sooner or later in every household, I +have advocated those measures which have the support of the best +rational probability and statistical support. + +Not only has the book been prepared in consultation with the recognized +authorities on public health and preventive medicine, but every chapter +has been submitted to the expert criticism of specialists upon the +particular subject treated. My own ideas and theories I have advanced +only in such passages as deal with the relation of the physician and of +the citizen to the social and ethical phases of public health. To the +large number of medical scientists, both public and private, whose +generous aid and counsel have made my work possible, I gratefully +acknowledge my debt. My thanks are due also for permission to reprint, +to the _Delineator_, in which most of the chapters have appeared +serially; to _Collier’s Weekly_, and to the _Ladies’ Home Journal_. + +The Author. + + + + +I. +THE CHINESE PLAN PHYSICIAN + + +THE eleven-o’clock car was just leaving Monument Square when Mr. Thomas +Clyde swung aboard with an ease and agility worthy of a younger and +less portly man. Fortune favored him with an unoccupied seat, into +which he dropped gratefully. Just in front of him sprawled a +heavy-shouldered young man, apparently asleep. Mr. Clyde was +unfavorably impressed both by his appearance and by the manner of his +breathing, which was as excessive as it was unusual. As the car swung +sharply around a curve the young man’s body sagged at the waist, and +lopped over toward the aisle. Before Mr. Clyde’s restraining hand could +close upon his shoulder, he had tumbled outward to the floor, and lay +quiet, with upturned face. There was a stir through the car. + +“The horrid drunken creature!” exclaimed a black-clad woman opposite +Mr. Clyde. “Why do they allow such people on the cars?” + +The conductor hurried forward, only to find his way blocked by a very +tall, slender man who had quietly stepped, from a seat next the window, +over an intervening messenger boy and the box he was carrying. The new +arrival on the scene of action stooped over the prostrate figure. One +glance apparently satisfied him. With a swift, sharp motion he slapped +the inert man forcefully across the cheek. The sound of the impact was +startlingly loud. The senseless head rolled over upon the left +shoulder, only to be straightened out by another quick blow. A murmur +of indignation and disgust hummed and passed, and the woman in black +called upon the conductor to stop the assault. But Mr. Thomas Clyde, +being a person of decision and action, was before the official. He +caught the assailant’s arm as it swung back again. + +“Let him alone! What do you mean by beating a helpless man that way!” + +“Do you know more about this affair than I do?” The crisp query was +accompanied by a backward thrust of the tall man’s elbow which broke +Mr. Clyde’s hold, and—smack! smack!—the swift double blow rocked the +victim’s head again. This time the man groaned. The car was in an +uproar. Mr. Clyde instantly and effectively pinned the tall man’s +elbows from behind. Some one pulled the bell, and the brakes ground, +throwing those forward who had pressed into the aisle. Against this +pressure, Mr. Clyde, aided by the conductor, began dragging his man +backward. The stranger was helpless to resist this grip; but as he was +forced away he perpetrated a final atrocity. Shooting out one long leg, +he caught the toe of his boot under the outstretched man’s jawbone and +jerked the chin back. This time, the object of the violence not only +groaned, but opened his eyes. + +“I’ll have you in jail for that!” panted Mr. Clyde, his usually placid +temper surging up. + +Other passengers began to lift the victim. + +“Drop him!” snapped the tall man, with such imperative decisiveness, +that the helping hands involuntarily retracted. “Let him lie, you +fools! Do you want to kill him?” + +Misgivings beset and cooled Mr. Thomas Clyde. He had now reached the +rear platform, still holding in his powerful and disabling grasp the +unknown man, when he heard a voice from an automobile which had been +halted by the abrupt stop of the car. + +“Can I be of any help?” + +“Dr. Magruder!” exclaimed Mr. Clyde, “come in here, will you, and look +at a sick man?” + +As the doctor stepped aboard, the captive with a violent wrench freed +himself from Mr. Clyde’s relaxing hold and dropped from the platform +into the darkness. Dr. Magruder forced his way through the crowd, took +one look at the patient, and, right and left, struck him powerfully +across the cheeks time and again, until the leaden-lidded eyes opened +again. There was a quick recourse to the physician’s little satchel; +then— + +“All right,” said the doctor cheerfully. “He’ll do now. But, my friend, +with that heart of yours, you want to sign the pledge or make your +will. It was touch and go with you that time.” + +Waiting to hear no more, Mr. Thomas Clyde jumped from the rear step and +set off at a rapid pace, looking about him as he ran. He had not gone a +block when he saw, by the radiance of an electric light, a tall figure +leaning against a tree in an attitude of nerveless dejection. The +figure straightened up. + +“Don’t try to man-handle me again,” advised the man, “or you may meet +with a disappointment.” + +“I’ve come to apologize.” + +“Very well,” returned the other coolly; “I appreciate it. Many a fool +wouldn’t go even so far.” Mr. Clyde smiled. “I own to the soft +impeachment. From what Dr. Magruder said I judge you saved that fellow +from the hospital.” + +“I judge I did—no thanks to you! You’ve a grip like a vise.” + +“Yes; I keep in good training,” said the other pleasantly. “A man of my +age has to, if he is to hold up his work.” He looked concernedly at the +stranger who had involuntarily lapsed against the tree again. “See +here,” he added, “I don’t believe you’re well.” + +“No; I don’t believe I am,” answered the tall man in uncompromising +tones; “but I do believe that it is peculiarly my own affair whether I +am or not.” + +“Nonsense! Man, your nerves are on the jump. You used yourself up on +that chap in the street car. Come across to my club and take something +to brace you up.” + +People usually found it hard to resist Mr. Clyde’s quiet +persuasiveness. The stranger, after a moment of consideration, smiled. + +“Begin with a fight and end with a drink?” he asked. “That’s a reversal +of the usual process. If your cuisine runs to a cup of hot milk as late +as this, I’d be glad to have it.” + +As they entered the club, Mr. Clyde turned to his guest. + +“What name shall I register?” + +The stranger hesitated. “Strong,” he said finally. + +“Dr. Strong?” + +“Well—yes—Dr. Strong if you will.” + +“Of what place?” + +“Any place—Calcutta, Paris, Mexico City, Philadelphia, Rio. I’ve tried +‘em all. I’m a man without a country, as I am without a profession.” He +spoke with the unguarded bitterness of shaken nerves. + +“Without a profession! But you said ‘Doctor.’” + +“A title isn’t a profession,” returned the guest shortly. + +Turning that over in his mind, Mr. Clyde led the way to a quiet table +in the corner of the diningroom, where he gave his order. Observing +that his new acquaintance was _distrait_, he swung into the easy +conversational flow of a cultured man of the world, at the same time +setting his keen judgment of men to work upon the other. There was much +there to interest a close observer. The face indicated not much over +thirty years; but there were harsh lines in the broad and thoughtful +forehead, and the hair that waved away from it was irregularly blotched +with gray. The eyes, very clear and liquid, were marred by an +expression of restlessness and stress. The mouth was clear-cut, with an +expression of rather sardonic humor. Altogether it was a face to remark +and remember; keen, intellectual, humorous, and worn. Mr. Thomas Clyde +decided that he liked the man. + +“You’ve been a traveler, Doctor?” he asked. + +“Yes. I’ve seen life in many countries—and death.” + +“And traced the relations between them, I suppose?” + +“Oh, I’ve flashed my little pin-point lantern at the Great Darkness in +the fond hope of discovering something,” returned the other cynically. + +“In a way, I’m interested in those matters,” continued Mr. Clyde. +“They’ve organized a Public Health League here, and made me president +of it. More from finance than fitness,” he added, humorously. + +“Finance has its part, too,” said the other. “Give me millions enough +and I’ll rid any city of its worst scourge, tuberculosis.” + +“Then I wish to Heaven you had the millions to spend here in +Worthington! We’re in a bad way. Two years ago we elected a reform +administration. The Mayor put in a new Health Officer and we looked for +results. We’ve had them—the wrong kind. The death rate from +tuberculosis has gone up twenty-five per cent, and the number of cases +nearly fifty per cent since he took office.” + +“You don’t say so!” said the stranger, showing his first evidence of +animation. “That’s good.” Mr. Clyde stared. “You think so? Then you’ll +undoubtedly be pleased to learn that other diseases are increasing +almost at the same rate: measles, scarlet fever, and so on.” + +“Fine!” said Dr. Strong. + +“And finally, our general mortality rate has gone up a full point. We +propose to take some action regarding it.” + +“Quite right. You certainly ought to.” Something in his guest’s tone +made Mr. Clyde suspicious. “What action would you suggest, then? he +asked. + +“A vote of confidence in your Health Officer.” + +“You propose that we indorse the man who is responsible for a marked +rise in our mortality figures?” + +“Certainly.” + +“In the name of all that’s absurd, why?” + +“Let me answer that by another question. If disease appears in your +household, do you want your doctor to conceal it or check it?” + +Mr. Clyde took that under advisement. “You mean that this city has been +concealing its diseases, and that Dr. Merritt, our new Health Officer, +is only making known a condition which has always existed?” he asked +presently. + +“Haven’t you just told me so?” + +“When did I tell you anything of the sort?” The younger man smiled. +“That’s five questions in a row,” said he. “Time for an answer. You +said that deaths from tuberculosis had increased twenty-five per cent +since the new man came in.” + +“Well?” + +“You’re wrong. Tuberculosis doesn’t increase in sudden leaps. It isn’t +an epidemic disease, rising and receding in waves. It’s endemic, a +steady current.” + +“But look at the figures. Figures don’t lie, do they?” + +“Usually, in vital statistics,” was the imperturbable reply. “In this +case, probably not. That is, they don’t lie to me. I’m afraid they do +to you.” Mr. Clyde looked dubiously at the propounder of this curious +suggestion and shook his head. + +“Don’t get it?” queried Dr. Strong. “Perhaps you recall the saying of +Thoreau—I think it the profoundest philosophical thought of the New +World—that it takes two to tell the truth, one to speak and one to hear +it.” + +“You mean that we’ve misinterpreted the figures? Why, they’re as plain +as two and two.” + +“Truth lies behind figures, not in them,” said Dr. Strong. “Now, you’re +worried because of a startling apparent swelling of the tuberculosis +rate. When you find that sort of a sudden increase, it doesn’t signify +that there’s more tuberculosis. It signifies only that there’s more +knowledge of tuberculosis. You’re getting the disease more honestly +reported; that’s all. Dr. Merritt—did you say his name is?—has stirred +up your physicians to obey the law which requires that all deaths be +promptly and properly reported, and all new cases of certain +communicable diseases, as well. Speaking as a doctor, I should say +that, with the exception of lawyers, there is no profession which +considers itself above the law so widely as the medical profession. +Therefore, your Health Officer has done something rather unusual in +bringing the doctors to a sense of their duty. As for reporting, you +can’t combat a disease until you know where it is established and +whither it is spreading. So, I say, any health officer who succeeds in +spurring up the medical profession, and in dragging the Great White +Plague out of its lurking-places into the light of day ought to have a +medal.” + +“What about the other diseases? Is the same true of them?” + +“Not to the same extent. No man can tell when or why the epidemic +diseases—scarlet fever, measles, whooping-cough, and diphtheria—come +and go. By the way, what about your diphtheria death rate here?” + +“That is the exception to the rule. The rate is decreasing.” + +Dr. Strong brought his hand down flat on the table with a force which +made his cup jump in its saucer. “And your misnamed Public Health +League proposes to take some action against the man who is shown, by +every evidence you’ve suggested thus far, to be the right man in the +right place!” + +“How does the diphtheria rate show in his favor any more than the other +death rates against him?” + +“Because diphtheria is the one important disease which your medical +officer can definitely control, and he seems to be doing it.” + +“The only important one? Surely smallpox is controllable?” + +“Smallpox is the poisoned arrow of the fool-killer. It is controllable; +but it isn’t important, except to fools and anti-vaccination bigots.” + +Mr. Thomas Clyde softly rubbed his cleanshaven chin, a sign and token +with him that his mind was hard at work. + +“You’re giving me a new view of a city in which I’ve lived for the +first and last forty-five years of my life,” he said presently. “Are +you familiar with conditions here?” + +“Never have been here before, and have no reason to suppose that I +shall ever return. Traveling at night is too much for me, so I stopped +over to have a look at a town which has been rather notorious among +public health officials for years.” + +“Notorious!” repeated Mr. Clyde, his local pride up in arms. + +“For falsifying its vital statistics. Your low mortality figures are a +joke. Worthington has been more jeered at, criticized, and roasted by +various medical conventions than any other city in the United States.” + +“Why, I’ve never seen anything of that sort in the papers.” + +Dr. Strong laughed. “Your newspapers print what you want to read; not +what you don’t want to read. They follow the old adage, ‘What you don’t +know won’t hurt you.’ It’s a poor principle in matters of hygiene.” + +“So one might suppose,” returned the host dryly. “Still you can +scarcely expect a newspaper to run down its own city. I’ve known +business to suffer for a year from sensational reports of an epidemic.” + +The other grunted. “If a pest of poisonous spiders suddenly bred and +spread in Worthington, the newspapers would be full of it, and +everybody would commend the printing of the facts as a necessary +warning and safeguard. But when a pest of poisonous germs breeds and +spreads, Business sets its finger to its lips and says, ‘Hush!’ and the +newspapers obey. You’re a business man, I assume, Mr. Clyde? Frankly, I +haven’t very much sympathy with the business point of view.” + +He rose and pushed his chair back. + +“Wait a moment,” said the other. “Sit down. I have something that may +be of importance to suggest to you. It occurs to me that Worthington +would be the better for having a man with your ideas as a citizen. Now, +supposing the Public Health League should offer you—” + +“I am not at present in medical practice,” broke in the other. + +“Even at that, I was thinking that you would be of use as an advisory +physician and scientific lookout.” + +For a moment, the other’s face brightened, an indication which Mr. +Clyde was quick to note. But instantly the expression of eagerness died +out. + +“Ten hours a day?” said Dr. Strong. “It couldn’t be done properly in +less time. And I’m a mere nervous wreck, bound for the scrap-heap.” + +“Would you mind,” said Mr. Clyde very gently, “telling me what’s wrong? +I’m not asking without a purpose.” + +Dr. Strong held out his long arms before him. “I’m a surgeon without a +right hand, and a bacteriologist without a left.” The sinewy and pale +hands shook a little. “Neuritis,” he continued. “One of the diseases of +which we doctors have the most fear and the least knowledge.” + +“And with the loss of your occupation, general nervous collapse?” asked +Mr. Clyde. Being himself a worker who put his heart into his work, he +could guess the sterile hopelessness of spirit of the man banned from a +chosen activity. + +Dr. Strong nodded. “I may still be fit for the lecture platform as a +dispenser of other men’s knowledge. Or perhaps I’ll end up as medical +watchdog to some rich man who can afford that kind of pet. Pleasing +prospect, isn’t it, for a man who once thought himself of use in the +world?” + +“Good idea,” said Mr. Clyde quietly. “Will you try the position with my +family?” + +The other stared in silence at his questioner. + +“Just consider my situation for a moment. As you know, I’m a layman, +interested in, but rather ignorant of, medical subjects. As wealth goes +in a city of one hundred and fifty thousand population, I’m a rich man. +At any rate, I can afford a considerable outlay to guard against +sickness. In the last five years I suppose disease has cost my +household ten thousand dollars in money, and has cost me, in worry and +consequent incapacity for work, ten times that amount. Even at a large +salary you would doubtless prove an economy. Come, what do you say?” + +“You know absolutely nothing of me,” suggested the other. + +“I know that you are a man of quick and correct judgment, for I saw you +in action.” The other smiled. “You are, for reasons which are your own, +not very expansive, as to your past professional career. I’m content +with that attitude of yours, and I’m quite satisfied to base my offer +on what I have been able to judge from your manner and talk. Without +boasting, I may say that I have built up a great manufacturing plant +largely on my judgment of men. I think I need you in my business of +raising a family.” + +“How much of a family?” + +“Five children, their mother and their grandmother. I may warn you at +once that you’ll have a jealous rival in Grandma. She’s the household +guardian, and pretty ‘sot’ in her ideas. But the principal thing is for +you to judge me as I’ve judged you, and determine whether we could work +out the plan together.” + +Dr. Strong set his chin in one thin, cupped hand and gazed +consideringly upon the profferer of this strange suggestion. He saw a +strong-built, clear-skinned man, whose physical aspect did not suggest +the forty-five years to which he had owned. Mr. Clyde recommended +himself at first sight by a smooth-voiced ease of manner, and that +unostentatious but careful fitness of apparel which is, despite wise +apothegms to the contrary, so often an index of character. Under the +easy charm of address, there was unobtrusively evident a quick +intelligence, a stalwart self-respect, and a powerful will. + +Yet, the doctor noted, this man had been both ready and fair in +yielding his judgment, under the suggestion of a new point of view. +Evidently he could take orders as well as give them. + +“Well,” said Mr. Clyde, “have you appraised me?” + +The weary eyes of the other twinkled a little. “Physically you disclose +some matters plainly enough, if one wishes to show off in the Sherlock +Holmes manner. For instance, you’ve recently been in the tropics; your +eyesight is better than your hearing, you drink lightly if at all, and +don’t use tobacco in any form; you’ve taken up athletics—handball +principally—in recent years, as the result of a bad scare you got from +a threatened paralytic attack; and your only serious illness since then +has been typhoid fever.” + +Mr. Clyde laughed outright. “If you had started our acquaintance that +way,” he said, “I’d have thought you a fortune-teller. Part of it I can +follow. You noticed that I kept my left ear turned, of course; and the +fact that my nose shows no eyeglass marks would vouch for my eyesight. +Did you judge me a non-smoker because I forgot to offer you a +cigar—which deficiency I’ll gladly make up now, if it isn’t too late.” + +“Partly that—no, thank you. I’m not allowed to smoke—but principally +because I noticed you disliked the odor of my hot milk. It is +offensive, but so faint that no man without a very keen sense of smell +would perceive it across a table; no tobacco-user preserves his sense +of smell to any such degree of delicacy. As for the drink, I judged +that from your eyes and general fitness.” + +“And the handball, of course, from my ‘cushioned’ palms.” + +“Obviously. A man at the heart of a great business doesn’t take up +violent indoor exercise without some special reason. Such a reason I +saw on the middle finger of your left hand.” + +Holding up the telltale member, Mr. Clyde disclosed a small dark area +at the side of the first joint. + +“Leaky fountain-pen,” he remarked. + +“As you are right-handed naturally, but write with your left hand, it’s +clear that you’ve had an attack of writer’s paralysis—” + +“Five years ago,” put in Mr. Clyde. + +“And that your doctor made good use of the salutary scare it gave you, +to get you to take up regular exercise.” + +“And, incidentally, to cut out my moderate, occasional cocktail. Now, +as to the tropics and the typhoid?” + +“The latter is a guess; the former a certainty. Under your somewhat +sparse long hair in front there is an outcropping of very fine hairs. +Some special cause exists for that new growth. The most likely cause, +at your age, is typhoid. As you’ve kept in good training, it isn’t +likely that you’d have had any other serious ailment recently. On that +I took a chance. The small scars at the back of your ears could be +nothing but the marks of that little pest of the tropics, the _bête +rouge_. I’ve had him dug out of my skin and I know something of him.” + +“Right on every count,” declared Mr. Clyde. “You’ve given me cumulative +proof of your value to me. I’ll tell you. Forget formalities. Let me +‘phone for a cab; we’ll go to your hotel, get your things, and you come +back with me for the night. In the morning you can look the ground +over, and decide, with the human documents before you, whether you’ll +undertake the campaign.” + +The younger man smiled a very pleasant and winning smile. “You go +fast,” said he. “And as in all fast motion, you create a current in +your direction. Certainly, if I’m to consider your remarkable plan I’d +best see the whole family. But there’s one probable and perhaps +insurmountable obstacle. Who is your physician?” + +“Haven’t such a thing in the house, at present,” said Mr. Clyde +lightly. Then, in a graver tone, “Our old family physician died six +months ago. He knew us all inside and out as a man knows a familiar +book.” + +“A difficult loss to replace. Knowledge of your patient is half the +battle in medicine. You’ve had no one since?” + +“Yes. Six weeks ago, my third boy, Charley, showed signs of fever and +we called a distant cousin of mine who has a large practice. He felt +quite sure from the first that it was diphtheria; but he so managed +matters that we had no trouble with the officials. In fact, he didn’t +report it at all, though I believe it was a very light case of the +disease.” + +Dr. Strong’s eyes narrowed. “At the outset, I’ll give you two bits of +advice, gratis, Mr. Clyde. First, don’t ever call your doctor-cousin +again. He’s an anarchist.” + +“Just what do you mean by that?” + +“It’s plain enough, isn’t it? Anarchist, I said: a man who doesn’t +believe in law when it contravenes his convenience.” + +Mr. Clyde rubbed his chin again. “Hum,” he remarked. “Well! the second +gift of advice?” + +“That you either respect the law yourself or resign the presidency of +the Public Health League.” A distinct spot of red appeared on each of +the elder man’s smooth cheeks. “Are you trying to provoke me to a +quarrel?” he asked brusquely. + +Then his expression mollified. “Or are you testing me?” + +“Neither. I’m giving you my best and most honest advice. If you expect +me to do as your substitute physician did, to guard your household in +violation of the law which tries to protect the whole public equally, +you’ve got the wrong man, and your boasted judgment has gone askew,” +was the steady reply. + +Mr. Clyde turned and left the room. When he returned his hand was +outstretched. + +“I’ve taken three swallows of cold air, and sent for a cab,” he said. +“Shake hands. I think you and I will be friends. Only—train me a little +gently at the outset. You’ll come with me?” + +“Yes,” said Dr. Strong, and the two men shook hands. + +During the drive Mr. Clyde expounded the virtues and characteristics of +his native city to his new acquaintance, who was an excellent listener. +Long afterward he found Dr. Strong acting on remembered and shrewdly +analyzed information given in that first long talk. When they reached +the big, rambling, many-windowed house which afforded the growing Clyde +family opportunity to grow, the head of the household took his guest to +an apartment in one of the wings. + +“These two rooms are yours,” he said. “I hope you’ll be like Coleridge +who came to visit with one satchel and stayed five years.” + +“That remains to be seen to-morrow,” said Dr. Strong. “By the way, as I +usually read myself to sleep, you might leave me some of your local +health reports. Thus I can be looking the ground over.” + +“All I’ve got you’ll find on the shelf over the desk. Good-night!” + +Being of that type of man who does his thinking before and not after a +decision, Mr. Thomas Clyde arose in the morning with an untroubled mind +as to his new venture in household economics. Voices from the library +attracted him thither, as he came downstairs, and, entering, he beheld +his guest hedged in a corner by the grandmother of the Clyde household. + +“Don’t tell me, young man,” the old lady was saying, in her clear, +determined voice. “You’ve not slept well for ages! I know that kind of +an eye.” + +“Mrs. Sharpless has been diagnosing my case, Mr. Clyde,” called the +guest, with a rather wry smile. + +“You stay here for a while,” said she vigorously, “and I’ll cocker you +up. I don’t believe you even eat properly. Do you?” + +“Maybe not,” admitted the young man. “We doctors are sometimes less +wise for ourselves than for others.” + +“Oh! So you’re a doctor?” asked the grandmother with a shrewd, +estimating glance. + +“Dr. Strong is, I hope, going to stay with us awhile,” explained her +son-in-law. + +“Good!” said Mrs. Sharpless. “And I’ll take care of him.” + +“It’s a strong inducement,” said Dr. Strong gracefully. “But I want a +little more material on which to base a decision.” + +“Between us Grandma and I ought to be able to answer any questions,” +said Mr. Clyde. + +“About sickness, then, in the family. I’ve already introduced myself to +Mrs. Clyde and questioned her; but her information isn’t definite.” + +“Myra seldom is,” observed Mr. Clyde. “It’s part of her charm. But +Grandma Sharpless has been keeping a daybook for years. Everything +that’s ever happened, from the cat’s fits to the dressmaker’s misfits, +is in that series. I’ve always thought it might come in handy +sometime.” + +“Just the thing!” said Dr. Strong heartily. “Will you bring it, Mrs. +Sharpless? I hope you’ve included your comment on events as well as the +events themselves.” + +“My opinions are generally pronounced enough so that I can remember +‘em, young man,” returned Mrs. Sharpless, as she departed for the +desired volumes. + +“That last remark of yours sounded a little like making fun of +Grandma,” suggested Mr. Clyde, as the door closed after her. + +“Far from it,” retorted Dr. Strong quickly. “Can’t you see that she’s a +born diagnostician? She’s got the sixth sense sticking out all over +her. Women more often have it than men. When a doctor has it, and +sometimes when he’s only able to counterfeit it, he becomes great and +famous.” + +“Now that you speak of it, I remember my wife’s saying that when she +was a girl and lived in the country, her mother was always being sent +for in cases of illness.” + +Dr. Strong nodded. “Heretical though it is to say so, I would rather +have the diagnosis of such a woman, in an obscure case, than of many a +doctor. She learns in the school of experience.” + +Here, Mrs. Sharpless returned, carrying several diaries. + +“These go five years back,” said she. “You’ll find ‘em pretty complete. +We’ve had our fair share of trouble; measles, whooping-cough,—I thought +Betsy was going to bark her poor little head off,—mumps, and +chicken-pox. I nursed ‘em through, myself.” + +“All of them?” + +“All of ‘em didn’t have all the things because Tom Clyde sent the rest +away when one of ‘em came down. All nonsense, I say. Better let ‘em get +it while they’re young, and have done with it.” + +“One of the worst of the old superstitions,” said Dr. Strong quietly. + +“Don’t tell me, young man! Doctor or no doctor, you can’t teach me +about children’s diseases. There isn’t any of those measly and mumpy +ones that I’m afraid of. Bobs _did_ scare me, though, with that queer +attack of his.” + +“Bobs,” explained Mr. Clyde, “is Robin, one of the eight-year-old +twins.” + +“Tell me about the attack.” + +“When _was_ it?” said the grandmother, running over the leaves of a +selected diary. “Oh, here it is. Last March. It was short and sharp. +Only lasted three days; but the child had a dreadful fever and pretty +bad cramps.” + +“Anything else?” + +“Why, yes; though that idiot of a cousin of Tom’s snubbed me when I +told him about it. The boy seemed kind of numb and slow with his hands +for some time after.” + +“And now?” So sharp came the question that Mr. Clyde glanced at the +speaker, not without apprehension. + +“Nothing left of it that I can see.” + +“What had you in mind?” asked Mr. Clyde of the doctor, curiously. + +“Speaking technically, anterior poliomyelitis.” Grandma Sharpless +laughed comfortably. “I’ve noticed that a very long name like that +usually means a sore toe or a pimple behind your ear. It’s the short +names that bring the undertaker.” + +“Shrewdly said, but exception noted,” said Dr. Strong. + +“As for Bobs, I remember two cases I saw at Clinton years ago, like +that attack of his. One of ‘em never walked afterward, and the other +has a shriveled hand to this day.” + +Dr. Strong nodded. “To come down nearer to English, that’s infantile +paralysis, one of the mysteries of medicine. I’ll tell you some things +about it some day. Your Bobs had a narrow escape.” + +“You’re sure it is an escape?” asked the father anxiously. + +“If Mrs. Sharpless is satisfied that there’s no trace left, I am.” + +“Come in to breakfast,” said Mrs. Clyde, entering the room with a child +attached to either hand. She was a tall, fair woman with the charm of +fresh coloring and regular features, large, intelligent eyes, and a +somewhat restless vigor and vitality. That her husband and children +adored her was obvious. One had to look twice to perceive that she was +over thirty; and even a careful estimate did not suggest her real age +of thirty-seven. + +During the introductory meal, Dr. Strong talked mostly to her, but he +kept watching the children. And when it was over, he went to his study +and made an inventory, in the order of age. + +GRANDMA SHARPLESS; +_Probably 70; sound and firm as a good apple; ought to live to be 90. +Medical demands, none._ + +MR. CLYDE; +_45; sturdy, restrained, active, phlegmatic: Tends to +over-concentration; his own best physician._ + +MRS. CLYDE; +_35; possibly more. Quick-witted, nervously active; eager, perhaps a +little greedy of enjoyment. Somewhat intemperate; probably in eating, +possibly in the use of tea or candy. An invariably loving mother; not +invariably a wise one._ + +MAYNARD, _otherwise_ “MANNY” CLYDE; +_14 years old; rangy, good-tempered, intelligent boy with a good +physical equipment._ (_Note: watch his eyes._) + +ROBIN, _alias_ BOBS _and_ JULIA (_mysteriously_) JUNKUM; +_8-year old twins; Bobs, quick and flashing like his mother; Julia, +demure, thoughtful, a little lethargic, and with much of her father s +winning quality of friendliness._ (_Note: test Bobs for reflexes. Watch +Julia's habits of play._) + +CHARLES; +_Aged 7; strong rough-and-tumble urchin, the particular pet of his +grandmother._ (_Note: watch his hand motions._) + +BETTINA, _alias variously_ BETSY, TOOTS, TWINKLES, _and the_ CHERUB; +_4 years old; a Duck_ [here the human side of the doctor broke +through], _though a little spoiled by her father._ (_Note: a +mouth-breather; the first case to be considered._) + +ADDENDUM; +_Various servants, not yet identified or studied; but none the less +members of our household community._ + + +This catalogue Dr. Strong put away, with Grandma Sharpless’s day books, +for further notation and amplification. Then he made three visits: one +to the Health Bureau, one to the Water Department, and one to the City +Engineer’s office, where he spent much time over sundry maps. It was +close upon dinner-time when he returned, and immediately looked up Mr. +Clyde. + +“Well?” said that gentleman. + +“Assuming that I accept your offer it should be understood that I’m +only a guardian, not, a physician.” + +“Meaning—” + +“That I shall expect, in emergency, to call in such physicians or +others as I consider best equipped for the particular task.” + +“Very well. But why that phrase ‘or others’?” + +“I’ve suggested before that I am a heretic. In certain instances I +might want an osteopath, or, if I were dealing with a sick soul causing +a sick body, I might even send for a Christian Scientist.” + +“You have a refreshingly catholic breadth of view.” + +“I’m trying to map out for you, a rich man, as good treatment as a very +poor man would have in a hospital—that is, the best technical advice +for every hygienic emergency that may arise—plus some few extensions of +my own. Now we come to what is likely to prove the stumbling-block.” + +“Set it up.” + +“If I’m to take this job, I must be the autocrat, in so far as my own +department is concerned. As you know, a city health official’s powers +are arbitrary. He can burn your house down; he can imprison you; he can +establish a military régime; he can override or undo the laws which +control the ordinary procedure of life. Hygienic law, like martial law, +supersedes rights in crises. You are asking me to act as health officer +of your house. If I’m to do my work, I must have full sway, and I shall +expect you to see that every member of your household obeys my +orders—except,” he added, with a twinkle, “Grandma Sharpless. I expect +she’s too old to take orders from any one. Diplomacy must be my agent +with her.” + +Mr. Clyde pondered. “That’s a pretty wide authority you’re asking.” + +“Yes, but I shall use it only in extreme cases. I shall deal +extensively in advice and suggestion, which you may take or leave as +you choose. But an order will mean a life or death matter.” + +“Agreed. Now, as to terms—” + +“Let the terms go, until we see how much I can save you. Meantime, +don’t overestimate what I undertake to do. Suppose you just run through +the roster of what you consider the danger points, and I’ll tell you +how far I can promise anything.” + +“First, then, tuberculosis, of course.” + +“Practical immunity from that, as long as you maintain your present +standards of life.” + +“Typhoid fever. As I told you, we’ve had one visitation.” + +“There’s no reason why you should ever have another if the children +will take ordinary precautions.” + +“Diphtheria?” + +“We can’t guarantee the youngsters against getting it, though we can do +something to protect them. And if they do get it, we can be pretty +certain of pulling them through.” + +“Scarlet fever and measles?” + +“Why not add whooping-cough and influenza? The former kills as many +people as either scarlet fever or measles, and the latter twice as +many. They’re all in the same category; medical science is pretty near +helpless against their onset. You and your family may be as rigidly +careful as they will; if the family next door, or a family at the +farthermost end of the town, is careless, we’re as likely as not to +suffer for their sins. All that I can promise, then, is hope against +the occurrence of these diseases, and the constant watchfulness, when +they come, which they call for but don’t always get.” + +“Cancer?” + +“Eternal vigilance, again; so that, if it does come, we may discover it +in time.” + +“Let me see,” mused Mr. Clyde; “what else is there? Oh—nervous and +functional disorders.” + +“Functional disorders mean, usually, either a bad start, or the +heritage of some disease like scarlet fever or grippe, or excess or +carelessness in living. I think your household is free from them; and +it should remain free. As for nervous ailments, they commonly mean lack +of self-discipline. It may be overindulgence in work”—he glanced down +at his right hand—“or it may be overindulgence in play.” His glance +wandered significantly to the doorway, through which the voice of Mrs. +Clyde could be heard. “By the way, you’ve left out the greatest +destroyer of all—perhaps because you’re beyond the danger point.” + +“Tuberculosis is the greatest destroyer, isn’t it?” + +“Not numerically. It is beaten out by the death record of intestinal +poisoning in the very young. Your flock has run the gamut and come +through with undiminished vitality. Two of them, however, are running +life’s race under a handicap”—the father’s eyelids went up—“which I’ll +take up shortly, when I’ve fully determined the causes. They can be +repaired, one readily, the other in time. Finally, I hope to be able to +teach them the gospel of the sound, clean mind in the sound, clean +body. In a desert I might guarantee immunity from most of the ills that +flesh is heir to. Amid the complexities of our civilization, disease +and death are largely social; there is no telling from what friend the +poison may come. No man can safeguard his house. The most he can hope +for is a measure of protection. I can offer you nothing more than that, +under our compact.” + +“That is enough,” returned Mr. Clyde. He took from his inner pocket a +folded paper, which he handed over to the young man. “There’s the +contract, duly signed. Come in, Grandma.” + +Mrs. Sharpless, entering the door, stopped on seeing the two men. + +“Business, Tom?” she asked. + +“Business that you’re interested in,” said her son-in-law, and briefly +outlined his plan. + +Grandma Sharpless shook a wise gray head. “I’m glad you’re going to +stay, young man,” said she. “You need looking after. But as for the +scheme, I don’t hold much with these new-fangled notions.” + +“Perhaps it isn’t as new-fangled as you suppose,” returned the head of +the household. “I’ve just given Dr. Strong a contract, and where do you +suppose I got it?” + +“That lawyer man of yours, probably,” said Mrs. Sharpless. + +“Well, he looked it over and made sure it was sound in American law. +But essentially it’s a copy of a medical contract in force before +Hippocrates ever rolled a pill. It’s the old logical Chinese form, +whereby the doctor’s duty is prescribed as warding off sickness, not +curing it. Is that old-fashioned enough for you, grandma?” + +“Chinese! My land!” said the old lady. “What do they know about +sickness?” + +“They know the one most important fact in all medical practice, ma’am,” +said Dr. Strong, “that the time for locking the stable door is before +the horse is stolen, and that an ounce of prevention is worth a pound +of cure.” + + + + +II. +IN TIME OF PEACE + + +“How is the Chinese plan working?” asked Mr. Thomas Clyde, stretching +himself on the lounge in Dr. Strong’s study. + +One week before, the doctor had been officially installed, on the +Oriental principle of guarding the Clyde household against intruding +sickness. In that time he had asked few questions. But Mr. Clyde, +himself a close observer, noted the newcomer’s quietly keen observation +of the children, and sometimes of Mrs. Clyde, as they met at mealtime. +He had remarked, too, that the nervous tension of the man was relaxing; +and guessed that he had found, in his new and unique employment, +something of that panacea of the troubled soul, congenial work. Now, +having come to Dr. Strong’s wing of the house by request, he smilingly +put his question, and was as smilingly answered. + +“Your Chinese physician has been making what the Chinese call a +‘go-look-see.’ In other but less English terms, a reconnaissance.” + +“In what department?” + +“Earth, air, and water.” The other waved an inclusive hand. + +“Any results?” + +“Oh, all kinds. Preliminary report now ready. I’d like to make it a +sort of family conference.” + +“Good idea! I’ll send for Mrs. Clyde and Grandma Sharpless.” + +“Children out of town?” inquired Dr. Strong suggestively. + +“Of course not. Oh, I see. You want us all. Servants, too?” + +“The cook certainly. She should be very important to our council of +war. Perhaps we might leave the rest till later.” + +They gathered in the spacious study; and Grandma Sharpless glanced +round approvingly. + +“It’s like family prayers,” she commented. + +“Concerted effort _is_ a sort of prayer, if it’s honest,” said Dr. +Strong gravely. “I’ve never had much of an opinion of the man who gets +up in meeting to beg the Lord for sound health for himself and family +and then goes home and sleeps with all his windows closed.” + +“There are no closed windows in this house,” said Grandma Sharpless +emphatically. “I see to that, having been brought up on fresh air +myself.” + +“You show it,” returned the doctor pleasantly. + +“And I’ve noticed that this house breathes deep at night, through +plenty of open windows. So I can save my own breath on that topic. Just +now I want to talk milk.” + +“All our milk comes from my farm,” said the head of the family. “Cows +are my hobby. You ought to see the place, Strong; it’s only ten miles +out.” + +“I have seen the place.” + +“What do you think of it?” + +“I think you’d better get your milk somewhere else for a while.” + +“Why, Dr. Strong!” protested Mrs. Clyde. “There isn’t a woman among my +friends who doesn’t envy me our cream. And the milk keeps sweet—oh, for +days, doesn’t it, Katie?” + +“Yes’m,” replied the cook. “Three days, or even four, in the ice-box.” + +“Doesn’t that show it’s pure?” asked Mrs. Clyde triumphantly. + +Dr. Strong shook his head. “Hardly proof,” he said. “Really clean milk +will keep much longer. I have drunk milk from the Rochester municipal +supply that was thirteen days old, and as sweet as possible. And that +was in a hot August.” + +“Thirteen days old! I’d be ashamed to tell it!” declared Grandma +Sharpless, with so much asperity that there was a general laugh, in +which the doctor joined. + +“I shouldn’t care to try it with your milk. It is rich, but it isn’t by +any means pure. Eternal vigilance is the price of good milk. I don’t +suppose you inspect your farm once a month, do you, Mr. Clyde?” + +“No; I leave that to the farmer. He’s an intelligent fellow. What’s +wrong?” + +“Scientifically speaking, from 300,000 to 500,000 bacteria per cubic +centimeter.” + +“Do we drink all those things when we have a glass of milk, Dr. +Strong?” inquired “Manny” Clyde, the oldest boy. + +“Four or five times that many for every teaspoonful,” said the doctor. +“But it isn’t as bad as it sounds, Manny. One hundred thousand is +considered a fairly safe allowance, though _very_ good milk—the kind I +drank when it was thirteen days old—may contain only two or three +thousand. When the count runs up to half a million or so, it shows that +some kind of impurity is getting in. The bacteria in your milk may not +be disease germs at all; they may all be quite harmless varieties. But +sooner or later, if dirt gets into milk, dangerous germs will get in +with it. The high count is a good danger signal.” + +“If Bliss, the farmer, has been allowing dirt to get into the milk, +he’ll find himself out of a place,” said Mr. Clyde decisively. + +“Don’t be too hard on him,” advised the doctor. “His principal fault is +that he’s getting the milk dirty trying to keep it clean. He is washing +his cans with water from an open well near the barnyard. The water in +the well is badly contaminated from surface drainage. That would +account for the high number of bacteria; that and careless milking.” + +“And on that account you advise me to give up the milk?” asked Mr. +Clyde. + +“Only temporarily. There are other more immediate considerations. For +one thing, there are both diphtheria and typhoid near by, and the +people on the farm are in contact with them. That’s dangerous. You see, +milk under favorable conditions is one of the best cultures for germs +that is known. They flourish and multiply in it past belief. The merest +touch of contamination may spread through a whole supply, like fire +through flax. One more thing: one of your cows, I fear, is +tuberculous.” + +“We might pasteurize, I suppose,” suggested Mrs. Clyde anxiously. + +Dr. Strong returned a decisive negative. “Pasteurized milk is better +than poisoned milk,” he said; “but it’s a lot worse than good raw milk. +Pasteurizing simply means the semi-cooking of all the varieties of +germs, good and bad. In the process of cooking, some of the nutritive +quality is lost. To be sure, it kills the bad germs, but it also kills +the good ones.” + +“Do you mean that some of the germs are actually useful?” asked Mrs. +Clyde. + +“Very useful, in certain rôles. For example, the lactic acid bacteria +would be unpopular with you, Mrs. Clyde, because they are responsible +for the souring of milk. But they also perform a protective work. They +do their best to destroy any bacilli of disease which may invade their +liquid home. Now, when you pasteurize, you kill all these millions of +defenders; and any hostile germs that come along afterward and get into +the milk, through dust or other mediums, can take possession and +multiply without hindrance. Therefore pasteurized milk ought to be +guarded with extra care after the process, which it seldom is. I once +visited a large pasteurizing plant which made great boasts of its +purity of product, and saw flies coming in from garbage pail and manure +heap to contaminate the milk in the vats; milk helpless to protect +itself, because all its army of defense had been boiled to death.” + +“If we are allowed neither to use our farm milk raw nor to pasteurize +it, what shall we do with it?” inquired Mr. Clyde. + +“Full directions are in there,” answered Dr. Strong, pointing to an +envelope on his desk. “If you’ll look over what I’ve written, and +instruct your farmer to follow it out, you’ll have milk that is +reasonably good. I’ll go further than that; it will be even good enough +to give to the babies of the tenements, if you should have any left +over.” + +Mr. Thomas Clyde proceeded to rub his chin, with some degree of +concentration, whereby Dr. Strong knew that his hint had struck in. + +“Meantime,” said Mrs. Clyde, with a trace of sarcasm, “do you expect us +to live on condensed milk?” + +“Not at all; on certified milk.” + +“What’s that mean?” asked Miss Julia, who had a thirst for information. + +“What’s a certificate, Junkum?” retorted the doctor. + +“That’s what I get when I pass my examinations.” + +“Right! Well, milk coming from a farm that passes all its examinations +gets a certificate from the Medical Society, which keeps a pretty +constant watch over it. The society sees that all the cattle are tested +for tuberculosis once in so often; that the cows are brushed off before +milking; that the milking is done through a cloth, through which no +dirt or dust can pass, into a can that has been cleaned by steam—not by +contaminated water—so that no germs will remain alive in it; then +cooled and sealed up and delivered. From the time the milk leaves the +cow until it comes on your table, it hasn’t touched anything that isn’t +germ-proof. That is the system I have outlined in the paper for your +farmer.” + +“It sounds expensive,” commented Mrs. Clyde. + +“Yes; that is the drawback. Certified milk costs from fifteen to twenty +cents a quart. But when you consider that nearly half the dead babies +were poisoned by bad milk it doesn’t seem so expensive, does it?” + +“All very well for us,” said Mr. Clyde thoughtfully. “We can afford it. +But how about the thousands who can’t?” + +“There’s the pity of it. Theoretically every city should maintain a +milk standard up to the requirements of the medical certification, and +allow no milk to be sold which falls short of that. It’s feasible, and +it could be done at a moderate price if we could educate the farmer to +it. Copenhagen’s milk supply is as good as the best certified milk in +this country, because the great Danish Milk Company cooperates with the +farmer, and doesn’t try to make huge profits; and its product sells +under five cents a quart. But, to answer your question, Mr. Clyde: even +a family of very moderate means could afford to take enough certified +milk for the baby, and it would pay in doctor’s bills saved. Older +children and grown-ups aren’t so much affected by milk.” + +“I’ll go out to the farm to-morrow,” said Mr. Clyde. “What’s next?” + +“Water, Mr. Clyde. I’ve found out where you got your typhoid, last +summer.” + +“Pooh! I could have told you that,” said Mrs. Sharpless. “There was +sewer-gas in the house. It smelled to heaven the day before he was +taken down.” + +“Isn’t it curious how our belief in ghosts sticks to us!” commented the +doctor, chuckling,—“malaria rising from swamps; typhoid and diphtheria +rising in sewer-gas; sheeted specters rising from country +graveyards—all in the same category.” Grandma Sharpless pushed her +spectacles up on her forehead, a signal of battle with her. “Do you +mean to tell me, young man, that there’s no harm in sewer-gas?” + +“Far from it! There’s harm enough in sewer-gas, but no germs. The harm +is that the gas reduces vitality, and makes one more liable to disease +attack. It’s just as true of coal-gas as of sewer-gas, and more true of +ordinary illuminating gas than either. I’d much rather have bad +plumbing in the house than even a small leak in a gas-pipe. No, Mrs. +Sharpless, if you waited all day at the mouth of a sewer, you’d never +catch a germ from the gas. Moreover, typhoid doesn’t develop under ten +days, so your odorous outbreak of the day before could have had nothing +to do with Mr. Clyde’s illness.” + +“Perhaps you’ll give us _your_ theory,” said the old lady, with an +elaboration of politeness which plainly meant, “And whatever it is, I +don’t propose to believe it.” + +“Not mine, but the City Water Commissioner’s. Mr. Clyde’s case was one +of about eighty, all within a few weeks of each other. They were all +due to the criminal negligence of a city official who permitted the +river supply, which isn’t fit to drink and is used only for fire +pressure, to flood into the mains carrying the drinking supply.” + +“Then why didn’t the whole city get typhoid?” asked Mr. Clyde. + +“Because only a part of the system was flooded by the river water. The +problem of the city’s experts was to find out what part was being +contaminated with this dilute sewage. When the typhoid began to appear, +the Health Department, knowing the Cypress supply to be pure, suspected +milk. Not until a score of cases, showing a distribution distinct from +any milk supply, had appeared, was suspicion directed to the water +supply. Then the officials of the Water Department and Health +Department tried a very simple but highly ingenious test. They dumped a +lot of salt into the intake of the river supply, and tested hydrant +after hydrant of the reservoir supply, until they had a complete +outline of the mixed waters. From that it was easy to ascertain the +point of mixture, and stop it.” + +“Our river water is always bad, isn’t it?” said Mr. Clyde. “Last summer +I had to keep Charley away from swimming-school because the tank is +filled from the river, and two children got typhoid from swallowing +some of it.” + +“All foolishness, I say,” announced the grandmother. “Better let ‘em +learn to swim.” + +“Can’t you swim at all?” asked Dr. Strong, turning to the +seven-year-old. + +“I went five strokes once,” said Charley. “Hum-m-m! Any other +swimming-school near by?” + +“No.” + +“And are the children about water at all?” Dr. Strong asked the mother. + +“Well; there are the canal and the river both near us, you know.” + +“Then it comes down to this,” said the doctor. “The liability of +typhoid from what water Charley would swallow in the tank isn’t very +great. And if he should get it, the chances are we could pull him +through. With the best care, there should be only one chance in fifty +of a fatal result. But if Charley falls in the canal and, not knowing +how to swim, is drowned, why, that’s the end of it. Medical science is +no good there. Of two dangers choose the lesser. Better let him go on +with the swimming, Mrs. Clyde.” + +“Well!” said Grandma Sharpless, “I—I—I—swanny!” This was extreme +profanity for her. “Young man, I’m glad to see for once that you’ve got +sense as well as science!” + +“Do you consider the Cypress supply always safe to drink? Several times +it has occurred to me to outfit the house with filters,” said Mr. +Clyde. + +“No need, so long as the present Water Department is in office,” +returned Dr. Strong. “I might almost add, no use anyway.” + +“Isn’t filtered water good?” asked Manny. “They have it at the +gymnasium.” + +“No house filter is absolutely sure. There’s just one way to get a +guaranteeable water: distill it. But I think you can safely use the +city supply.” + +“What next, the water problem being cleared up?” asked Mr. Clyde. + +“By no means cleared up. Assuming that you are reasonably safeguarded +at home, you’re just as likely—yes, even more likely—to pick up typhoid +somewhere else.” + +“Why more likely?” + +“For some mysterious reason a man accustomed to a good water supply is +the easiest victim to a bad. Pittsburg, for many years the most +notorious of American cities for filthy drinking, is a case in point. +Some one pointed out that when Pittsburg was prosperous, and wages +high, the typhoid rate went up; and when times were hard, it went down. +Dr. Matson, of the Health Bureau, cleared up that point, by showing +that the increase in Pittsburg’s favorite disease was mainly among the +newcomers who flocked to the city when the mills were running full +time, to fill the demand for labor. An old resident might escape, a new +one might hardly hope to. Dr. Matson made the interesting suggestion +that perhaps those who drank the diluted sewage—for that is what the +river water was—right along, came, in time, to develop a sort of +immunity; whereas the newcomer was defenseless before the bacilli.” + +“Then a man, in traveling, ought to know the water supply of every city +he goes to. How is he to find out?” + +“In your case, Mr. Clyde, he’s to find out from his Chinese doctor,” +said the other smiling. “I’m collecting data from state and city health +boards, on that and other points. Air will now come in for its share of +attention.” + +Young Manny Clyde grinned. “What’s the use, Dr. Strong?” he said. +“Nothing to breathe but air, you know.” + +“True enough, youngster; but you can pick your air to some extent, so +it’s worth while to know where it’s good and where it’s bad. Take +Chicago, for instance. It has a very high pneumonia rate, and no +wonder! The air there is a whirling mass of soot. After breathing that +stuff a while, the lungs lose something of their power to resist, and +the pneumococcus bacillus—that’s the little fellow that brings +pneumonia and is always hanging about, looking for an opening in +unprotected breathing apparatus—gets in his deadly work. Somewhere I’ve +seen it stated that one railroad alone which runs through Chicago +deposits more than a ton of cinders per year on every acre of ground +bordering on its track. Now, no man can breathe that kind of an +atmosphere and not feel the evil effects. Pittsburg is as bad, and +Cincinnati and Cleveland aren’t much better. We save on hard coal and +smoke-consumers, and lose in disease and human life, in our soft-coal +cities. When I go to any of them I pick the topmost room in the highest +hotel I can find, and thus get above the worst of it.” + +“Don’t tell me that New York is unfit to breathe in!” said Mrs. Clyde, +with a woman’s love for the metropolis. + +“Thus far it’s pretty clean. The worst thing about New York is that +they dry-sweep their streets and throw all the dust there is right in +your face. The next worst is the subway. When analysis was made of the +tube’s air, the experimenters were surprised to find very few germs. +But they were shocked to find the atmosphere full of tiny splinters of +steel. It’s even worse to breathe steel than to breathe coal.” + +“Any railroad track must be bad, then,” said Mr. Clyde. + +“Not necessarily. A steam railroad track runs mostly in the open, and +that great cleaner, the wind, takes care of most of the trouble it +stirs up. By the way, the cheaper you travel, the better you travel.” + +“That sounds like one of those maxims of the many that only the few +believe,” remarked Mrs. Clyde. + +“You won’t practice it, but you can safely believe it,” retorted the +doctor. “The atmosphere in a day coach is always better than in a +parlor car, because there’s an occasional direct draft through. As for +a sleeping-car,—well, I never get into one without thinking of the +definition in ‘Life’s’ dictionary: ‘Sleeping-Car—An invention for the +purpose of transporting bad air from one city to another.’” + +“The poor railroads!” chuckled Mr. Clyde. “They get blamed for +everything, nowadays.” + +“It may not be the Pullman Company’s fault that I don’t sleep well in +traveling, but they are certainly to blame for clinging to a type of +conveyance specially constructed for the encouragement of dirt and +disease. Look at the modern sleeping-car: heavy plush seats; soft +hangings; thick carpets; fripperies and fopperies all as gorgeous, +vulgar, expensive, tawdry, and filthy as the mind of man can devise. +Add to that, windows hermetically sealed in the winter months and +you’ve got an ideal contrivance for the encouragement of mortality. +Never do I board a sleeper without a stout hickory stick in my +suit-case. No matter how low the temperature is, I pry the window of my +lower berth open, and push the stick under.” + +“And sleep in that cold draft!” cried Mrs Clyde. + +“My dear Mrs. Clyde,” replied the doctor suavely, “will you tell me the +difference between a draft and a wind?” + +“Is it a conundrum?” + +“No; but I’ll answer it for you. A draft is inside a house; a wind +outside. You’re not afraid of wind, are you?” + +“Of course not.” + +“Then to you an air-current is like a burglar. It’s harmless enough +outside the room, but as soon as it comes through a window and gets +into the room, it’s dangerous.” + +“Sound common sense!” put in Granny Sharpless. “Young man, I believe +you’re older than you look.” + +“I’m old enough to know that pure air is better than foul warm air, +anyway. Here; I want you youngsters to understand this,” he added, +turning to the children. “When the blood has circulated through the +system, doing all the work, it gets tired out and weak. Then the lungs +bring air to it to freshen it up, and the oxygen in the air makes it +strong to fight against disease and cold. But if the air is bad, the +blood becomes half starved. So the man who breathes stuffy, close air +all night hasn’t given his blood the right supply. His whole system is +weakened, and he ‘catches cold,’ not from too much air, but too +little.” + +“It’s often struck me,” said Mr. Clyde, “that I feel better traveling +in Europe than in America. Yet our Pullmans are supposed to be the best +in the world.” + +“The worst!” declared Dr. Strong forcefully. “The best in luxuries, the +worst in necessities. The only real good and fairly sanitary cars +operated by the Pullman Company, outside of the high-priced stateroom +variety, are the second class transcontinentals, the tourist cars. They +have straw seats instead of plush; light hangings, and, as a rule, good +ventilation. If I go to the Pacific Coast again, it will be that way.” + +There was a pause, in which rose the clear whisper of Bobs, appealing +to his mentor, Julia, for information. + +“Say, Junkum, how did we get so far away from home?” + +“High time we came back, isn’t it, Bobs?” approved the doctor. “Well, +suppose we return by way of the school-house. All of you go to Number +Three but Betsey, don’t you?” + +“And I’m go-un next year,” announced that young lady. + +“Perhaps not,” said Mrs. Clyde. “Don’t you think, Doctor, that children +are liable to catch all sorts of things in the public schools?” + +“Unquestionably.” + +“More so than in private schools, aren’t they?” + +“Hum! Well, yes; since they’re brought into contact with a more +miscellaneous lot of comrades.” + +“Which is exactly why I have insisted on our sticking to the regular +schools,” put in Mr. Clyde, with the air of quiet decisiveness. “I want +our children to be brought up like other children!” The mother shook +her head dubiously. “I wish I were sure it is the right place for +them.” + +“You ought to be sure. I might even say—if you will forgive the implied +criticism—that you ought to be surer than you are.” + +Alarmed at his tone, the mother leaned forward. “Is there anything the +matter at Number Three?” + +“Several things. Nothing that you need worry about immediately, +however. I’ve been talking with some of the teachers, and found out a +few points. Charley’s teacher, for instance, tells me that she has a +much harder time keeping the children up to their work in the winter +term than at other times.” + +“I remember Charley’s tantrums over his arithmetic, last winter,” said +Grandma Sharpless. + +“My head felt funny. Kinder thick,” defended Charley. + +“That is bad,” said Dr. Strong, “very bad. I’ve reported the teacher in +that grade to Dr. Merritt, the Health Officer.” + +“Reported teacher?” said Charley, his eyes assuming a prominence quite +startling. “What for?” + +“Starving her grade.” + +Mrs. Clyde fairly bounced in her chair. “Our children are not supposed +to eat at school, Dr. Strong.” + +“Starving her grade,” continued the doctor, “in the most important need +of the human organism, air.” + +“How do you reach that conclusion?” + +“Evidence and experience. I remember in my college days that the winter +term was considered to be the most difficult in every year. The +curriculum didn’t seem to show it, but every professor and every +undergraduate knew it. Bad air, that’s all. The recitation rooms were +kept tightly closed. The human brain can’t burn carbon and get a bright +flame of intelligence without a good draft, and the breathing is the +draft. Now, on the evidence of Charley’s teacher, when winter comes +percentages go down, although the lessons are the same. So I asked her +about the ventilation and found that she had a superstitious dread of +cold.” + +“I remember Miss Benn’s room,” said Julia thoughtfully. “It used to get +awful hot there. I never liked that grade anyway, and Bobs got such bad +deportment marks.” + +“Both of the twins had colds all the winter they were in that room,” +contributed Grandma Sharpless. + +Up went Dr. Strong’s hands, the long fingers doubled in, in a curious +gesture which only stress of feeling ever drove him to use. + +“‘When will the substitute mothers and fathers who run our schools +learn about air!” he cried. “Air! It’s the first cry of the newly born +baby. Air! It’s the last plea of the man with the death-rattle in his +throat. It’s the one free boon, and we shut it out. If I’m here next +winter, I think I’ll load up with stones and break some windows!” + +“Lemme go with you!” cried Charley, with the eagerness of destruction +proper to seven years. “On the whole, Charley,” replied the other, +chuckling a little, “perhaps it’s better to smash traditions. Not +easier, but better.” + +“But you wouldn’t have them study with all the windows open on a zero +day!” protested Mrs. Clyde. + +“Wouldn’t I! Far rather than choke them in a close room! Why, in +Chicago, the sickly children have special classes on the roof, or in +the yards, all through the cold weather. They study in overcoats and +mittens. And they _learn_. Not only that, but they thrive on it.” + +Mr. Clyde was rubbing his chin hard. “Perhaps our school system isn’t +all I bragged,” he observed. + +“Not in all respects. You still stick to that relic of barbarism, the +common drinking-cup, after filtering your water. That’s a joke!” + +“I don’t see the point,” confessed Mr. Clyde. “Whom is the joke on?” + +“All of you who pay for the useless filters and then settle doctors’ +bills for the disease spread by the drinking-cups. Don’t you understand +that in the common contagious diseases, the mouth is the danger point? +Now, you may filter water till it’s dry, but if in drinking it you put +your lips to a cup soiled by the touch of diseased lips, you’re in +danger. We think too much of the water and too little of what contains +it. I’ve seen a school in Auburn, New York, and I’ve seen a golf course +at the Country Club in Seattle, where there isn’t a glass or cup to be +found; and they have two of the best water supplies I know. A tiny +fountain spouts up to meet your lips, and your mouth touches nothing +but the running water. The water itself being pure, you can’t possibly +get any infection from it.” + +“Can you get me a report on that for the Board of Education?” asked Mr. +Clyde. + +“It’s already here,” said Dr. Strong quietly. “That is part of my +Chinese job of watch-dog. One other matter. A teacher in another grade, +at Number Three, with whom I talked, stood with a pencil, which she had +taken from one of her scholars, pressed to her lips. While we talked +she gave it back to the child.” + +“Well, land sakes!” said Grandma Sharpless, “where’s the harm? I +suppose the poor girl was clean, wasn’t she?” + +“How do I know? How does anybody know? There is a case on record where +a teacher carried the virulent bacilli of diphtheria in her throat for +three months. Suppose she had been careless about putting her lips to +the various belongings of the children. How many of them do you suppose +she would have killed with the deadly poison?” + +“Didn’t she know she had diphtheria?” asked Junkum, wide-eyed. + +“She hadn’t, dear. She was what we call a ‘carrier’ of disease. For +some reason which we can’t find out, a ‘carrier’ doesn’t fall ill, but +will give the disease to any one else as surely as a very sick person, +if the germs from the throat reach the throat or lips of others.” + +“Some lectures on hygiene might not be amiss in Number Three,” said Mr. +Clyde. + +“That’s what medical school inspectors are for—to teach the teachers. +The Board of Education should be getting it started.” + +“What are you doing over there, Twinkles?” said Mr. Clyde to Bettina, +who had slipped from his knee and was sliding her chubby fist along the +window-pane. + +The child looked around. “Thwat that fly,” she explained with perfect +seriousness. + +“She has heard the other children talking about the fly-leaflets that +have been scattered around. Where’s the fly, Toodles?” + +“Up they-arr,” replied Bettina, pointing to a far corner of the pane +where a big “green-bottle” bumped its head against the glass. “Come +down, buzzy fly.” + +“Now, where,” cried Mrs. Clyde, in despair, “do you suppose that +wretched creature came from? I’m so particular always to keep the rooms +screened and darkened.” + +“Please’m, it might have come from the kitchen,” suggested Katie. +“There’s a plenty of ‘em there.” + +“And before that it came from your next-door neighbor’s manure-heap,” +added Dr. Strong. “That particular kind of fly breeds only in manure. +The fact is that the fly is about the nastiest thing alive. Compared to +it, a hog is a gentleman, and a vulture an epicure. It loves filth, and +unhappily, it also loves clean, household foods. Therefore the path of +its feet is direct between the two—from your neighbor’s stable-yard to +your dinner-table.” + +“Disgusting!” cried Mrs. Clyde. + +“Worse than disgusting: dangerous,” returned Dr. Strong, unmoved by her +distaste. “A fly’s feet are more than likely to be covered with +disease-bearing matter, which he leaves behind him.” + +“Something ought to be done about Freeman’s manure-heap, next door. +I’ll see to it,” announced Mr. Clyde. + +“Doubtless you could report him for maintaining a nuisance,” admitted +Dr. Strong; “in which case he might—er—conceivably retort upon you with +your unscreened garbage-pails, which are hatcheries for another variety +of fly.” + +“That’s a beam in the eye for you, Tom,” said Grandma Sharpless. + +“Meantime I’ll have the kitchen windows and doors screened at once,” +declared Mrs. Clyde. + +“That will help,” said Dr. Strong, “though it won’t cure. You can gain +some idea, from this matter of the flies, how intricate a social +problem health really is. No man sins to himself alone, in hygiene, and +no man can thoroughly protect himself against the misdeeds of his +neighbor. It’s true that there is such a thing as individual +self-defense by a sort of personal fortifying of the body—I’ll take +that up some other time—but it’s very limited. You can carry the fight +into the enemy’s country and eradicate the evil conditions that +threaten all, only by identifying yourself with your environment, and +waging war on that basis. Mr. Clyde, do you know anything about the row +of wooden tenements in the adjoining alley?” + +“Saddler’s Shacks? Not much, except that a lot of Italians live there.” + +“Some live; some die. The whole settlement is a scandal of +overcrowding, dirt, and disease. I’ve made out a little local health +report of the place, for the year. Of course, it’s incomplete; but it’s +significant. Look it over.” + +Mr. Clyde read aloud as follows:— + +Diphtheria 11 cases 2 deaths Measles 20 1 Typhoid +fever 4 2 Scarlet fever 13 1 Whooping-cough 20 3 +Acute intestinal trouble 45 10 Influenza 16 1 +Tuberculosis 6 1 Pneumonia 9 4 + +“What do you think of it?” asked Dr. Strong. + +“It’s a bad showing.” + +“It’s a bad showing and a bad property. Why don’t you buy it?” + +“Who? I? Are you advising me to buy a job-lot of diseases?” queried Mr. +Clyde. + +“Well—as a protective investment. We’d be safe here if those tenements +were run differently.” + +“But we aren’t in touch with them at all. They are around the corner on +another block.” + +“Nevertheless, visitors pass daily between your house and Saddler’s +Shacks. One of the young men from there delivers bread, often with his +bare and probably filthy hands. Two of the women peddle fruit about the +neighborhood. What Saddler’s Shacks get in the way of disease, you may +easily get by transmission from them. Further, the sanitary +arrangements of the shacks are primitive, not to say prehistoric, and, +incidentally, illegal. They are within the area of fly-travel from +here, so both the human and the winged disease-bearers have the best +possible opportunity to pick up infection in its worst form.” + +“Ugh!” said Mrs. Sharpless. “I’ll never eat with a fly again as long as +I live!” + +“Wouldn’t it be a simple matter to have the Bureau of Health condemn +the property?” asked Mr. Clyde. + +“It would not.” Dr. Strong spoke with curt emphasis. + +“Certain features, you said, are illegal.” + +“But pull is still stronger than law in this city.” + +“Who owns Saddler’s Shacks?” asked Grandma Sharpless, going with +characteristic directness to the point. + +“Mrs. Carson Searle.” + +“Why, then, it’s all right,” asserted Mrs. Clyde. “I know Mrs. Searle +very well. She’s a leader in church and charitable work. Of course, she +doesn’t know about the condition of the property.” + +“She knows enough about it,” retorted Dr. Strong grimly, “to go to the +Mayor over the Health Officer’s head, and put a stop to Dr. Merritt’s +order for the premises to be cleaned up at the owner’s expense. She +wants her profits undisturbed. And now, before the conference breaks +up, I propose that we organize the Household Protective Association.” + +“Oh, can we children belong?” cried Julia. + +“Of course. There are offices and honors enough for all. Mr. Clyde +shall be president; Mrs. Sharpless, vice-president and secretary; Mrs. +Clyde, treasurer, and each one of the rest of you shall have a +committee. Katie, I appoint you chairman of the Committee on Food, and +if any more flies get into your kitchen, you can report ‘em to the +Committee on Flies, Miss Bettina Clyde, chairman; motto, ‘Thwat that +fly!’ Manny, you like to go to the farm; you get the Committee on Milk +Supply. Junkum, your committee shall be that of school conditions. +Bobs, water is your element. As Water Commissioner you must keep watch +on the city reports. I’ll see that they are sent you regularly; and the +typhoid records.” + +“You haven’t left anything for me,” protested Charley. + +“Haven’t I! You’ve got one of the biggest of all jobs, air. If the +windows aren’t properly wide when the house is asleep, I want to know +it from you, and you’ll have to get up early to find out. If the Street +Cleaning Department sweeps the air full of dust because it’s too lazy +to wash down the roadway first, we’ll make a committee report to the +Mayor.” + +Bettina, _alias_ Toots, _alias_ Twinkles, _alias_ the Cherub, trotted +over and laid two plump hands on the doctor’s knee. + +“Ain’t you goin’ to be anyfing in the play?” she asked. + +“I?” said Dr. Strong. “Of course, Toots. Every real association has to +have officers and membership, you know. I’m the Member.” + + + + +III. +REPAIRING BETTINA + + +“Medicine would be the ideal profession if it did not involve giving +pain,” said Dr. Strong, setting a paper-weight upon some school reports +which had just come in. + +“You’ve been here three months and you haven’t hurt any one yet,” said +Mr. Clyde easily. + +“No. I’ve been cautious, and perhaps a little cowardly. My place as +Chinese doctor has been such a sinecure that I’ve let things go. +Moreover, I’ve wanted to gain Mrs. Clyde’s confidence as much as +possible, before coming to the point.” + +The expression of Mr. Clyde’s keen, good-humored face altered and +focused sharply. He scrutinized the doctor in silence. “Well, let’s +have it,” he said at length. “Is it my wife?” + +“No. It’s Bettina.” + +The father winced. “That baby!” he said. “Serious?” + +“On the contrary, quite simple. _If_ it is handled wisely. But it +means—pain. Not a great deal; but still, pain.” + +“An operation?” + +Dr. Strong nodded. “Merely a minor one. I’ve sounded Mrs. Clyde, +without her knowing it, and she will oppose it. Mrs. Sharpless, too, I +fear. You know how women dread suffering for the children they love.” + +Again Mr. Clyde winced. “It’s—it’s necessary, of course,” he said. + +“Not to do it would be both stupid and cruel. Shall we call in the +women and have it out with them?” + +For reply, Mr. Clyde pressed a button and sent the servant who +responded, for Mrs. Clyde and her mother. Grandma Sharpless arrived +first, took stock of the men’s grave faces, and sat down silently, +folding her strong, competent hands in her lap. But no sooner had Mrs. +Clyde caught sight of her husband’s face than her hand went to her +throat. + +“What is it?” she said. “The children—” + +“Nothing to be alarmed about, Mrs. Clyde,” said Dr. Strong quickly. He +pushed a chair toward her. “Sit down. It’s a question of—of what I +might call carpenter-work”—the mother laughed a nervous relief—“on +Betty.” + +“Betty?” Her fears fluttered in her voice. “What about Betty?” + +“She needs repairing; that’s all.” + +“I don’t know what you mean! Is she hurt?” + +“Not at all. She is breathing wrong. She breathes through her mouth.” + +“Oh!” There was reassurance and a measure even of contempt in Mrs. +Clyde’s voice. “Lots of children do that. Perhaps she’s got a little +cold.” + +“It isn’t that. This is no new thing with her. She is a +mouth-breather.” + +“I’ll see that it’s corrected,” promised the mother. + +“Only one thing can correct it,” said Dr. Strong gravely. “There’s a +difficulty that must be removed.” + +“You mean an operation? On that baby? Do you know that she isn’t five +yet? And you want to cut her with a knife—” + +“Steady, Myra,” came Mr. Clyde’s full, even speech. “Dr. Strong doesn’t +_want_ to do anything except what he considers necessary.” + +“Necessary! Supposing she does breathe through her mouth! What excuse +is that for torturing her—my baby!” + +“I’ll answer that, Mrs. Clyde,” said the doctor, with patient +politeness. Walking over to the window he threw it up and called, “Oh, +Tootles! Twinkles! Honorable Miss Cherub, come up here. I’ve got +something to show you.” And presently in came the child, dragging a +huge and dilapidated doll. + +She was a picture of rosy health, but, for the first time, the mother +noted the drooping of the lower jaw, and the slight lift of the upper +lip, revealing the edges of two pearly teeth. Dr. Strong took from a +drawer a little wooden box, adjusted a lever and, placing the ear +pieces in Betty’s ears, bade her listen. But the child shook her head. +Again he adjusted the indicator. This time, too, she said that she +heard nothing. Not until the fourth change did she announce delightedly +that she heard a pretty bell, but that it sounded very far away. + +“Now we’ll try it on mother,” said the experimenter, and added in a low +tone as he handed it to Mrs. Clyde, “I’ve set it two points less loud +than Betty’s mark. Can you hear it?” + +Mrs. Clyde nodded. A look of dread came into her eyes. + +“Now, Tootles, open your mouth,” directed the doctor, producing a +little oblong metal contrivance. + +“I haven’t got any sore froat,” objected the young lady. + +“No, but I want to look at the thoughts inside your head,” he explained +mysteriously. + +With entire confidence the child opened her mouth as wide as possible, +and Dr. Strong, setting the instrument far back against her tongue, +applied his eye to the other end. + +“All right, Toots,” he said, after a moment. “Get your breath, and then +let mother look.” + +He showed Mrs. Clyde how to press the tiny button setting aglow an +electric lamp and lighting up the nasal passages above the throat, +which were reflected on a mirror within the contrivance and thus made +clear to the eye. Following his instructions, she set her eye to the +miniature telescope as the physician pressed it against the little +tongue. + +“Well, Betty,” said Dr. Strong, as the implement was again withdrawn, +“you’ve got very nice thoughts inside that wise little head of yours. +Now you can continue bringing up your doll in the way she should go.” + +As the door closed behind her the mother turned to Dr. Strong. + +“Is she going to be deaf?” she asked breathlessly. + +“Of course not,” he reassured her. “That will be taken care of. What +did you see above the back of the throat?” + +“Little things like tiny stalactites hanging down.” + +“Adenoids.” + +“Where could she have gotten adenoids?” cried Mrs. Clyde. + +“From her remotest imaginable ancestor, probably.” + +“Why, aren’t they a disease?” + +“No. An inheritance. The race has always had them. Probably they’re +vestigial salivary glands, the use of which we’ve outgrown. +Unfortunately they may overdevelop and block up the air-passages. Then +they have to come out.” + +For the first time in the conference Grandma Sharpless gathered force +and speech. + +“Young man,” she said solemnly—rather accusingly, in fact—“if the Lord +put adenoids in the human nose he put ‘em there for some purpose.” + +“Doubtless. But that purpose, whatever it may have been, no longer +exists.” + +“Everything in the human body has some use,” she persisted. + +“Had,” corrected Dr. Strong. “Not has. How about your appendix?” + +Mrs. Sharpless’s appendix, like the wicked, had long since ceased from +troubling, and was now at rest in alcohol in a doctor’s office, having, +previous to the change of location, given its original proprietress the +one bad scare of her life. Therefore, she blinked, not being provided +with a ready answer. + +“The ancestors of man,” said Dr. Strong, “were endowed with sundry +organs, like the appendix and the adenoids, which civilized man is +better off without. And, as civilized man possesses a God-given +intelligence to tell him how to get rid of them, he wisely does so when +it’s necessary.” + +“What have the adenoids to do with Betty’s deafness?” asked Mr. Clyde. + +“Everything. They divert the air-currents, thicken the tubes connecting +throat and ear, and interfere with the hearing. Don’t let that little +deficiency in keenness of ear bother you, though. Most likely it will +pass with the removal of the adenoids. Even if it shouldn’t, it is too +slight to be a handicap. But I want the child to be repaired before any +of the familiar and more serious adenoid difficulties are fixed on her +for life.” + +“Are there others?” asked Mrs. Clyde apprehensively. + +“Oh, every imaginable kind. How could it be otherwise? Here’s the very +first principle of life, the breath, being diverted from its proper +course, in the mouth-breather; isn’t a general derangement of functions +the inevitable result? The hearing is affected, as I’ve shown you +already. The body doesn’t get its proper amount of oxygen, and the +digestion suffers. The lungs draw their air-supply in the wrong way, +and the lung capacity is diminished. The open mouth admits all kinds of +dust particles which inflame the throat and make it hospitable to +infection. By incorrect breathing the facial aspect of the +mouth-breather is variously modified and always for the worse; since +the soft facial bones of youth are altered by the continual striking of +an air-current on the roof of the mouth, which is pushed upward, +distorting the whole face.” + +“None of _our_ children are distorted. You won’t find a better-looking +lot anywhere,” challenged Mrs. Sharpless, the grandmother’s pride up in +arms. + +“True. None of them has had overdeveloped adenoids, except Betty. The +others all breathe through their noses. See how different their mouths +are from Betty’s lifting upper lip—very fascinating now, but +later—Well, I’ve gone so far as to prepare an object-lesson for you. +Three extreme types of the mouth-breathers are here from school by my +invitation to have some lemonade and cakes. They are outside now. When +they come in, I want each of you to make an analysis of one of them, +without their seeing it, of course. Talk with them about their work in +school. You may get ideas from that. Mrs. Sharpless, you take the +taller of the girls; Mrs. Clyde, you study the shorter. The boy goes to +you, Mr. Clyde.” + +The trio of visitors entered, somewhat mystified, but delighted to be +the guests of their friend, Dr. Strong, who had a faculty of +interesting children. So shrewdly did he divert and hold their +attention that they concluded their visit and left without having +suspected the scrutiny which they had undergone. + +“Now, Mrs. Clyde,” said Dr. Strong, after the good-byes were said, +“what about your girl?” + +“Nothing in particular except that she’s mortally homely and doesn’t +seem very bright.” + +“Homely in what respect?” + +“Well, hatchet-faced, to use a slang term.” + +“It’s not a slang term any more; it’s a medical term to describe a +typical result of mouth-breathing. The diversion of the breath destroys +the even arch of the teeth, pushes the central teeth up, giving that +squirrel-like expression that is so unpleasantly familiar, lengthens +the mouth from the lower jaw’s hanging down, and sharpens the whole +profile to an edge, and an ugly one. Adenoids!” + +“My tall girl I thought at first was dull, but I found the poor thing +was a little deaf,” said Grandma Sharpless. “She’s got a horrid skin; +so sallow and rough and pimply. I don’t think her digestion is good. In +fact, she said she had trouble with her stomach.” + +“Naturally. Her teeth are all out of place from facial malformation +caused by mouth-breathing. That means that she can’t properly chew her +food. That means in turn that her digestion must suffer. That, again, +means a bad complexion and a debilitated constitution. Adenoids! What’s +your analysis, Mr. Clyde?” + +“That boy? He’s two grades behind where he should be in school. It +takes him some time to get the drift of anything that’s said to him. I +should judge his brain is weak. Anyway, I don’t see where he keeps it, +for the upper part of his face is all wrong, the roof of the mouth is +so pushed up. The poor little chap’s brain-pan must be contracted.” + +“Perfectly correct, and all the result of adenoids again. The boy is +the worst example I’ve been able to find. But all three of the children +are terribly handicapped; one by a painful homeliness, one by a ruined +digestion, and the boy by a mental deficiency—and all simply and solely +because they were neglected by ignorant parents and still more ignorant +school authorities.” + +“Would you have the public schools deal with such details?” asked Mr. +Clyde. + +“Certainly. Have you ever heard what Goler, the Health Officer of +Rochester, asked that city? ‘Oughtn’t we to close the schools and +repair the children?’ he asked, and he kept on asking, until now +Rochester has a regular system of looking after the noses, mouths, and +eyes of its young. They want their children, in that city, to start the +battle of life in fighting trim.” + +“But you don’t see many misshapen children about,” objected Mrs. +Sharpless. + +“Then it’s because you don’t look. Call to your mind Hogarth’s +caricatures. Do you remember that in his crowds there are always +clubfooted, or humpbacked, or deformed people? In those days such +deformities were very common because medical science didn’t know how to +correct them in the young. To-day facial deformities, to the scientific +eye, are quite as common, though not as obvious. We’re just learning +how to correct them, and to know that the hatchet-face is a far more +serious clog on a human being’s career than is the clubfoot.” + +“If Betty had a clubfoot, of course—” began Mrs. Clyde. + +“Of course, you’d have it repaired at whatever cost of suffering. You’d +submit her to a long and serious operation; and probably to the +constant pain of a rigid iron frame upon her leg for months, perhaps +years. To obviate the deformity you’d consider that not too high a +price to pay, and rightly. Well, here is the case of a more +far-reaching malformation, curable by a minor operation, without +danger, mercifully quick, with only the briefest after-effects of pain, +and you draw back from it. Why?” + +“The thought of the knife on that little face. Is—is that all there is +to be done?” + +“No, there are the teeth. They should be looked to.” + +“Nonsense! They’re only first teeth,” said + +Grandma Sharpless vigorously. “What does a doctor know about teeth?” + +“Lots, if he knows his business. There would be fewer dyspeptics if +physicians in general sent their patients to the dentist more promptly, +and kept them in condition to chew their food.” + +“That’s all very well, when people have their real, lasting teeth,” +returned the grandmother. “But Betty’s first set will be gone in a few +years. Then it will be time enough to bother the poor child.” + +“Apparently, Mrs. Sharpless,” said Dr. Strong mildly, “you consider +that teeth come in crops, like berries; one crop now, a second and +distinct crop later. That isn’t the way growth takes place in the human +mouth. The first teeth are to the second almost what the blossom is to +the fruit. I shall want immediately to take Betty to the dentist, and +have him keep watch over her mouth with the understanding that he may +charge a bonus on every tooth he keeps in after its time. The longer +the first lot lasts, the better the second lot are. But there is no use +making the minor repairs unless the main structure is put right first.” + +“I must see Betty,” said Mrs. Clyde abruptly, and left the room. Mrs. +Sharpless followed. “Now comes the first real split.” Dr. Strong turned +to Mr. Clyde. “They’re going to vote me down.” + +“If it comes to a pinch,” said Mr. Clyde quietly, “my wife will accept +my decision.” + +“That is what I want to avoid. Where would my influence with her be, if +I were obliged to appeal to you on the very first test of professional +authority? No, I shall try to carry this through myself, even at the +risk of having to seem a little brutal.” + +Mr. Clyde lifted his eyebrows, but he only nodded, as the door opened +and the two women reentered. + +“Doctor,” said Mrs. Clyde, “if, in a year from now, Betty hasn’t +outgrown the mouth-breathing, I—I—you may take what measures you think +best.” + +“In a year from now, the danger will be more advanced. There is not the +faintest chance of correction of the fault without an operation.” + +“I can’t help it! I can’t stand the thought of it, now,” said Mrs. +Clyde brokenly. “You should see her, poor baby, as she looks now, +asleep on the lounge in the library, and even you, Doctor” (the doctor +smiled a little awry at that), “couldn’t bear to think of the blood and +the pain.” She was silent, shuddering. + +“My dear Mrs. Clyde, the blood will be no more than a nosebleed, and +the pain won’t amount to much, thanks to anaesthesia. Let me see.” He +stepped to the door and, opening it softly, looked in, then beckoned to +the others to join him. + +The child lay asleep on her side, one cupped pink hand hanging, the +other back of her head. Her jaw had dropped and the corner of the mouth +had slackened down in an unnatural droop. The breath hissed a little +between the soft lips. Dr. Strong closed the door again. + +“Well?” he said, and there was a suggestion of the sternness of +judgment in the monosyllable. + +“I am her mother.” Mrs. Clyde faced him, a spot of color in each cheek. +“A mother is a better judge of her children than any doctor can be!” + +“You think so?” said Dr. Strong deliberately. “Then I must set you +right. Do you recall sending Charley away from the table for +clumsiness, two days ago?” + +“Why, yes.” Mrs. Clyde’s expressive eyes widened. “He overturned his +glass, after my warning him.” + +“And once last week for the same thing?” + +“Yes, but what—” + +“Pardon me, do you think your mother-judgment was wise then?” + +“Well, really, Dr. Strong,” said Mrs. Clyde, flushing, “you will hardly +assume the right of control of the children’s manners—” + +“This is not a question of manners. There is where your error lies,” +interrupted the doctor. “Against your mother-judgment I set my +doctor-judgment, and I tell you now”—his voice rose a little from its +accustomed polished smoothness, and took on authority—“I tell you that +the boy is no more responsible for his clumsiness than Betty is for bad +breathing. It’s a disease, very faint but unmistakable.” + +“Not Charley!” said his father incredulously, “Why, he’s as husky as a +colt.” + +“He will be, please God, in a few years, but just now he has—don’t be +alarmed; it’s nothing like so important as it sounds—he has a slight +heart trouble, probably the sequel to that light and perhaps mismanaged +diphtheria attack. It’s quite a common result and is nearly always +outgrown, and it shows in almost unnoticeable lack of control of hands +and feet. I observed Charley’s clumsiness long ago; listened at his +heart, and heard the murmur there.” + +“And you never told us!” reproached the grandmother. + +“What was the use? There’s nothing to be done; nothing that needs to be +done, except watch, and that I’ve been doing. And I didn’t want to +worry you.” + +“Then I’ve been punishing him for what wasn’t his fault,” said Mrs. +Clyde in a choked voice. + +“You have. Don’t punish Betty for what isn’t hers,” countered the +physician, swiftly taking advantage of the opening. “Give her her +chance. Mrs. Clyde, if Betty were my own, she could hardly have wound +herself more closely around my heartstrings. I want to see her grow +from a strong and beautiful child to a strong and beautiful girl, and +finally to a strong and beautiful woman. It rests with you. Watch her +breathing to-night, as she sleeps—and tell me to-morrow.” + +He rose and left the room. Mr. Clyde walked over and put a hand softly +on his wife’s soft hair; then brushed her cheek with his lips. + +“It’s up to you, dearest,” he said gently. + +Three days later, Betty, overhanging the side fence, was heard, by her +shamelessly eavesdropping father, imparting information to her +next-door neighbor and friend. + +“You’d ought to get a new nothe, Thally. It don’t hurt much, an’ +breathin’ ith heapth more fun!” + +Pondering a chain of suggestions induced by this advice, Mr. Clyde +walked slowly to the house. As was his habit in thought, he proceeded +to rub the idea into his chin, which was quite pink from friction by +the time he reached the library. There he found Dr. Strong and Mrs. +Sharpless in consultation. + +“What are you two conspiring about?” he asked, ceasing to rub the +troubled spot. + +“Matter of school reports,” answered the doctor. He glanced at the +other’s chin and smiled. “And what is worrying you?” he asked. + +“I’m wondering whether I haven’t made a mistake.” + +“Quite possibly. It’s done by some of our best people,” remarked the +physician dryly. + +“Not a pleasant possibility in this case. You remember quoting +Rochester as to closing the schools and repairing the children. To-day, +as I heard Betty commenting on her new nose, it suddenly came to me +that I was obstructing that very system of repairs by which she is +benefiting, for less fortunate youngsters in our schools.” + +“You!” said Dr. Strong in surprise. + +“As president of the Public Health League. The Superintendent of +Schools came to me with a complaint against Dr. Merritt, the Health +Officer, who, he claimed, was usurping authority in his scheme for a +special inspection system to examine all schoolchildren at regular +intervals.” + +“Ought to have been established long ago,” declared Dr. Strong. + +“The Superintendent thinks otherwise. He claims that it would interfere +with school routine. It’s the duty of the health officials, he says, to +control epidemics from without, to keep sickness out of the schools, +not to hunt around among the children, scaring them to death about +diseases that probably aren’t there.” + +Dr. Strong muttered something which Grandma Sharpless pretended not to +hear. “And you’ve agreed to support him in that attitude?” he queried. + +“Well, I’m afraid I’ve half committed myself.” + +“Heaven forgive you! Why, see here, Clyde, your dodo of a +superintendent talks of keeping sickness out of the schools. Doesn’t +that mean keeping sickness out of the pupils? There’s just one way to +do that: get every child into the best possible condition of +repair—eyes, ears, nose, throat, teeth, stomach, everything, and +maintain them in that state. Then disease will have a hard time +breaking down the natural resistance of the system. Damaged organs in a +child are like flaws in a ship’s armor-plate; a vital weakening of the +defenses. And remember, the child is always battling against one +besieging germ or another.” + +“Why can’t medical science wipe out the germs?” demanded Mrs. +Sharpless. “It’s always claiming to do such wonders.” + +“In a few instances it can. In typhoid we fight and win the battle from +the outside by doing that very thing. In smallpox, and to a lesser +extent in diphtheria, we can build up an effective artificial barrier +by inoculation. But, as medical men are now coming to realize, in the +other important contagions of childhood, measles, whooping-cough, and +scarlet fever, we must fight the disease from inside the individual; +that is, make as nearly impregnable as possible the natural +fortifications of the body to resist and repel the invasion. That is +what school medical inspection aims at.” + +“You wouldn’t rank whooping-cough and measles with scarlet fever, would +you?” said Mrs. Sharpless incredulously. + +“Why not? Although scarlet fever has the worst after-effects,—though +not much more serious than those of measles,—the three are almost equal +so far as the death-rate is concerned.” + +“Surely not!” protested the old lady. “Why, I’d rather have measles in +the house ten times, or whooping-cough either, than scarlet fever +once.” + +“You’re about ten times as likely to have.” + +She looked puzzled. “But what did you mean by saying that one of ‘em is +as bad as the other?” + +“That it’s as dangerous to the community, though not to the +individual.” + +“Just a little deep for me, too,” confessed Mr. Clyde. + +“Yet it’s perfectly simple. Here, take an example. Would you rather be +bitten by a rattlesnake or a mosquito?” + +“A mosquito, of course.” + +“Naturally. Yet a rattlesnake country is a good deal safer than a +mosquito country. You wouldn’t hesitate, on account of your health, to +move to Arizona, where rattlesnakes live?” + +“I suppose not.” + +“But you _would_ be afraid to establish your family in the malarious +swamps of the South?” + +“Certainly.” + +“Well, people who die of malaria die of mosquito bite, since the +mosquito is the only agency of infection. Thus, it reduces to this: +that while the individual rattler is more dangerous than the individual +mosquito, the mosquito, in general, kills her thousands where the snake +kills one. Now—with considerable modification of the ratio—scarlet +fever is the rattlesnake; whooping-cough and measles are the +mosquitoes. It is just as important to keep measles out of a community +as it is to shut out scarlet fever. In fact, if you will study the +records of this city, you will find that in two out of the last three +years, measles has killed more people than scarlet fever, and +whooping-cough more than either of them.” + +“What are we going to do about it?” asked the practical-minded Mr. +Clyde. + +“Ah, if some one would only tell us that! In measles the worst of the +harm is done before the disease announces itself definitely. The most +contagious stage is previous to the appearance of the telltale rash. +There’s nothing but a snuffling nose, and perhaps a very little fever +to give advance notice that the sufferer is a firebrand.” + +“Well, you can’t shut a child out of school for every little sore +throat,” observed Mrs. Sharpless. + +“As to that I’m not so sure,” replied the physician slowly and +thoughtfully. “A recent writer on school epidemics has suggested +educating the public to believe that every sore throat is contagious.” + +“That isn’t true, is it?” asked Mr. Clyde. + +“No. Personally I believe that, while a physician is often justified in +deceiving his patient, he is never justified in fooling the public. In +the long run they find him out and his influence for good is lessened. +Yet that sore-throat theory is near enough true to be a strong +temptation. Every sore throat is suspicious; that isn’t too much to +say. And, with a thorough school-inspection system, it is quite +possible that epidemics could be headed off by isolating the +early-discovered cases of sore throat. But, an epidemic of the common +contagions, once well under way, seems to be quite beyond any certainty +of control.” + +“Do you mean to say that quarantine and disinfection and isolation are +all useless?” asked Mr. Clyde. + +“No. I won’t go as far as that. They may exercise a check in some +cases. But I will say this: that all our cumbersome and expensive and +often harassing hygienic measures in the contagious diseases haven’t +made good. Obviously, if they had, we should see a diminution of the +ills which they are supposed to limit. There is no diminution. No, +we’re on the wrong tack. Until we know what the right tack is, we +perhaps ought to keep on doing what we can in the present line. It’s a +big, complicated subject, and one that won’t be settled until we find +out what scarlet fever, measles, and whooping-cough really are, and +what causes them. While we’re waiting for the bacteriologist to tell us +that, the soundest principle of defense that we have is to keep the +body up to its highest pitch of resistance. That is why I support +medical inspection for schools as an essential measure.” + +“To repair the children without closing the schools, if I may modify +Dr. Goler’s epigram,” suggested Mr. Clyde. + +“Exactly. Eventually we shall have to build as well as repair. A very +curious thing is happening to Young America in the Eastern States. The +growing generation is shrinking in weight and height.” + +“Which is almost contradictory enough for a paradox,” remarked Mr. +Clyde. + +“It’s a melancholy and literal fact. You know, there’s a height and +weight basis for age upon which our school grading system rests. The +authorities have been obliged to reconstruct it because the children +are continuously growing smaller for their years. _There’s_ work for +the inspection force!” + +“You’d put the children on pulleys and stretch ‘em out, I suppose!” +gibed Grandma Sharpless. + +“That might work, too,” replied the doctor, unruffled. “The Procrustean +system isn’t so bad, if old Procrustes had only sent his victims to the +gymnasium instead of putting them to bed. Yes, a quarter of an hour +with the weight-pulleys every day would help undersized kiddies a good +deal. But principally I should want the school-inspectors to keep the +youngsters playing.” + +“You don’t have to teach a child to play,” sniffed Grandma Sharpless, +with womanly scorn of mere man’s views concerning children. + +“Pardon me, Mrs. Sharpless, you taught your children to play.” + +“I! Whatever makes you think that?” + +“The simple fact that they didn’t die in babyhood.” + +Mrs. Sharpless looked at him with a severity not unmingled with +suspicion. “Sometimes, young man,” she observed, “you talk like a—a—a +gump!” + +“Take that, Strong!” said Mr. Clyde, joining in the doctor’s laugh +against himself. + +“Facts may sometimes sound foolish,” admitted Dr. Strong. “If they do, +that’s the fault of the speaker. And it _is_ a fact that every mother +teaches her baby to play. Watch the cat if you don’t believe me. The +wisest woman in America points out in her recent book that it is the +mother’s playing with her baby which rouses in it the will to live. +Without that will to live none of us would survive.” + +“I don’t know who your wisest woman in America may be, but I don’t +believe she knows what she is talking about,” declared Grandma +Sharpless flatly. + +“I’ve never known her when she didn’t,” retorted the doctor. “If Jane +Addams of Hull House isn’t an expert in life, mental, moral, and +physical, then there’s no such person! Why, see here, Mrs. Sharpless; +do you know why a baby’s chance of survival is less in the very best +possible institution without its mother, than in the very worst +imaginable tenement with its mother, even though the mother is unable +to nurse it?” + +“It isn’t as well tended, I expect.” + +“All its physical surroundings are a thousand times more advantageous: +better air, better food, better temperature, better safeguarding +against disease; yet babies in these surroundings just pine away and +die. It’s almost impossible to bring up an infant on an institutional +system. The infant death-rate of these well-meaning places is so +appalling that nobody dares tell it publicly. And it is so, simply +because there is no one to play with the babies. The nurses haven’t the +time, though they have the instinct. I tell you, the most wonderful, +mystic, profound thing in all the world, to me, is the sight of a young +girl’s intuitive yearning to dandle every baby she may see. That’s the +universal world-old, world-wide, deep-rooted genius of motherhood, +which antedates the humankind, stirring within her and impelling her to +help keep the race alive—by playing with the baby.” + +“H’m! I hadn’t thought of it in that way,” confessed Grandma Sharpless. +“There may be something in what you say, young man. But by the time +children reach school age I guess they’ve learned that lesson.” + +“Not always. At least, not properly, always. Let’s consult the +Committee on School of our household organization.” + +He sent for eight-year-old Julia. + +“Question to lay before you, Miss Chairwoman,” said Dr. Strong. “How +many of the girls in your grade hang around the hall or doorways during +recess?” + +“Oh, lots!” said Julia promptly. + +“Are they the bigger girls? or the smaller ones?” The Committee on +School considered the matter gravely. “Mary Hinks, she’s tall, but +she’s awful thin and sickly,” she pronounced. “Dot Griswold and Cora +Smith and Tiny Warley—why, I guess they’re most all the littlest girls +in the class.” + +Dr. Strong nodded. “Sure to be the undernourished, anaemic, lethargic +ones,” said he. “They’re forgetting the lessons of their babyhood. +Insensibly they are losing the will to live. But there’s nobody to tell +them so. A thorough medical inspection service would correct that. It +would include school-nurses who would go to the homes of the children +and tell the parents what was the matter. Such a system might not be +warranted to keep epidemics out of our schools, but it would stretch +out and fill out those meager youngsters’ brains as well as bodies, and +fit them to combat illness if it did come. The whole theory of the +school’s attitude toward the child seems to me misconceived by those +who have charge of the system. It assumes too much in authority and +avoids too much in responsibility. + +“Take the case of John Smith, who has two children to bring up under +our enlightened system of government. Government says to John Smith, +‘Send your children to school!’ ‘Suppose I don’t wish to?’ says John +Smith. ‘You’ve got to,’ says Government. ‘It isn’t safe for me to have +them left uneducated.’ ‘Will you take care of them while they’re at +school?’ says John Smith. ‘I’ll train their minds,’ says Government. +‘What about their bodies?’ says John Smith. ‘Hm!’ says Government; +‘that’s a horse of another color.’ ‘Then I’ll come with them and see +that they’re looked after physically,’ says John Smith. ‘You _will_ +not!’ says Government. ‘I’m _in loco ‘parentis_, while they’re in +school.’ ‘Then you take the entire _loco_ of the _parentis_,’ says John +Smith. ‘If you take my children away on the ground that you’re better +fitted to care for their minds than I am, you ought to be at least as +ready to look after their health. Otherwise,’ says John Smith, ‘go and +teach yourself to stand on your head. You can’t teach _my_ children.’ +Now,” concluded Dr. Strong, “do you see any flaws in the Smith point of +view?” + +“Just plain common sense,” approved Grandma Sharpless. + +“Clyde,” said Dr. Strong, with a twinkle, “if you don’t stop rubbing a +hole in your chin, I’ll have to repair _you_. What’s preying on your +mind?” + +“I am trying,” replied Mr. Clyde deliberately, “to figure out, with +reference to the School Superintendent and myself, just how a man who +has made a fool of himself can write a letter to another man who has +helped the first man make a fool of himself, admitting that he’s made a +fool of himself, and yet avoid embarrassment, either to the man who has +made a fool of himself or to the other man who aided the man in making +a fool of himself. Do you get that?” + +Dr. Strong rose. “I’m a Chinese doctor,” he observed, “not a Chinese +puzzle-solver. That’s a matter between you and your ink-well. Meantime, +having attained the point for which I’ve been climbing, I now declare +this session adjourned.” + + + + +IV. +THE CORNER DRUG-STORE + + +“No, it won’t add to the attractiveness of the neighborhood, perhaps,” +said Mrs. Clyde thoughtfully. “But how convenient it will be!” + +Mr. Clyde had come home with the news that a drug-store was to be +opened shortly on the adjacent corner. Shifting his position to dodge a +foliage-piercing shaft of sunlight—they were all sitting out on the +shady lawn, in the cool of a September afternoon—Dr. Strong shook his +head. + +“Too convenient, altogether,” he observed. + +“How’s that?” queried Mr. Clyde. “A drugstore is like a gun in Texas: +you may not need it often, but when you do need it, you need it like +blazes.” + +“True enough. But most people over-patronize the drug-store.” + +“Not this family; at least, since our house-doctor came to keep us well +on the Chinese plan,” said Mrs. Clyde gracefully. + +But Dr. Strong only looked rueful. “Your Chinese doctor has to plead +guilty to negligence of what has been going on under his very nose.” + +“Oh, not more trouble!” pleaded Mrs. Clyde. She had come through the +dreaded ordeal of little Betty’s operation for adenoids—which had +proved to be, after all, so slight and comparatively painless—with a +greatly augmented respect for and trust in Dr. Strong; but her nerves +still quivered. + +“Nothing to trouble you,” the doctor assured her, “but enough to make +me feel guilty—and stupid. Have you noticed any change in Manny, +lately?” + +“Manny” was fourteen-year-old Maynard Clyde, the oldest of the +children; a high school lad, tall, lathy, athletic, and good-tempered. + +“The boy is as nervous as a witch,” put in Grandma Sharpless. “I’ve +noticed it since early summer.” + +“Then I wish you had taught me my trade,” said Dr. Strong. “Manny is so +husky and active that I’ve hardly given him a thought.” + +“Well, what’s wrong with him?” asked the father anxiously. + +“Too much drug-store,” was the prompt reply. “Not drugs!” cried Mrs. +Clyde, horrified. “That child!” + +“Well, no; not in the sense you mean it. Wait; there he is now. Manny!” +he called, raising his voice. “Come over here a minute, will you?” The +boy ambled over, and dropped down on the grass. He was brown, thin, and +hard-trained; but there was a nervous pucker between his eyes, which +his father noted for the first time. “What’s this? A meeting of the +Board? Anything for the Committee on Milk Supply to do?” he asked. + +“Not at present,” answered Dr. Strong, “except to answer a question or +two. You don’t drink coffee, do you?” + +“Of course not. I’m trying for shortstop on the junior nine, you know.” + +“How are you making out?” + +“Rotten!” said the boy despondently. “I don’t seem to have any grip on +myself this year. Sort o’ get the rattles.” + +“Hm-m-m. Feel pretty thirsty after the practice, and usually stop in at +the soda-fountain for some of those patent soft drinks advertised to be +harmless but stimulating, don’t you?” + +“Yes,” said the boy, surprised. + +“Ah,” said the doctor carelessly; “three or four glasses a day, I +suppose?” + +Manny thought a moment. “All of that,” he said. + +“Well, you quit it,” advised the doctor, “if you want to make the ball +team. It will put you off your game worse than tea or coffee. Tell the +athletic instructor I said so, will you?” + +“Sure!” said the boy. “I didn’t know there was any harm in it.” + +As Manny walked away, Dr. Strong turned to + +Mr. Clyde. “I found out about Manny by accident. No wonder the boy is +nervous. He’s been drinking that stuff like water, with no thought of +what’s in it.” + +“What _is_ in it?” said Mrs. Clyde. + +“Caffeine, generally. The most widely used of the lot is a mixture of +fruit syrups doctored up with that drug. There’s as much +nerve-excitation in a glass of it—yes, and more—than in a cup of strong +coffee. What would you think of a fourteen-year-old boy who drank five +cups of strong coffee every day?” + +“I’d think his parents were fools,” declared Grandma Sharpless bluntly. + +“Or his physician,” suggested Dr. Strong. “I’ve seen cases of people +drinking twenty to twenty-five glasses of that ‘harmless’ stuff every +day. Of course, they were on the road to nervous smash-up. But the +craving for it was established and they hadn’t the nerve to stop.” + +“The soda-fountain as a public peril,” said Mr. Clyde, with a smile. + +“There’s more in that than can be smiled away,” retorted the doctor +vigorously. “What between nerve-foods that are simply disguised +‘bracers,’ and dangerous, heart-depressing dopes, like bromo-seltzer, +the soda-fountain does its share of damage in the community.” + +“What about soda-water; that is innocent, isn’t it?” asked Mrs. Clyde. + +“Yes. If the syrups are pure, soda-water is a good thing in moderation. +So are the mineral waters. But there is this to be said about +soda-water and candy, particularly the latter—” + +“I’ve always said,” broke in Grandma Sharpless, “that candy-eating +would ruin any digestion.”, “Then you’ve always been wrong, ma’am,” +said Dr. Strong. “Candy, well and honestly made, is excellent food at +the proper time. The trouble is, both with candy and with the heavy, +rich soda-waters, that people are continually filling up with them +between meals. Now the stomach is a machine with a great amount of work +to do, and is entitled to some consideration. Clyde, what would happen +to the machines in your factory, if you didn’t give them proper +intervals of rest?” + +“They’d be very short-lived,” said Mr. Clyde. “There’s a curious thing +about machinery which everybody knows but nobody understands: running a +machine twenty-four hours a day for one week gives it harder wear than +running it twelve hours a day for a month. It needs a regular rest.” + +“So with the machinery of digestion,” said the doctor. “The stomach and +intestines have their hard work after meals. How are they to rest up, +if an odd lot of candy or a slab of rich ice-cream soda come sliding +down between whiles to be attended to? Eat your candy at the end of a +meal, if you want it. It’s a good desert. But whatever you eat, give +your digestion a fair chance.” + +“You can digest anything if you use Thingumbob Pills,” observed Mr. +Clyde sardonically. “The newspapers say so.” + +“That’s the kind of doctrine that makes dyspeptics,” returned Dr. +Strong. “The American stomach is the worst-abused organ in creation. +Saliva is the true digestive. If people would take time to chew +properly, half the dyspepsia-pill fakers would go out of business. If +they’d take time to exercise properly, the other half would disappear.” + +“Liver pills were my regular dependence a few years ago,” remarked Mr. +Clyde. “Since I took up hand-ball I haven’t needed them. But I suppose +that half the business men in town think they couldn’t live without +drugging themselves two or three times a week.” + +“Undoubtedly. Tell the average American any sort of a lie in print, +about his digestion, and he’ll swallow it whole, together with the drug +which the lie is intended to sell. Look at the Cascaret advertising. +Its tendency is to induce, not an occasional recourse to Cascarets, but +a steady use of them. Any man foolish enough to follow the advice of +the advertisements would form a Cascaret habit and bring his digestion +into a state of slavery. That sort of appeal has probably ruined more +digestions and spoiled more tempers than any devil-dogma ever put into +type.” + +“Castor-oil is good enough for me,” said Grandma Sharpless +emphatically. + +“It’s good enough for anybody—that is to say, bad enough and nasty +enough so that there isn’t much danger of its being abused. But these +infernal sugar-coated candy cathartics get a hold on a man’s intestinal +organization so that it can’t do its work without ‘em, and, Lord knows, +it can’t stand their stimulus indefinitely. Then along comes +appendicitis.” + +“But some of the laxative medicines advertise to prevent appendicitis,” +said Mrs. Clyde. + +Dr. Strong’s face was very grim. “Yes, they advertise. Commercial +travelers, because of their irregular habits, are great pill-guzzlers +as a class. Appendicitis is a very common complaint among them. A +Pittsburgh surgeon with a large practice among traveling men has kept +records, and he believes that more than fifty per cent of the +appendicitis cases he treats are caused by the ‘liver-pill’ and +‘steady-cathartic’ habit. He explains his theory in this way. The man +begins taking the laxative to correct his bad habits of life. Little by +little he increases his dose, as the digestive mechanism grows less +responsive to the stimulus, until presently an overdose sets his +intestines churning around with a violence never intended by nature. +Then, under this abnormal peristalsis, as it is called, the appendix +becomes infected, and there’s nothing for it but the surgeon’s knife.” + +“Would you have people run to the doctor and pay two dollars every time +their stomach got a little out of kilter?” asked Mrs. Sharpless +shrewdly. + +“Run to the doctor; run to the minister; run to the plumber; run +anywhere so long as you run far enough and fast enough,” answered Dr. +Strong with a smile. “A mile a day at a good clip, or three miles of +brisk walking would be the beginning of a readjustment. Less food more +slowly eaten and no strong liquors would complete the cure in nine +cases out of ten. The tenth case needs the doctor; not the +newspaper-and-drug-store pill.” + +“But all patent medicines aren’t bad, are they?” asked Mrs. Clyde. +“Some have very good testimonials.” + +“Bought or wheedled. Any medicine which claims to _cure_ is a fraud and +a swindle.” + +“Don’t tell me, young man!” said Grandma Sharpless. “You doctors are +prejudiced against patent medicines, but we old folks have used ‘em +long enough to know which are good and which are bad. Now I don’t claim +but what the Indian herb remedies and the ‘ready reliefs’ and that lot +are frauds. But my family was brought up on teething powders and +soothing syrups.” + +“Then you’re fortunate,” said Dr. Strong sternly, “that none of them +has turned out to be an opium fiend.” + +The instant he said it, he saw, with sharp regret, that his shaft had +sped true to the mark. The clear, dark red of a hale old age faded from +Grandma Sharpless’s cheeks. Mr. Clyde shot a quick glance of warning at +him. + +“And speaking of Indian remedies,” went on the doctor glibly, “I +remember as a boy—” + +“Stop a minute,” said Grandma Sharpless steadily. “The truth isn’t +going to hurt me. Or, if it does hurt, maybe it’s right it should. I +had a younger brother who died in a sanitarium for drug-habit when he +was twenty-four. As a child he pretty nearly lived on soothing syrups; +had to have them all the time, because he was such a nervous little +fellow; always having earache and stomach-ache, until he was eight or +nine years old. Then he got better and became a strong, active boy, and +a robust man. After his college course he went to Philadelphia, and was +doing well when he contracted the morphine habit—how or why, we never +knew. It killed him in three years. Do you think—is it possible that +the soothing syrups—I’ve heard they have morphine in them—had anything +to do with his ruin?” + +“Why, Mrs. Sharpless,” said the other, very gently, “I can only put it +before you in this way. Here is one of the most subtle and enslaving of +all drugs, morphine. It is fed to a child, in the plastic and formative +years of life, regularly. What surer way could there be of planting the +seeds of drug-habit? Suppose, for illustration, we substitute alcohol, +which is far less dangerous. If you gave a child, from the time of his +second year to his eighth, let us say, two or three drinks of whiskey +every day, and that child, when grown up, developed into a drunkard, +would you think it strange?” + +“I’d think it strange if he didn’t.” + +“Apply the same logic to opium, or its derivative, morphine. There are +a dozen preparations regularly used for children, containing opium, or +morphine, such as Mrs. Winslow’s ‘Soothing Syrup,’ and Kopp’s ‘Baby +Friend.’ This is well known, and it is also a recognized fact that the +morphine and opium habit is steadily increasing in this country. Isn’t +it reasonable to infer a connection between the two? Further, some of +the highest authorities believe that the use of these drugs in +childhood predisposes to the drink habit also, later in life. The +nerves are unsettled; they are habituated to a morbid craving, and, at +a later period, that craving is liable to return in a changed +manifestation.” + +“But a drug-store can’t sell opium or morphine except on prescription, +can it?” asked Mr. Clyde. + +“It can _in a patent medicine_,” replied the doctor. “That’s one of the +ugly phases of the drug business. Yet it’s possible to find honest +people who believe in these dopes and even give testimonials to them.” + +“Some testimonials are hard to believe,” said Mrs. Clyde, thankfully +accepting the chance to shift the conversation to a less painful phase +of the topic. “Old Mrs. Dibble in our church is convinced that she owes +her health to Hall’s Catarrh Cure.” Dr. Strong smiled sardonically. +“That’s the nostrum which offers one hundred dollars reward for any +case it can’t cure; and when a disgusted dupe tried to get the one +hundred dollars, they said he hadn’t given their remedy a sufficient +trial: he’d taken only twenty-odd bottles. So your friend thinks that a +useless mixture of alcohol and iodide of potassium fixed her, does +she?” + +“Why shouldn’t she? She had a case of catarrh. She took three bottles +of the medicine, and her catarrh is all gone.” + +“All right. Let’s extend her line of reasoning to some other cases. +While old Mr. Barker, around on Halsey Street, was very ill with +pneumonia last month, he fell out of bed and broke his arm.” + +“In two places,” said Mrs. Sharpless. “I saw him walking up the street +yesterday, all trussed up like a chicken.” + +“Quite recovered from pneumonia, however. Then there was little Mrs. +Bowles: she had typhoid, you remember, and at the height of the fever a +strange cat got into the room and frightened her into hysterics.” + +“But she got well,” said Mrs. Clyde. “They’re up in the woods now.” + +“Exactly. Moral (according to Mrs. Dibble’s experience with Hall’s +Catarrh Cure): for pneumonia, try a broken arm; in case of typhoid, set +a cat on the patient.” + +Mr. Clyde laughed. “I see,” he said. “People get well in spite of these +patent medicines, rather than by virtue of them. _Post hoc, non propter +hoc_, as our lawyer friends say.” + +“You’ve got it. The human body keeps up a sort of drug-store of its +own. As soon as disease fastens on it, it goes to work in a subtle and +mysterious way, manufacturing a cure for that disease. If it’s +diphtheria, the body produces antitoxin, and we give it more to help it +on. If it’s jaundice, it produces a special quality of gastric juices +to correct the evil conditions. In the vast majority of attacks, the +body drives out the disease by its own efforts; yet, if the patient +chances to have been idiot enough to take some quack ‘cure’ the credit +goes to that medicine.” + +“Or to the doctor, if it’s a doctor’s case,” suggested Grandma +Sharpless, with a twinkle of malice. + +“Show me a doctor who boasts ‘I can cure you,’ whether by word of mouth +or in print, and I’ll show you a quack,” returned the other warmly. + +“But what is a doctor for in a sick-room, if not to cure?” asked Mrs. +Clyde. + +“What is a captain for on a ship?” countered Dr. Strong. “He can’t cure +a storm, can he? But he can guide the vessel so that she can weather +it. Well, our medical captains lose a good many commands; the storm is +often too severe for human skill. But they save a good many, too, by +skillful handling.” + +“Then there is no such thing as an actual cure, in medicine?” + +“Why, yes. In a sense there are several. Antitoxin may be called a cure +for diphtheria. Quinine is, to some extent, a specific in malaria. And +Ehrlich’s famous ‘606’ has been remarkably, though not unfailingly, +successful in that terrible blood-plague, born of debauchery, which +strikes the innocent through the guilty. All these remedies, however, +come, not through the quack and the drug-store, but through the +physician and the laboratory.” + +“May not the patent medicines, also, help to guide the physical ship +through the storm?” asked Mrs. Clyde, adopting the doctor’s simile. + +“On to the rocks,” he replied quickly. “Look at the consumption cures. +To many consumptives, alcohol is deadly. Yet a wretched concoction like +Duffy’s Malt Whiskey, advertised to cure tuberculosis, flaunts its lies +everywhere. And the law is powerless to check the suicidal course of +the poor fools who believe and take it.” + +“Why, I thought the Pure Food Law stopped all that,” said Mrs. Clyde +innocently. + +“The Pure Food Law! The life has been almost crushed out of it. +Roosevelt whacked it over the head with his Referee Board, which +granted immunity to the food poisoners, and afterward the Supreme Court +and Wickersham treated it to a course of ‘legal interpretations,’ which +generally signify a way to get around a good law.” + +“But the patent medicines aren’t allowed to make false claims any more, +as I understand it,” said Mr. Clyde. + +“That applies only to the label on the bottle. So you’ll find that the +words ‘alcohol,’ ‘opium,’ ‘acetanilid,’ ‘chloral,’ and other terms of +poison, have sprouted forth there, in very small and inconspicuous +type. But there’s a free field for the false promises on sign-boards, +in the street-cars, in the newspapers, everywhere. Look in the next +drug-store window you pass and you’ll see ‘sure cures’ exploited in +terms that would make Ananias feel like an amateur.” + +“You make out a pretty poor character for the druggists, as a class,” +observed Mr. Clyde. + +“Not at all. As a class, they’re a decent, self-respecting, honorable +lot of men.” + +“Then why do they stick to a bad trade?” asked Mrs. Clyde. + +Dr. Strong got to his feet. “Let one of them answer,” he said. “Mr. +Gormley, who runs the big store in the Arcade, usually passes here +about this time, and I think I see him coming now.” + +“They can talk all they like,” said Grandma Sharpless emphatically, as +the doctor walked across to the front fence, “but I wouldn’t be without +a bottle of cough syrup in the house.” + +“Nor I without my headache tablets,” added Mrs. Clyde. “I’d have had to +give up the bridge party yesterday but for them.” + +Mr. Clyde shot a sharp glance, first, at his wife, then at her mother. +“Well, I’d like to see the labels on your particular brands of +medicine,” he remarked. + +“There’s nothing bad in mine,” asserted Mrs. Clyde. “Mrs. Martin +recommended them to me; she’s been taking them for years.” + +At this point Dr. Strong returned, bringing with him a slim, elderly +man, whose shrewd, wide eyes peered through a pair of gold-rimmed +glasses. + +“So you want me to give away the secrets of my trade,” he remarked +good-humoredly, after the greetings. “Well, I don’t object to relieving +my mind, once in a while. So shoot, and if I can’t dodge, I’ll yell.” + +“Why do you deal in patent medicines if they’re so bad?” asked Grandma +Sharpless bluntly. “Is there such a big profit in them?” + +“No profit, worth speaking of,” replied Mr. Gormley. “Though you’ll +note that I haven’t admitted they are bad—as yet.” + +“The bulk of your trade is in that class of goods, isn’t it?” queried +Mr. Clyde. + +“Worse luck, it is. They’ve got us through their hold on the public. +And they not only force us to be their agents, but they grind us down +to the very smallest profit; sometimes less than the cost of doing +business.” + +“But you aren’t compelled to deal in their medicines,” objected Mr. +Clyde. + +“Practically I am. My really profitable trade is in filling +prescriptions. There I can legitimately charge, not only for the drugs, +but also for my special technical skill and knowledge. But in order to +maintain my prescription trade I must keep people coming to my store. +And they won’t come unless I carry what they demand in the way of +patent medicines.” + +“Then there is a legitimate demand for patent medicines?” said Mr. +Clyde quickly. + +“Legitimate? Hardly. It’s purely an inspired demand.” + +“What makes it persist, then?” + +“The newspapers. The patent-medicine advertisers fill the daily columns +with their claims, and create a demand by the force of repeated +falsehood. Do you know the universal formula for the cost of patent +cures? Here it is: Drugs, 3 per cent; manufacturing plant, 7 per cent; +printing ink, 90 per cent. It’s a sickening business. If I could afford +it, I’d break loose like that fellow McConnell in Chicago and put a +placard of warning in my show window. Here’s a copy of the one he +displays in his drug-store.” + +Taking a card from his pocket, Mr. Gormley held it up for the circle to +read. The inscription was:— + +“Please do not ask us what _any old patent, medicine_ is worth, for you +embarrass us, as our honest answer must be that _it is worthless_. + “If you mean to ask us at what price we sell it, that is an + entirely different proposition. When sick, consult a good + physician. It is the only proper course. And you will find it + cheaper in the end than self-medication with _worthless ‘patent’ + nostrums._” + + +“Has that killed his trade in quackery?” asked Dr. Strong. + +“Nothing can kill that. It has cut it down by half, though. It’s a +peculiar and disheartening fact that the public will believe the paid +lie of a newspaper advertisement and disregard the plain truth from an +expert. And see here, Dr. Strong, when you doctors get together and +roast the pharmaceutical trade, just remember that it’s really the +newspapers and not the drug-stores that sell patent medicines.” + +“Are all of them so bad?” asked Mrs. Clyde. + +“All that claim to _cure_. They’re either frauds, appealing to the +appetite by a stiff allowance of booze, like Swamp Root and Peruna, or +disguised dopes,—opium, hasheesh or chloral,—masquerading as soothing +syrups, cough medicines, and consumption cures; or artificial devices +for giving yourself heart disease by the use of coal-tar chemicals in +the headache powders and anti-pain pills.” + +“Well, you can’t make me believe, Mr. Drug-man,” said Grandma Sharpless +with a belligerent shake of her head, “that a patent medicine which +keeps on being in demand for years, on its own merits, hasn’t something +good in it.” + +“No, ma’am, I can’t,” agreed the visitor. “I wouldn’t want to. There +isn’t any such patent medicine.” + +“There’s hundreds of ‘em,” contradicted the old lady, with the +exaggeration of the disputant who finds the ground dropping away from +underfoot. + +“Not that sell on their own merits. Advertising and more advertising +and still more advertising is all that does it. Let any one of them +drop out of the newspapers and off the bill-boards, and the demand for +it would be dead in a year.” + +“Yet, as a student of business conditions,” said Mr. Clyde, “I’m +inclined to side with Mrs. Sharpless and believe that any line of goods +which has come down from yesterday to to-day must have some merit.” + +The druggist took off his glasses, wiped them and waved them in the +air, with a flourish. + +And all our yesterdays have lighted fools +The way to dusty death, + + +he quoted sonorously. “We think ourselves heirs to the wisdom of the +ages, without stopping to consider that we’re heirs to the foolishness, +also. We’re gulled by the printed lie about Doan’s Kidney Pills, just +as our fathers were by the cart-tail oratory of the itinerant quack who +sold the ‘Wonderful Indian Secrets of Life’ at one dollar per bottle.” + +“Well, I hesitate to admit it,” said Mrs. Clyde, with a little laugh, +“but we always have a few of the old remedies about.” + +“Suppose you name some of them over,” suggested the druggist. + +“Usually I keep some One-Night Cough Cure in the house. That’s +harmless, isn’t it?” + +The druggist glanced at Dr. Strong, and they both grinned. + +“It _might_ be harmless,” said the druggist mildly, “if it didn’t +contain both morphine and hasheesh.” + +“Goodness!” said Mrs. Clyde, horrified. “How could one suppose—” + +“By reading the label carefully,” interjected Dr. Strong. “Anything +else?” + +“Let me think. I’ve always considered Jayne’s Expectorant good for the +children when they have a cold.” + +“Tastes differ,” observed the druggist philosophically. “I wouldn’t +consider opium good for _my_ children inside or outside of any +expectorant. Next!” + +“But the names _sound_ so innocent!” cried Mrs. Clyde. “I’m almost +afraid to tell any more. But we always have Rexall Cholera Cure on +hand.” + +“Had much cholera in the house lately?” inquired the druggist, with an +affectation of extreme interest. + +“Of course it’s only for stomach-ache,” explained Mrs. Clyde. “It +certainly does cure the pain.” + +“Not cure,—drug it into unconsciousness,” amended Mr. Gormley. “The +opium in it does that. Rather a heroic remedy, opium, for a little +stomach-ache, don’t you think?” + +“What have you got to say against Kohler’s One-Night Cough Cure that I +always keep by me?” demanded Grandma Sharpless. + +Mr. Gormley beamed on her in deprecatory good nature. “Who? Me? +Gracious! I’ve got nothing to say against it worse than it says against +itself, on its label. Morphine, chloroform, and hasheesh. What more +_is_ there to say?” + +“How long has this house been full of assorted poisons?” asked Mr. +Clyde suddenly of his wife. + +“Now, Tom,” she protested. “I’ve always been careful about using them +for the children. Personally, I never touch patent medicines.” + +But at this her mother, smarting under their caller’s criticism of her +cough syrup, turned on her. + +“What do you call those headache tablets you take?” + +“Those? They aren’t a patent medicine. They’re Anti-kamnia, a +physician’s prescription.” + +“Yes; a fine prescription they are!” said the druggist. “Did you ever +read the Anti-kamnia booklet? For whole-souled, able-bodied, +fore-and-aft, up-and-down stairs professional lying, it has got most of +the patent medicines relegated to the infant class. Harmless, they say! +I’ve seen a woman take two of those things and hardly get out of the +door before they got in their fine work on her heart and over she went +like a shot rabbit.” + +“Not dead!” + +“No; but it was touch and go with her.” + +“What’s in that; opium, too?” asked Mr. Clyde. + +“No; a coal-tar chemical which puts a clamp on the heart action. One or +another of the coal-tar drugs is in all the headache powders. There’s a +long list of deaths from them, not to mention cases of drug-habit.” + +“Habit?” cried Mrs. Clyde. “Do you mean I’m in danger of not being able +to get along without the tablets?” + +“If you take them steadily you certainly are. If you take them +occasionally, you’re only in danger of dropping dead one of these +days.” + +Mr. Clyde’s chin abruptly assumed a prominence which he seldom +permitted it. “Well, that settles _that_,” he observed; and it was +entirely unnecessary for any one present to ask any amplification of +the remark. Mrs. Clyde looked at her mother for sympathy—and didn’t get +any. + +“Whenever I see a woman come into the shop,” continued the druggist, +“with a whitey-blue complexion and little gray’ flabby wrinkles under +her eyes, I know without asking what _she_ wants. She’s a +headache-powder fiend.” + +“That queer look they have is from deterioration of the blood,” said +Dr. Strong. “The acetanilid or acetphenetidin or whatever the coal-tar +derivative may be, seems to kill the red corpuscles. In extreme cases +of this I’ve seen blood the color of muddy water.” + +“It certainly makes a fright of a woman. ‘Orangeine’ gets a lot of ‘em. +You’ ve seen its advertisements in the street-cars. The owner of +Orangeine, a Chicago man, got the habit himself: used fairly to live on +the stuff, until pop! went his heart. He’s a living, or, rather a dead +illustration of what his own dope will do.” + +“But what are you to do for a splitting headache?” queried Mrs. Clyde, +turning to Dr. Strong. + +“I don’t know, unless I know what causes it,” said Dr. Strong. +“Headache isn’t a disease. It’s a symptom, a danger signal. It’s the +body’s way of crying for help. Drugs don’t cure a headache. They simply +interrupt it.” + +“What with the headache-powders breeding the drug habit, and the +consumption cures and cough medicines making dope fiends, and the malt +whiskey cures and Perunas furnishing quiet joy to the temperance trade, +I sometimes wonder what we’re coming to,” remarked Mr. Gormley. + +Mr. Clyde rubbed his chin thoughtfully. “But poor people who can’t +afford a doctor have no recourse but to patent medicines,” said he. + +“Can’t afford a doctor!” exclaimed Dr. Strong. “Why, don’t you know +that nostrum-taking is the most expensive form of treatment? Did you +ever happen to see A. B. Frost’s powerful cartoon called ‘Her Last +Dollar’? A woman, thin, bent, and ravaged with disease, is buying, +across the counter of a country store, a bottle of some kind of ‘sure +cure,’ from the merchant, who serves her with a smile, half-pitying, +half-cynical, while her two ragged children, with hunger and hope in +their pinched faces, gaze wistfully at the food in the glass cases. +There’s the whole tragedy of a wasted life in that picture. ‘Her Last +Dollar!’ That’s what the patent medicine is after. A doctor at least +_tries_ to cure. But the patent medicine shark’s policy is to keep the +sufferer buying as long as there is a dollar left to buy with. Why, a +nostrum that advertises heavily has got to sell six bottles or seven to +each victim before the cost of catching that victim is defrayed. After +that, the profits. Since you’ve brought up the matter of expense, I’ll +give you an instance from your own household, Clyde.” + +“Here! What’s this?” cried Mr. Clyde, sitting up straight. “More patent +dosing?” + +“One of the servants,—Maggie, the nurse. I’ve got her whole medical +history and she’s a prime example of the Dupe’s Progress. She’s run the +gamut of fake cures.” + +“Something must have been the matter with her to start her off, +though,” said Mr. Clyde. + +“That’s the joke—or would be if it weren’t pathetic. She started out by +having headaches. Not knowing any better, she took headache-powders.” + +“One for you, Myra,” remarked Mr. Clyde to his wife, in an aside. + +“Bad heart action and difficulty in breathing—the natural result—scared +her into the belief that she had heart trouble. Impetus was given to +this notion by an advertisement which she found in a weekly, a +religious weekly (God save the mark!), advising her not to drop dead of +heart disease. To avoid this awful fate, which was illustrated by a +sprightly sketch of a man falling flat on the sidewalk, she was +earnestly implored to try Kinsman’s heart remedy. She did so, and, of +course, got worse, since the ‘remedy’ was merely a swindle. About this +time Maggie’s stomach began to ‘act up,’ partly from the medicines, +partly from the original trouble which caused her headaches.” + +“You haven’t told us what that was, Strong,” remarked Mr. Clyde. + +“Later. Maggie now developed catarrh of the stomach, superinduced by +reading one of old Dr. Hartman’s Peruna ads. She took seven bottles of +Peruna, and it cheered her up quite a bit—temporarily and +alcoholically.” + +“Then it was _that_ that I smelled on her breath. And I accused her of +drinking,” said Mrs. Clyde remorsefully. + +“So she had been; raw alcohol, flavored with a little caramel and +doctored up with a few drugs. Toward the close of her Peruna career, +her stomach became pretty sensitive. Also, as she wasn’t accustomed to +strong liquor, her kidneys were affected somewhat. In her daily paper +she read a clarion call from Dr. Kilmer of the Swamp Root swindle (the +real Dr. Kilmer quit Swamp Root to become a cancer quack, by the way), +which seemed to her to diagnose her case exactly. So she ‘tanked up’ +some more on that brand of intoxicant. Since she was constantly +drugging herself, the natural resistance of her body was weakened, and +she got a bad cold. The cough scared her almost to death; or rather, +the consumption cure advertisements which she took to reading did; and +she spent a few dollars on the fake factory which turns out Dr. King’s +New Discovery. This proving worthless, she switched to Piso’s Cure and +added the hasheesh habit to alcoholism. By this time she had acquired a +fine, typical case of patent-medicine dyspepsia. That idea never +occurred to her, though. She next tried Dr. Miles’s Anti-Pain Pills +(more acetanilid), and finally decided—having read some advertising +literature on the subject—that she had cancer. And the reason she was +leaving you, Mrs. Clyde, was that she had decided to go to a +scoundrelly quack named Johnson who conducts a cancer institute in +Kansas City, where he fleeces unfortunates out of their money on the +pretense that he can cure cancer without the use of the knife.” + +“Can’t you stop her?” asked Mrs. Clyde anxiously. + +“Oh, I’ve stopped her! You’ll find the remains of her patent medicines +in the ash-barrel. I flatter myself I’ve fixed _her_ case.” + +Grandma Sharpless gazed at him solemnly. “‘Any doctor who claims to +cure is a quack.’ Quotation from Dr. Strong,” she said. + +“Nearly had me there,” admitted he. “Fortunately I didn’t use the word +‘cure.’ It wasn’t a case of cure. It was a case of correcting a stupid, +disastrous little blunder in mathematics.” + +“Mathematics, eh?” repeated Mr. Clyde. “Have you reached the point +where you treat disease by algebra, and triangulate a patient for an +operation?” + +“Not quite that. But poor Maggie suffered all her troubles solely +through an error in figuring by an incompetent man. A year ago she had +trouble with her eyes. Instead of going to a good oculist she went to +one of these stores which offer examinations free, and take it out in +the price of the glasses. The examination is worth just what free +things usually are worth—or less. They sold her a pair of glasses for +two dollars. The glasses were figured out some fifty degrees wrong, for +her error of vision, which was very slight, anyway. The nervous strain +caused by the effort of the eyes to accommodate themselves to the false +glasses and, later, the accumulated mass of drugs with which she’s been +insulting her insides, are all that’s the matter with Maggie.” + +“That is, the glasses caused the headaches, and the patent medicines +the stomach derangement,” said Mr. Clyde. + +“And the general break up, though the glasses may have started both +before the nostrums ever got in their evil work. Nowadays, the wise +doctor, having an obscure stomach trouble to deal with, in the absence +of other explanation, looks to the eyes. Eyestrain has a most potent +and far-reaching influence on digestion. I know of one case of chronic +dyspepsia, of a year’s standing, completely cured by a change of +eyeglasses.” + +“As a financial proposition,” said Mr. Gormley, “your nurse must have +come out at the wrong end of the horn.” + +“Decidedly,” confirmed the doctor. “She spent on patent medicines about +forty dollars. The cancer quack would have got at least a hundred +dollars out of her, not counting her railroad fare. Two hundred dollars +would be a fair estimate of her little health-excursion among the +quacks. Any good physician would have sent her to an oculist, who would +have fitted proper glasses and saved all that expense and drugging. The +entire bill for doctor, oculist, and glasses might have been +twenty-five dollars. Yet they defend patent medicines on the ground +that they’re the ‘poor man’s doctor.” + +Mr. Gormley rose. “Poor man’s undertaker, rather,” he amended. “Well, +having sufficiently blackguarded my own business, I think I’ll go. +Here’s the whole thing summed up, as I see it. It pays to go to the +doctor first and the druggist afterward; not to the druggist first and +the doctor afterward.” + +Dr. Strong walked over to the gate with him. On his return Mrs. Clyde +remarked: + +“What an interesting, thoughtful man. Are most druggists like that?” + +“They’re not all philosophers of the trade, like Gormley,” said Dr. +Strong, “but they have to be pretty intelligent before they can pass +the Pharmaceutical Board in this state, and put out their colored +lights.” + +“I’ve often meant to ask what the green and red lights in front of a +drug-store stand for,” said Mrs. Clyde. “What is their derivation?” + +“Green is the official color of medical science,” explained the doctor. +“The green flag, you know, indicates the hospital corps in war-time; +and the degree of M.D. is signalized by a green hood in academic +functions.” + +“And the red globe on the other side of the store: what does that +mean?” + +“Danger,” replied Dr. Strong grimly. + + + + +V. +THE MAGIC LENS + + +“No good fairy had ever bestowed such a gift as this magic lens,” said +Dr. Strong, whisking Bettina up from her seat by the window and setting +her on his knee. “It was most marvelously and delicately made, and +furnished with a lightning-quick intelligence of its own. Everything +that went on around it, it reported to its fortunate possessor as +swiftly as thought flies through that lively little brain of yours. It +earned its owner’s livelihood for him; it gave him three fourths of his +enjoyments and amusements; it laid before him the wonderful things done +and being done all over the world; it guided all his life. And all that +it required was a little reasonable care, and such consideration as a +man would show to the horse that worked for him.” + +“At the beginning you said it wasn’t a fairytale,” accused Bettina, +with the gravity which five years considers befitting such an occasion. + +“Wait. Because the owner of the magic lens found that it obeyed all his +orders so readily and faithfully, he began to impose on it. He made it +work very hard when it was tired. He set tasks for it to perform under +very difficult conditions. At times when it should have been resting, +he compelled it to minister to his amusements. When it complained, he +made light of its trouble.” + +“Could it speak?” inquired the little auditor. + +“At least it had a way of making known its wants. In everything which +concerned itself it was keenly intelligent, and knew what was good and +bad for it, as well as what was good and bad for its owner.” + +“Couldn’t it stop working for him if he was so bad to it?” + +“Only as an extreme measure. But presently, in this case, it threatened +to stop. So the owner took it to a cheap and poor repair-shop, where +the repairer put a little oil in it to make it go on working. For a +time it went on. Then, one morning, the owner woke up and cried out +with a terrible fear. For the magic light in the magic lens was gone. +So for that foolish man there was no work to do nor play to enjoy. The +world was blotted out for him. He could not know what was going on +about him, except by hearsay. No more was the sky blue for him, or the +trees green, or the flowers bright; and the faces of his friends meant +nothing. He had thrown away the most beautiful and wonderful of all +gifts. Because it is a gift bestowed on nearly all of us, most of us +forgot the wonder and the beauty of it. So, Honorable Miss Twinkles, do +you beware how you treat the magic lens which is given to you.” + +“To me?” cried the child; and then, with a little squeal of +comprehension: “Oh, I know! My eyes. That’s the magic lens. Isn’t it?” + +“What’s that about Bettykin’s eyes?” asked Mr. Clyde, who had come in +quietly, and had heard the finish of the allegory. + +“I’ve been examining them,” explained Dr. Strong, “and the story was +reward of merit for her going through with it like a little soldier.” + +“Examining her eyes? Any particular reason?” asked the father +anxiously. + +“Very particular. Mrs. Clyde wishes to send her to kindergarten for a +year before she enters the public school. No child ought to begin +school without a thorough test of vision.” + +“What did the test show in Bettykin’s case?” + +“Nothing except the defects of heredity.” + +“Heredity? My sight is pretty good; and Mrs. Clyde’s is still better.” + +“You two are not the Cherub’s only ancestors, however,” smiled the +physician. “And you can hardly expect one or two generations to recast +as delicate a bit of mechanism as the eye, which has been built up +through millions of years of slow development. However, despite the +natural deficiencies, there’s no reason in Betty why she shouldn’t +start in at kindergarten next term, provided there isn’t any in the +kindergarten itself.” + +Mr. Clyde studied the non-committal face of his “Chinese physician,” as +he was given to calling Dr. Strong since the latter had undertaken to +safeguard the health of his household on the Oriental basis of being +paid to keep the family well and sound. “Something is wrong with the +school,” he decided. + +“Read what it says of itself in that first paragraph,” replied Dr. +Strong, handing him a rather pretentious little booklet. + +In the prospectus of their “new and scientific kindergarten,” the +Misses Sarsfield warmly congratulated themselves and their prospective +pupils, primarily, upon the physical advantages of their school +building which included a large work-and-play room, “with generous +window space on all sides, and finished throughout in pure, glazed +white.” This description the head of the Clyde household read over +twice; then he stepped to the door to intercept Mrs. Clyde’s mother who +was passing by. + +“Here, Grandma,” said he. “Our Chinese tyrant had diagnosed something +wrong with that first page. Do you discover any kink in it?” + +“Not I,” said Mrs. Sharpless, after reading it. “Nor in the place +itself. I called there yesterday. It is a beautiful room; everything as +shiny and clean as a pin.” + +“Yesterday was cloudy,” observed the Health Master. + +“It was. Yet there wasn’t a corner of the place that wasn’t flooded +with light,” declared Mrs. Sharpless. + +“And on a clear day, with the sun pouring in from all sides and being +flashed back from those shiny, white walls, the unfortunate inmates +would be absolutely dazzled.” + +“Do you mean to say that God’s pure sunlight can hurt any one?” +challenged Mrs. Sharpless, who was rather given to citing the Deity as +support for her own side of any question. + +“Did you ever hear of snow-blindness?” countered the physician. + +“I’ve seen it in the North,” said Mr. Clyde. “It’s not a pleasant thing +to see.” + +“Glazed white walls would give a very fair imitation of snow-glare. Too +much light is as bad as too little. Those walls should be tinted.” + +“Yet it says here,” said Mr. Clyde, referring to his circular, “that +the ‘Misses Sarsfield will conduct their institution on the most +improved Froebelian principles.” + +“Froebel was a great man and a wise one,” said Dr. Strong. “His +kindergarten system has revolutionized all teaching. But he lived +before the age of hygienic knowledge. I suppose that no other man has +wrought so much disaster to the human eye as he.” + +“That’s a pretty broad statement, Strong,” objected Air. Clyde. + +“Is it? Look at the evidence. North Germany is the place where Froebel +first developed his system. Seventy-five per cent of the population are +defective of vision. Even the American children of North German +immigrants show a distinct excess of eye defects. You’ve seen the comic +pictures representing Boston children as wearing huge goggles?” + +“Are you making an argument out of a funny-paper joke?” queried Grandma +Sharpless. + +“Why not? It wouldn’t be a joke if it hadn’t some foundation in fact. +The kindergarten system got its start in America in Boston. Boston has +the worst eyesight of any American city; impaired vision has even +become hereditary there. To return to Germany: if you want a shock, +look up the records of suicides among school-children there.” + +“But surely that has no connection with the eyes.” + +“Surely it has,” controverted Dr. Strong. “The eye is the most nervous +of all the organs; and nothing will break down the nervous system in +general more swiftly and surely than eye-strain. Even in this country +we are raising up a generation of neurasthenic youngsters, largely from +neglect of their eyes.” + +“Still, we’ve got to educate our children,” said Mr. Clyde. + +“And we’ve got to take the utmost precautions lest the education cost +more than it is worth, in acquired defects.” + +“For my part,” announced Grandma Sharpless, “I believe in early +schooling and in children learning to be useful. At the Sarsfield +school there were little girls no older that Bettina, who were doing +needlework beautifully; fine needlework at that.” + +“Fine needlework!” exploded Dr. Strong in a tone which Grandma +Sharpless afterwards described as “damnless swearing.” + +“That’s enough! See here, Clyde. Betty goes to that kindergarten only +over my dead job.” + +“Oh, well,” said Mr. Clyde, amazed at the quite unwonted excitement +which the other exhibited, “if you’re dealing in ultimatums, I’ll drop +out and leave the stricken field to Mrs. Clyde. This kindergarten +scheme is hers. Wait. I’ll bring her. I think she just came in.” + +“What am I to fight with you about, Dr. Strong?” asked Mrs. Clyde, +appearing at the door, a vision of trim prettiness in her furs and +veil. “Tom didn’t tell me the _casus belli_.” + +“Nobody in this house,” said Dr. Strong appealing to her, “seems to +deem the human eye entitled to the slightest consideration. You’ve +never worn glasses; therefore you must have respected your own eyesight +enough to—” + +He stopped abruptly and scowled into Mrs. Clyde’s smiling face. + +“Well! what’s the matter?” she demanded. “You look as if you were going +to bite.” + +“What are you looking cross-eyed for?” the Health Master shot at her. + +“I’m not! Oh, it’s this veil, I suppose.” She lifted the heavy +polka-dotted screen and tucked it over her hat. “There, that’s more +comfortable!” + +“Is it!” said the physician with an emphasis of sardonicism. “You +surprise me by admitting that much. How long have you been wearing that +instrument of torture?” + +“Oh, two hours. Perhaps three. But, Dr. Strong, it doesn’t hurt my eyes +at all.” + +“Nor your head?” + +“I _have_ got a little headache,” she confessed. “To think that a +supposedly intelligent woman who has reached the age of—of—” + +“Thirty-eight,” said she, laughing. “I’m not ashamed of it.” + +“—Thirty-eight, without having to wear glasses, should deliberately +abuse her hard-working vision by distorting it! See here,” he +interrupted himself, “it’s quite evident that I haven’t been living up +to the terms of my employment. One of these evenings we’re going to +have in this household a short but sharp lecture and symposium on eyes. +I’ll give the lecture; and I suspect that this family will furnish the +symposium—of horrible examples. Where’s Julia? As she’s the family +Committee on School Conditions, I expect to get some material from her, +too. Meantime, Mrs. Clyde, no kindergarten for Betty kin, if you +please. Or, in any case, not that kindergarten.” + +No further ocular demonstrations were made by Dr. Strong for several +days. Then, one evening, he came into the library where the whole +family was sitting. Grandma Sharpless, in the old-fashioned rocker, +next a stand from which an old-fashioned student-lamp dispensed its +benign rays, was holding up, with some degree of effort, a rather heavy +book to the line of her vision. Opposite her a soft easychair contained +Robin, other-wise Bobs, involuted like a currant-worm after a dose of +Paris green, and imaginatively treading, with the feet of enchantment, +virgin expanses of forest in the wake of Mr. Stewart White. + +Julia, alias “Junkum,” his twin, was struggling against the demon of +ill chance as embodied in a game of solitaire, far over in a dim +corner. Geography enchained the mind of eight-year-old Charles, also +his eyes, and apparently his nose, which was stuck far down into the +mapped page. Near him his father, with chin doubled down over a stiff +collar, was internally begging leave to differ with the editorial +opinions of his favorite paper; while Mrs. Clyde, under the direct +glare of a side-wall electric cluster, unshaded, was perusing a +glazed-paper magazine, which threw upon her face a strong reflected +light. Before the fire Bettykin was retailing to her most intelligent +doll the allegory of the Magic Lens. + +Enter, upon this scene of domestic peace, the spirit of devastation in +the person of the Health Master. + +“The horrible examples being now on exhibit,” he remarked from the +doorway, “our symposium on eyes will begin.” + +“He says we’re a hor’ble example, Susan Nipper,” said Bettina +confidentially, to her doll. + +“No, I apologize, Bettykin,” returned the doctor. “You’re the only two +sensible people in the room.” + +Julia promptly rose, lifted the stand with her cards on it, carried it +to the center of the library, and planted it so that the central light +fell across it from a little behind her. + +“One recruit to the side of common sense,” observed the physician. +“Next!” + +“What’s wrong with me?” demanded Mr. Clyde, looking up. “Newspaper +print?” + +“Newspaper print is an unavoidable evil, and by no means the worst +example of Gutenberg’s art. No; the trouble with you is that your neck +is so scrunched down into a tight collar as to shut off a proper blood +supply from your head. Don’t your eyes feel bungy?” + +“A little. What am I going to do? I can’t sit around after dinner with +no collar on.” + +“Sit up straight, then; stick your neck up out of your collar and give +it play. Emulate the attentive turtle! And you, Bobs, stop imitating an +anchovy. Uncurl! _Uncurl!!_” + +With a sigh, Robin straightened himself out. “I was so comfortable,” he +complained. + +“No, you weren’t. You were only absorbed. The veins on your temples are +fairly bulging. You might as well try to read standing on your head. +Get a straight-backed chair, and you’re all right. I’m glad to see that +you follow Grandma Sharpless’s good example in reading by a +student-lamp.” + +“That’s my own lamp,” said Mrs. Sharpless. “Seventy years has at least +taught me how to read.” + +“How, but not what,” answered the Health Master. “That’s a bad book +you’re reading.” + +Grandma Sharpless achieved the proud athletic feat of bounding from her +chair without the perceptible movement of a muscle. + +“Young man!” she exclaimed in a shaking voice, “do you know what book +that is?” + +“I don’t care what book—” + +“It is the Bible.” + +“Is it? Well, Heaven inspired the writer, but not the printer. Text +such as that ought to be prohibited by law. Isn’t there a passage in +that Bible, ‘Having eyes, ye see not’?” + +“Yes, there is,” snapped Mrs. Sharpless. “And my eyes have been seeing +and seeing straight for a good many more years than yours.” + +“The more credit to them and the less to you, if you’ve maltreated them +with such sight-murdering print as that. Haven’t you another Bible?” + +Grandma Sharpless sat down again. “I have another,” she said, “with +large print; but it’s so heavy.” + +“Prescription: one reading-stand. Now, Mrs. Clyde.” + +The mother of the family looked up from her magazine with a smile. + +“You can’t say that I haven’t large print or a good light,” she said. + +“The print is good, but the paper bad,” said the Health Master. “Bad, +that is, as you are holding it under a full, unqualified electric +light. In reading from glazed paper, which reflects like a mirror, you +should use a very modified light. In fact, I blame myself from not +having had all the electric globes frosted long since. Now, I’ve kept +the worst offender for the last.” + +Charley detached his nose from his geography and looked up. “That’s me, +I suppose,” he remarked pessimistically and ungrammatically. “I’m +always coming in for something special. But I can’t make anything out +of these old maps without digging my face down into ‘em.” + +“That’s a true bill against the book concern which turns out such a +book, and the school board which permits its use. Charley, do you know +why Manny isn’t playing football this year?” + +“Manny” was the oldest son of the family, then away at school. + +“Mother wanted him not to, I suppose,” said the boy. + +“No,” said Mrs. Clyde. “Dr. Strong persuaded me that the development he +would get out of the game would be worth the risk.” + +“It was his eyes,” said the Health Master. “He is wearing glasses this +year and will probably wear them next. After that I hope he can stop +them. But his trouble is that he—or rather his teachers—abused his eyes +with just such outrageous demands as that geography of yours. And while +the eye responded then, it is demanding payment now.” + +“But a kid’s got to study, hasn’t he? Else he won’t keep up,” put in +Bobs, much interested. + +“Not at the expense of the most important of his senses,” returned the +Health Master. “And never at night, at Charley’s age, or even yours, +Bobs.” + +“Then he gets dropped from his classes,” objected Bobs. + +“The more blame to his classes. Early learning is much too expensive at +the cost of eye-strain and consequent nerve-strain. If we force a +student in the early years to make too great demands on his eyes, the +chances are that he will develop some eye or nervous trouble at sixteen +or seventeen and lose far more time than he has gained before, not +reckoning the disastrous physical effects.” + +“But if other children go ahead, ours must,” said Mrs. Clyde. + +“Perhaps the others who go ahead now won’t keep ahead later. There is a +sentence in Wood and Woodruff’s textbook on the eye[1] which every +public-school teacher and every parent should learn by heart. It runs +like this: ‘That child will be happier and a better citizen as well as +a more successful man of affairs, who develops into a fairly healthy, +though imperfectly schooled animal at twenty, than if he becomes a +learned, neurasthenic asthenope at the same age.’” + + [1] Commoner Diseases of the Eye, by Casey A. Wood and Thomas A. + Woodruff, pp. 418, 419. + + +“Antelope?” put in Bettina, who was getting weary of her exclusion from +the topic. “I’ve got a picture of that. It’s a little deer.” + +“So are you, Toddles,” cried the doctor, seizing upon her with one hand +and Susan Nipper with the other, and setting one on each shoulder, “and +we’re going to keep those very bright twinklers of yours just as fit’as +possible, both to see and be seen.” + +“But what of Charley and the twins?” asked Mr. Clyde. + +“Everything right, so far. They’re healthy young animals and can meet +the ordinary demands of school life. But no more study at night, for +some years, for Charley; and no more, ever, of fine-printed maps. Some +day, Charley, you may go to the Orinoco. It’s a good deal more +desirable that you should be able to see what there is to be seen +there, then, than that you should learn, now, the name of every +infinitesimally designated town on its banks.” + +“In my childhood,” observed Mrs. Sharpless, with the finality proper to +that classic introductory phrase, “we thought more of our brains than +our eyes.” + +“An inverted principle. The brain can think for itself. The eye can +only complain, and not always very clearly in the case of a child. +Moreover, Mrs. Sharpless, in your school-days the eye wasn’t under half +the strain that it is in our modern, print-crowded world. The fact is, +we’ve made a tremendous leap forward, and radically changed a habit and +practice built up through hundreds and thousands of years, and Nature +is struggling against great difficulties to catch up with us.” + +“I don’t understand what you are getting at,” said Mrs. Clyde, letting +her magazine drop. + +“Have you tried walking on all fours lately?” inquired the physician. + +“Not for a number of years.” + +“Presumably you would find it awkward. Yet if, through some pressure of +necessity, the human race should have to return to the quadrupedal +method, the alteration in life would be less radical than we have +imposed upon our vision in the last few generations.” + +“Sounds like flat nonsense to me,” said the downright Clyde. “We see +just as all our ancestors saw.” + +“Think again. Our ancestors, back a very few generations, were an +outdoor race living in a world of wide horizons. Their eyes could range +over far distances, unchecked, instead of being hemmed in most of the +time by four walls. They were farsighted. Indeed, their survival +depended upon their being far-sighted; like the animals which they +killed or which killed them, according as the human or the beast had +the best eyes. Nowadays, in order to live we must read and write. That +is, the primal demand upon the eye is that it shall see keenly near at +hand instead of far off. The whole hereditary training of the organ has +been inverted, as if a mountaineer should be set to diving for pearls; +and the poor thing hasn’t had time to adjust itself yet. We employ our +vision for close work ten times as much as we did a hundred years ago +and ten thousand times as much as we did ten thousand years ago. But +the influence of those ten thousand years is still strong upon us, and +the human child is born with the eye of a savage or an animal.” + +“What kind of an animal’s eyes have I got?” demanded Bettina. “A +antelope’s?” + +“Almost as far-sighted,” returned the Health Master, wriggling out from +under her and catching her expertly as she fell. “And how do you think +an antelope would be doing fine needlework in a kindergarten?” + +“But, Strong, few of us go blind,” said Mr. Clyde. “And of those who +do, nearly half are needlessly so. That we aren’t all groping, +sightless, about the earth is due to the marvelous adaptability of our +eyes. And it is exactly upon that adaptability that we are so prone to +impose; working a willing horse to death. In the young the muscles of +accommodation, whereby the vision is focused, are almost incredibly +powerful; far more so than in the adult. The Cherub, here, could force +her vision to almost any kind of work and the eye would not complain +much—at this time. But later on the effects would be manifest. +Therefore we have to watch the eye very closely until it begins to grow +old, which is at about twelve years or so. In the adult the eye very +readily lets its owner know if anything is wrong. Only fools disregard +that warning. But in the developing years we must see to it that those +muscles, set to the task of overcoming generations of custom, do not +overwork and upset the whole nervous organization. Sometimes glasses +are necessary; usually, only care.” + +“In a few generations we’ll all have four eyes, won’t we?” asked Bobs, +making a pair of mock spectacles with his circled fingers and thumbs. + +“Oh, let’s hope not. The cartoonists of prophecy always give the future +man spectacles. But I believe that the tendency will be the other way, +and that, by evolution to meet new conditions, the eye will fit itself +for its work, unaided, in time. Meantime, we have to pay the penalty of +the change. That’s a small price for living in this wonderful century.” + +“You say that half the blind are needlessly so,” said Mrs. Clyde. “Is +that from preventable disease?” + +“About forty per cent, of the wholly blind. But the half-blind and the +nervously wrecked victims of eye-strain owe their woes generally to +sheer carelessness and neglect. By the way, eye-strain itself may cause +very serious forms of disease, such as obstinate and dangerous forms of +indigestion, insomnia, or even St. Vitus’s dance and epilepsy.” + +“But you’re not telling us anything about eye diseases, Dr. Strong,” +said Julia. + +“There speaks our Committee on School Conditions, filled full of +information,” said the Health Master with a smile. “Junkum has made an +important discovery, and made it in time. She has found that two +children recently transferred from Number 14 have red eyes.” + +“Maybe they’ve been crying,” suggested Bettykin. + +“They were when I saw them, acute Miss Twinkles, although they didn’t +mean it at all. One was crying out of one eye, and one out of the +other, which gave them a very curious, absurd, and interesting +appearance. They had each a developing case of pink-eye.” + +“Horses have pink-eye, not people,” remarked Grandma Sharpless. + +“To be more accurate, then, conjunctivitis. People have that; a great +many people, once it gets started. It looks very bad and dangerous; but +it isn’t if properly cared for. Only, it’s quite contagious. Therefore +the Committee on Schools, with myself as acting executive, accomplished +the temporary removal of those children from school.” + +“And then,” the Committee joyously took up the tale, “we went out and +trailed the pink-eye.” + +“We did. We trailed it to its lair in School Number 14, and there we +found one of the most dangerous creatures which civilization still +allows to exist.” + +“In the school?” said Bettykin. “Oo-oo! What was it?” + +“It was a Rollertowl,” replied the doctor impressively and in a +sonorous voice. + +“I never heard of it,” said the Cherub, awestruck. “What is it like?” + +“He means a roller-towel, goosie,” explained Julia. “A towel on a +roller, that everybody wipes their hands and faces on.” + +“Exactly. And because everybody uses it, any contagious disease that +anybody has, everybody is liable to catch. I’d as soon put a +rattlesnake in a school as a roller-towel. In this case, half the grade +where it was had conjunctivitis. But that isn’t the worst. There was +one case of trachoma in the grade; a poor little Italian whose parents +ignorantly sent her to an optician instead of an oculist. The optician +treated her for an ordinary inflammation, and now she will lose the +sight of one eye. Meantime, if any of the others have been infected by +her, through that roller-towel, there will be trouble, for trachoma is +a serious disease.” + +“Did you throw out the roller-towel?” asked Charley with a hopeful eye +to a fray. + +“No. We got thrown out ourselves, didn’t we, Junkum?” + +“Pretty near,” corroborated Julia. “The principal told Dr. Strong that +he guessed he could run his school himself and he didn’t need any +interference by—by—what did he call us, Dr. Strong?” + +“Interlopers. No, Cherub, an interloper is no relation to an antelope. +It was four days ago that we left that principal and went out and +whistled for the Fool-killer. Yesterday, the principal came down with a +rose-pink eye of his own; the Health Officer met him and ordered him +into quarantine, and the terrible and ferocious Rollertowl is now +writhing in its death-agonies on the ash-heap.” + +“What about other diseases?” asked Mrs. Clyde after a pause. + +“Nothing from me. The eye will report them itself quick enough. And as +soon as your eye tells you that anything is the matter with it, you +tell the oculist, and you’ll probably get along all right, as far as +diseases go. It is not diseases that I have to worry about, as your +Chinese-plan physician, so much as it is to see that you give your +vision a fair chance. Let’s see. Charley, you’re the Committee on Air, +aren’t you? Could you take on a little more work?” + +“Try me,” said the boy promptly. + +“All right; we’ll make you the Committee on Air and Light, hereafter, +with power of protest and report whenever you see your mother going out +in a polka-dotted, cross-eyed veil, or your grandmother reading a Bible +that needs burning worse than any heretic ever did, or any of the +others working or playing without sufficient illumination. Here endeth +this lecture, with a final word. This is it:— + +“The eye is the most nervous of all the body’s organs. Except in early +childhood, when it has the recklessness and overconfidence of unbounded +strength, it complains promptly and sharply of ill-usage. Now, there +are a few hundred rules about when and how to use the eyes and when and +how not to use them. I’m not going to burden you with those. All I’m +going to advise you is that when your eyes burn, smart, itch, or feel +strained, there’s some reason for it, and you should obey the warning +and stop urging them to work against their protest. In fact, I might +sum it all up in a motto which I think I’ll hang here in the library—a +terse old English slang phrase.” + +“What is it?” asked Mr. Clyde. + +“‘Mind your eye,’” replied the Health Master. + + + + +VI. +THE RE-MADE LADY + + +“Of all unfortunate times!” lamented Mrs. Clyde, her piquant face +twisted to an expression of comic despair. “Why couldn’t he have given +us a little more notice?” + +Impatiently she tossed aside the telegram which announced that her +husband’s old friend, Oren Taylor, the artist, would arrive at seven +o’clock that evening. + +“Don’t let it bother you, dear,” said Clyde. “I’ll take him to the club +for dinner.” + +“You can’t. Have you forgotten that I’ve invited Louise Ennis for her +quarterly—well—visitation?” + +Clyde whistled. “That’s rather a poser. What business have I got to +have a cousin like Louise, anyway!” + +Upon this disloyal observation Dr. Strong walked into the library. He +was a very different Dr. Strong from the nerve-shaken wanderer who had +dropped from nowhere into the Clyde household a year previous as its +physician on the Chinese plan of being employed to keep the family +well. The painful lines of the face were smoothed out. There was a deep +light of content, the content of the man who has found his place and +filled it, in the level eyes; and about the grave and controlled set of +the mouth a sort of sensitive buoyancy of expression. The flesh had +hardened and the spirit softened in him. + +“Did you hear that, Strong?” inquired Mr. Clyde, turning to him. + +“I have trained ears,” answered Dr. Strong solemnly. “They’re +absolutely impervious to any speech not intended for them.” + +“Open them to this: Louise Ennis is invited for dinner to-night. So is +my old friend Oren Taylor, who wires to say that he’s passing through +town.” + +“Is that Taylor, the artist of ‘The First Parting’? I shall enjoy +meeting him.” + +“Well, you won’t enjoy meeting Cousin Louise,” declared Mr. Clyde. “We +ask her about four times a year, out of family piety. You’ve been lucky +to escape her thus far.” + +“Rather a painful old party, your cousin?” inquired the physician, +smilingly, of Clyde. + +“Old? Twenty-two,” said Mrs. Clyde. “But she looks fifty and feels a +hundred.” + +“Allowing for feminine exaggeration,” amended Clyde. + +“But what’s so wrong with her?” demanded the physician. + +“Nerves,” said Mrs. Clyde. + +“Stomach,” said Mr. Clyde. + +“Headaches,” said Mrs. Clyde. + +“Toe-aches,” said Mr. Clyde. + +“Too much money,” said Mrs. Clyde. + +“Too much ego,” said Mr. Clyde. + +“Dyspepsia.” + +“Hypochondria.” + +“Chronic inertia.” + +“Set it to music,” suggested Dr. Strong, “and sing it as a duet of +disease, from ablepsy to zymosis, inclusively. I shall be immensely +interested to observe this prodigy of ills.” + +“You’ll have plenty of opportunity,” said Mrs. Clyde rather +maliciously. “You’re to sit next to her at dinner to-night.” + +“Then put Bettykin on the other side of me,” he returned. “With that +combination of elf, tyrant, and angel close at hand, I can turn for +relief from the grave to the cradle.” + +“Indeed you cannot. Louise can’t endure children. She says they get on +her nerves. _My_ children!” + +“Now you _have_ put the finishing touch to your character sketch,” +observed Dr. Strong. “A woman of child-bearing age who can’t endure +children—well, she is pretty far awry.” + +“Yet I can remember Louise when she was a sweet, attractive young +girl,” sighed Mrs. Clyde. “That was before her mother died, and left +her to the care of a father too busy making money to do anything for +his only child but spend it on her.” + +“You’re talking about Lou Ennis, I know,” said Grandma Sharpless, who +had entered in time to hear the closing words. + +“Yes,” said. Dr. Strong. “What is our expert diagnostician’s opinion of +the case? You know I always defer to you, ma’am, on any problem that’s +under the surface of things.” + +“None of your soft sawder, young man!” said the old lady, her shrewd, +gray eyes twinkling from her shrewd, pink face. “My opinion of Louise +Ennis? I’ll give it to you in two words. Just spoiled.” + +“Taking my warning as I find it,” remarked the physician, rising, “I +shall now retire to put on some chain armor under my evening coat, in +case the Terrible Cousin attempts to stab me with an oyster-fork.” + +The dinner was not, as Mrs. Clyde was forced to admit afterward, by any +means the dismal function which she had anticipated. Oren Taylor, an +easy, discursive, humorous talker, set the pace and was ably seconded +by Grandma Sharpless, whose knack of incisive and pointed comment +served to spur him to his best. Dr. Strong, who said little, attempted +to draw Miss Ennis into the current of talk, and was rewarded with an +occasional flash of rather acid wit, which caused the artist to look +across the table curiously at the girl. So far as he could do so +without rudeness, the physician studied his neighbor. + +He saw a tall, amply-built girl, with a slackened frame whose muscles +had forgotten how to play their part properly in holding the structure +firm. Her face was flaccid. Under the large but dull eyes, there was a +bloodless puffiness. Discontent sat enthroned at the corners of the +sensitive mouth. A faint, reddish eruption disfigured her chin. Her two +strong assets, beautifully even teeth and a wealth of soft, fine hair, +failed wholly to save her from being a flatly repellent woman. Dr. +Strong noted further that her hands were incessantly uneasy, and that +she ate little and without interest. Also she seemed, in a sullen way, +shy. Yet, despite all of these drawbacks, there was a pathetic +suggestion of inherent fineness about her; of qualities become decadent +through disuse; a charm that should have been, thwarted and perverted +by a slovenly habit of life. Dr. Strong set her down as a woman at war +with herself, and therefore with her world. + +After dinner Mr. and Mrs. Clyde slipped away to see the children. The +artist followed Dr. Strong, to whom he had taken a liking, as most men +did, into the small lounging-room, where he lighted a cigar. + +“Too bad about that Miss Ennis, isn’t it?” said Taylor abruptly. + +His companion looked at him interrogatively. + +“Such a mess,” he continued. “Such a ruin. Yet so much left that isn’t +ruined. That face would be worth a lot to me for the ‘Poet’s Cycle of +the Months’ that I’m painting now. What a _November_ she’d make; +‘November, the withered mourner of glories dead and gone.’ Only I +suppose she’d resent being asked to sit.” + +“Illusions are the last assets that a woman loses,” agreed Dr. Strong. + +“To think,” pursued the painter, “of what her Maker meant her to be, +and of how she has belied it! She’s essentially and fundamentally a +beautiful woman; that is why I want her for a model.” + +‘“In the structure of her face, perhaps—” + +“Yes; and all through. Look at the set of her shoulders, and the lines +of her when she walks. Nothing jerry-built about her! She’s got the +contours of a goddess and the finish of a mud-pie. It’s maddening.” + +“More maddening from the physician’s point of view than from the +artist’s. For the physician knows how needless it all is.” + +“Is she your patient?” + +“If she were I’d be ashamed to admit it. Give me military authority and +a year’s time and if I couldn’t fix her so that she’d be proud to pose +for your picture—Good Heavens!” + +From behind the drapery of the passageway appeared Louise Ennis. She +took two steps toward the two men and threw out her hands in an appeal +which was almost grotesque. + +“Is it true?” she cried, turning from one to the other. “Tell me, is it +really true?” + +“My dear young lady,” groaned Taylor, “what can I say to palliate my +unpard—” + +“Nevermind that! I don’t care. I don’t care anything about it. It’s my +own fault. I stopped and listened. I couldn’t help it. It means so much +to me. You can’t know. No man can understand. Is it true that I—that my +face—” + +Oren Taylor was an artist in more than his art: he possessed the rare +sense of the fit thing to do and say. + +“It is true,” he answered quietly, “that I have seen few faces more +justly and beautifully modeled than yours.” + +“And you,” she said, whirling upon Dr. Strong. “Can you do what you +said? Can you make me good-looking?” + +“Not I. But you yourself can.” + +“Oh, how? What must I do? D—d—don’t think me a fool!” She was +half-sobbing now. “It may be silly to long so bitterly to be beautiful. +But I’d give anything short of life for it.” + +“Not silly at all,” returned Dr. Strong emphatically. “On the contrary, +that desire is rooted in the profoundest depths of sex.” + +“And is the best excuse for art as a profession,” said the painter, +smiling. + +“Only tell me what to do,” she besought. “Gently,” said Dr. Strong. “It +can’t be done in a day. And it will be a costly process.” + +“That doesn’t matter. If money is all—” + +“It isn’t all. It’s only a drop in the bucket. It will cost you dear in +comfort, in indulgence, in ease, in enjoyment, in habit—” + +“I’ll obey like a child.” Again her hands went tremulously out to him; +then she covered her face with them and burst into the tears of nervous +exhaustion. + +“This is no place for me,” said the artist, and was about to escape by +the door, when Mrs. Clyde blocked his departure. + +“Ah, you are in here,” she said gayly. “I’d been wondering—Why, what’s +the matter? What is it?” + +“There has been an unfortunate blunder,” said Dr. Strong quickly. “I +said some foolish things which Miss Ennis overheard—” + +“No,” interrupted the painter. “The fault was mine—” And in the same +breath Louise Ennis cried:— + +“I didn’t overhear! I listened. I eavesdropped.” + +“Are you quite mad, all of you?” demanded the hostess. “Won’t somebody +tell me what has happened?” + +“It’s true,” said the girl wildly; “every word they said. I _am_ a +mess.” + +Mrs. Clyde’s arms went around the girl. Sex-loyalty raised its war +signal flaring in her cheeks. + +“_Who_ said that?” she demanded, in a tone of which Dr. Strong observed +afterward, “I never before heard a woman roar under her breath.” + +“Never mind who said it,” retorted the girl. “It’s true anyway. It +wasn’t meant to hurt me. It didn’t hurt me. He is going to cure me; Dr. +Strong is.” + +“Cure you, Louise? Of what?” + +“Of ugliness. Of hideousness. Of being a mess.” + +“But, my dear,” said the older woman softly, “you mustn’t take it to +heart so, the idle word of some one who doesn’t know you at all.” + +“You can’t understand,” retorted the other passionately. “You’ve always +been pretty!” + +“A compliment straight from the heart,” murmured the painter. + +The color came into Mrs. Clyde’s smooth cheek again. “What have you +promised her, Dr. Strong?” she asked. + +“Nothing. I have simply followed Mr. Taylor’s lead. His is the artist +eye that can see beauty beneath disguises. He has told Miss Ennis that +she was meant to be a beautiful woman. I have told her that she can be +what she was meant to be if she wills, and wills hard enough.” + +“And you will take charge of her case?” asked Mrs. Clyde. + +“That, of course, depends upon you and Mr. Clyde. If you will include +Miss Ennis in the family, my responsibilities will automatically extend +to her.” + +“Most certainly,” said Mrs. Clyde. “And now, Mr. Taylor,” she added, +answering a look of appeal from that uncomfortable gentleman, “come and +see the sketches. I really believe they are Whistler’s.” + +As they left, Dr. Strong looked down at Louise Ennis with a smile. + +“At present I prescribe a little cold water for those eyes,” said he. +“And then some general conversation in the drawing-room. Come here +tomorrow at four.” + +“No,” said she. “I want to begin at once.” + +“So as to profit by the impetus of the first enthusiasm? Very well. How +did you come here this evening?” + +“In my limousine.” + +“Sell it.” + +“Sell my new car? At this time of year?” + +“Store it, then.” + +“And go about on street-cars, I suppose?” + +“Not at all. Walk.” + +“But when it rains?” + +“Run.” + +Eagerness died out of Louise Ennis’s face. “Oh, I know,” she said +pettishly. “It’s that old, old exercise treatment. Well, I’ve tried +that, and if you think—” + +She stopped in surprise, for Dr. Strong, walking over to the door, held +the portière aside. + +“After you,” he said courteously. + +“Is that all the advice you have for me?” she persisted. + +“After you,” he repeated. + +“Well, I’m sorry,” she said sulkily. “What is it you want me—” + +“Pardon me,” he interrupted in uncompromising tones. “I am sure they +are waiting for us in the other room.” + +“You are treating me like a spoiled child,” declared Miss Ennis, +stamping a period to the charge with her high French heel. + +“Precisely.” + +She marched out of the room, and, with the physician, joined the rest +of the company. For the remainder of the evening she spoke little to +any one and not at all to Dr. Strong. But when she came to say +good-night he was standing apart. He held out his hand, which she could +not well avoid seeing. + +“When you get up to-morrow,” he said, “look in the mirror, [she winced] +and say, ‘I can be beautiful if I want to hard enough.’ Good-bye.” + +Luncheon at the Clydes’ next day was given up to a family discussion of +Miss Louise Ennis, precipitated by Mr. Clyde, who rallied Dr. Strong on +his newest departure. + +“Turned beauty doctor, have you?” he taunted good-humoredly. + +“Trainer, rather,” answered Dr. Strong. + +“You might be in better business,” declared Mrs. Sharpless, with her +customary frankness. “Beauty is only skin-deep.” + +“Grandma Sharpless’s quotations,” remarked Dr. Strong to the +saltcellar, “are almost as sure to be wrong as her observations are to +be right.” + +“It was a wiser man than you or I who spoke that truth about beauty.” + +“Nonsense! Beauty only skin-deep, indeed! It’s liver-deep anyway. Often +it’s soul-deep. Do you think you’ve kept your good looks, Grandma +Sharpless, just by washing your skin?” + +“Don’t you try to dodge the issue by flattery, young man,” said the old +lady, the more brusquely in that she could see her son-in-law grinning +boyishly at the mounting color in her face. “I’m as the Lord made me.” + +“And as you’ve kept yourself, by clean, sound living. Miss Ennis isn’t +as the Lord made her or meant her. She’s a mere parody of it. Her basic +trouble is an ailment much more prevalent among intelligent people than +they are willing to admit. In the books it is listed under various +kinds of hyphenated neurosis; but it’s real name is fool-in-the-head.” + +“Curable?” inquired Mr. Clyde solicitously. + +“There’s no known specific except removing the seat of the trouble with +an axe,” announced Dr. Strong. “But cases sometimes respond to less +heroic treatment.” + +“Not this case, I fear,” put in Mrs. Clyde. “Louise will coddle herself +into the idea that you have grossly insulted her. She won’t come back.” + +“Won’t she!” exclaimed Mrs. Sharpless. “Insult or no insult, she would +come to the bait that Dr. Strong has thrown her if she had to crawl on +her knees.” + +Come she did, prompt to the hour. From out the blustery February day +she lopped into the physician’s pleasant study, slumped into a chair, +and held out to him a limp left hand, palm up and fingers curled. +Ordinarily the most punctilious of men, Dr. Strong did not move from +his stance before the fire. He looked at the hand. + +“What’s that for?” he inquired. + +“Aren’t you going to feel my pulse?” + +“No.” + +“Nor take my temperature?” + +“No.” + +“Nor look at my tongue?” + +“Certainly not. I have a quite sufficient idea of what it looks like.” + +The tone was almost brutal. Miss Ennis began to whimper. + +“I’m a m—m—mess, I know,” she blubbered. “But you needn’t keep telling +me so.” + +“A mess can be cleared up,” said he more kindly, “under orders.” + +“I’ll do whatever you tell me, if only—” + +“Stop! There will be no ‘if’ about it. You will do as you are bid, or +we will drop the case right here.” + +“No, no! Don’t drop me. I will. I promise. Only, please tell me what is +the matter with me.” + +Dr. Strong, smiling inwardly, recalled the diagnosis he had announced +to the Clydes, but did not repeat it. + +“Nothing,” he said. + +“But I know there must be. I have such strange symptoms. You can’t +imagine.” + +Fumbling in her hand-bag she produced a very elegant little notebook +with a gold pencil attached. Dr. Strong looked at it with fascinated +but ominous eyes. + +“I’ve jotted down some of the symptoms here,” she continued, “just as +they occurred. You see, here’s Thursday. That was a heart attack—” + +“Let me see that book.” + +She handed it to him. He carefully took the gold pencil from its socket +and returned it to her. + +“Now, is there anything in this but symptoms? Any addresses that you +want to keep?” + +“Only one: the address of a freckle and blemish remover.” + +“We’ll come to that later. Meantime—” He tossed the book into the heart +of the coal fire where it promptly curled up and perished. + +“Why—why—why—” gasped the visitor,—“how dare you? What do you mean? +That is an ivory-bound, gold-mounted book. It’s valuable.” + +“I told you, I believe, that the treatment would be expensive. This is +only the beginning. Of all outrageous, unforgivable kinds of +self-coddling, the hypochondria that keeps its own autobiography is the +worst.” + +Regrettable though it is to chronicle, Miss Ennis hereupon emitted a +semi-yelp of rage and beat the floor with her high French heels. +Instantly the doctor’s gaze shifted to her feet. Just how it happened +she could not remember, but her right foot, unprotected, presently hit +the floor with a painful thump, while the physician contemplated the +shoe which he had deftly removed therefrom. + +“Two inches and a half at least, that heel,” he observed. “Talk about +the Chinese women torturing their feet!” He laid the offending article +upon the hearth, set his own soundly shod foot upon it, and tweaked off +two inches of heel with the fire-tongs. “Not so pretty,” he remarked, +“but at least you can walk, and not tittup in that. Give me the other.” + +Shocked and astounded into helplessness, she mechanically obeyed. He +performed his rough-and-ready repairs, and handed it back to her. + +“Speaking of walking,” he said calmly, “have you stored your automobile +yet?” + +“No! I—I—I—” + +“After to-morrow I don’t want you to set foot in it. Now, then, we’re +going to put you through a course of questioning. Ready?” + +Miss Ennis settled back in her chair, with the anticipatory expression +of one to whom the recital of her own woe is a lingering pleasure. +“Perhaps if I told you,” she began, “just how I feel—” + +“Never mind that. Do you drink?” + +“No!” The answer came back on the rebound. “Humph!” Dr. Strong leaned +over her. She turned her head away. + +“You asked me as if you meant I was a drunkard,” she complained. “Once +in a while, when I have some severe nervous strain to undergo, I need a +stimulant.” + +“Oh. Cocktail?” + +“Yes. A mild one.” + +“A mild cocktail! That’s a paradox I’ve never encountered. How often do +you take these mild cocktails?” + +“Oh, just occasionally.” + +“Well, a meal is an occasion. Before meals?” + +“Sometimes,” she admitted reluctantly. + +“You didn’t have one here last night.” + +“No.” + +“And you ate almost nothing.” + +“That is just it, you see. I need something: otherwise I have no +appetite.” + +“In other words, you have formed a drink habit.” + +“Oh, Dr. Strong!” It was half reproach, half insulted innocence, that +wail. + +“After a cocktail—or two—or three,” he looked at her closely, but she +would not meet his eyes, “you eat pretty well?” + +“Yes, I suppose so.” + +“And then go to bed with a headache because you’ve stimulated your +appetite to more food than your run-down mechanism can rightly handle.” + +“I do have a good many headaches.” + +“Do anything for them?” + +“Yes. I take some harmless powders, sometimes.” + +“Harmless, eh? A harmless headache powder is like a mild cocktail. It +doesn’t exist. So you’re adding drug habit to drink habit. Fortunately, +it isn’t hard to stop. It has begun to show on you already, in that +puffy grayness under the eyes. All the coal-tar powders vitiate the +blood as well as affect the heart. Sleep badly?” + +“Very often.” + +“Take anything for that?” + +“You mean opiates? I’m not a fool, Doctor.” + +“You mean you haven’t gone quite that far,” said the other grimly. +“You’ve started in on two habits; but not the worst. Well, that’s all. +Come back when you need to.” + +Miss Ennis’s big, dull eyes opened wide. “Aren’t you going to give me +anything? Any medicine?” + +“You don’t need it.” + +“Or any advice?” + +Dr. Strong permitted himself a little smile at the success of his +strategy. “Give it to yourself,” he suggested. “You showed, in flashes, +during the dinner talk last night, that you have both wit and sense, +when you choose to use them. Do it now.” + +The girl squirmed uncomfortably. “I suppose you want me to give up +cocktails,” she murmured in a die-away voice. + +“Absolutely.” + +“And try to get along with no stimulants at all?” + +“By no means. Fresh air and exercise ad lib.” + +“And to stop the headache powders?” + +“Right; go on.” + +“And to stop thinking about my symptoms?” + +“Good! I didn’t reckon on your inherent sense in vain.” + +“And to walk where I have been riding?” + +“Rain or shine.” + +“What about diet?” + +“All the plain food you want, at any time you really want it, provided +you eat slowly and chew thoroughly.” + +“A la Fletcher?” + +“Horace Fletcher is one of those fine fanatics whose extravagances +correct the average man’s stolid stupidities. I’ve seen his fad made +ridiculous, but never harmful. Try it out.” + +“And you won’t tell me when to come back?” + +“When you need to, I said. The moment the temptation to break over the +rules becomes too strong, come. And—eh—by the way—eh—don’t worry about +your mirror for a while.” Temporarily content with this, the new +patient went away with new hope. Wiping his brow, the doctor strolled +into the sitting-room where he found the family awaiting him with +obvious but repressed curiosity. + +“It isn’t ethical, I suppose,” said Mr. Clyde, “to discuss a patient’s +case with outsiders?” + +“You’re not outsiders. And she’s not my patient, in the ordinary sense, +since I’m giving my services free. Moreover, I need all the help I can +get.” + +“What can _I_ do?” asked Mrs. Clyde promptly. “Drop in at her house +from time to time, and cheer her up. I don’t want her to depend upon me +exclusively. She has depended altogether too much on doctors in the +past.” + +Mr. Clyde chuckled. “Did she tell you that the European medical faculty +had chased her around to every spa on the Continent? Neurasthenic +dyspepsia, they called it.” + +“Pretty name! Seventy per cent of all dyspeptics have the seat of the +imagination in the stomach. The difficulty is to divert it.” + +“What’s your plan?” + +“Oh, I’ve several, when the time comes. For the present I’ve got to get +her around into condition.” + +“Spoiled mind, spoiled body,” remarked Mrs. Sharpless. + +“Exactly. And I’m going to begin on the body, because that is the +easiest to set right. Look out for an ill-tempered cousin during the +next fortnight.” + +His prophecy was amply confirmed by Mrs. Clyde, who made it her +business, amid multifarious activities, to drop in upon Miss Ennis with +patient frequency. On the tenth day of the “cure,” Mrs. Clyde reported +to the household physician:— + +“If I go there again I shall probably _slap_ her. She’s become simply +unbearable.” + +“Good!” said Dr. Strong. “Fine! She has had the nerve to stick to the +rules. We needn’t overstrain her, though. I’ll have her come here +tomorrow.” + +Accordingly, at six o’clock in the evening of the eleventh day, the +patient stamped into the office, wet, bedraggled, and angry. + +“Now look!” she cried. “You made me store my motor-car. All the +street-cars were crowded. My umbrella turned inside out. I’m a perfect +drench. And I know I’ll catch my death of cold.” Whereupon she laid a +pathetic hand on her chest and coughed hollowly. + +“Stick out your foot,” ordered Dr. Strong. And, as she obeyed: “That’s +well. Good, sensible storm shoes. I’ll risk your taking cold. How do +you feel? Better?” + +“No. Worse!” she snapped. + +“I suppose so,” he retorted with a chuckle. + +“What is more,” she declared savagely, “I look worse!” + +“So your mirror has been failing in its mission of flattery. Too bad. +Now take off your coat, sit right there by the fire, and in an hour +you’ll be dry as toast.” + +“An hour? I can’t stay an hour!” + +“Why not?” + +“It’s six o’clock. I must go home. Besides,” she added unguardedly, +“I’m half starved.” + +“_Indeed!_ Had a cocktail to-day?” + +“No. Certainly not.” + +“Yet you have an appetite. A bad sign. Oh, a very bad sign—for the +cocktail market.” + +“I’m so tired all the time. And I wake up in the morning with hardly +any strength to get out of bed—” + +“Or the inclination? Which?” broke in the doctor. + +“And my heart gives the queerest jumps and—” + +“Thought we’d thrown that symptom-book into the fire. Stand up, +please.” + +She stood. Dr. Strong noted with satisfaction how, already, the lithe +and well-set figure had begun to revert to its natural pose, showing +that the muscles were beginning to do their work. He also noted that +the hands, hitherto a mere _mélange_ of nervously writhing fingers, +hung easily slack. + +“Your troubles,” he said pleasantly, “have only just begun. I think +you’re strong enough now to begin work.” + +“I’m not,” she protested, half weeping. “I feel faint this minute.” + +“Good, healthy hunger. Of course, if a glance in your mirror convinces +you that you’ve had enough of the treatment—” + +Miss Ennis said something under her breath which sounded very much like +“Brute!” + +“Have you ever had a good sweat?” he asked abruptly. + +Her lips curled superciliously. “I’m not given to perspiration, I’m +thankful to—” + +“Did I say ‘perspire’?” inquired he. “I understood myself to say +‘sweat.’ Have you ever—” + +“No.” + +“High time you began. Buy yourself the heaviest sweater you can +find—you may call it a ‘perspirationer’ if you think the salesman will +appreciate your delicacy—and I’ll be around to-morrow and set up a +punching-bag for you.” + +“What is that?” + +“A device which you strike at. The blow forces it against a board and +it returns and, unless you dodge nimbly, impinges upon your +countenance. In other words, whacks you on the nose. Prizefighters use +it.” + +“I suppose you want me to be like a prizefighter.” + +“The most beautiful pink-and-white skin and the clearest eye I’ve ever +seen belonged to a middleweight champion. Yes, I’d like to see you +exactly like him in that respect. One hour every day—” + +“I simply can’t. I shan’t have time. With the walking I do now I’m busy +all the morning and dead tired all the afternoon; and in the evening +there is my bridge club—” + +“Ah, you play bridge. For money?” + +“Naturally we don’t play for counters.” + +“Well, I’d give it up.” + +“You are not employed as a censor of my morals, Dr. Strong.” + +“No; but I’ve undertaken to censor your nerves. And gambling, for a +woman in your condition, is altogether too much of a strain.” + +The corners of Miss Ennis’s mouth quivered babyishly. “I’m sure, then, +that working like a prizefighter will be too much strain. You’re +wearing me out.” + +“I’m a cruel tyrant,” mocked Dr. Strong; “and worse is to come. We’ll +clear out a room in your house and put in not only the punching-bag, +but also pulleys and a rowing-machine. And I’ll send up an athletic +instructor to see that you use them.” + +“I won’t have him. I’ll send him away!” + +“By advice of your mirror?” + +Miss Ennis frankly and angrily wept. + +“Now I’ll tell you a secret about yourself.” Miss Ennis stopped +weeping. + +“Ninety-nine cases out of a hundred I couldn’t handle as I am handling +your case. They would need a month’s rest and building up before they’d +be fit for real work. But you are naturally a powerful, muscular woman +with great physical endurance and resiliency. What I am trying to do is +to take advantage of your splendid equipment to pull you out.” + +“What would you do with the ordinary case?” asked the girl, interested. + +“Oh, put her to bed, perhaps. Perhaps send her away to the woods. Maybe +set a nurse over her to see that she didn’t take to writing her +symptoms down in a book. Keep her on a rigid diet, and build her up by +slow and dull processes. You may thank your stars that—” + +“I don’t thank my stars at all!” broke in the patient, as her besetting +vice of self-pity asserted itself. “I’d much rather do that than be +driven like a galley-slave. I’m too tired to get any pleasure out of +anything—” + +“Even bridge?” interposed the tormentor softly. + +“—and when night comes I fall into bed like a helpless log.” + +“That’s the best news I’ve heard yet. You’re progressing. Now take that +new appetite of yours home to dinner. And don’t spoil it by eating too +fast. Good-night.” + +Fully a fortnight later Grandma Sharpless met Dr. Strong in the hallway +as he came in from a walk. + +“What have you been doing to Louise Ennis?” she demanded. + +“Lots of things. What’s wrong now? Another fit of the sulks?” + +“Worse,” said the old lady in a stage whisper. “She’s got _paint_ on +her face.” + +Dr. Strong laughed. “Really? It might be worse. In fact, as a symptom, +it couldn’t be better.” + +“Young man, do you mean to tell me that face-paint is a good thing for +a young woman?” + +“Oh, no. It’s vulgar and tawdry, as a practice. But I’m glad to know +that Miss Ennis has turned to it, because it shows that she recognizes +her own improvement and is trying to add to it.” + +“But the stuff will ruin her skin,” cried the scandalized old lady. +“See what dreadful faces women have who use it. Look at the actresses—” + +“Well, look at them!” broke in the physician. “There is no class of +women in the world with such beautiful skin as the women of the stage. +And that in spite of hard work, doubtful habits of eating, and +irregular hours. Do you know why?” + +“I suppose you’ll tell me that paint does it,” said Mrs. Sharpless with +a sniff. + +“Not the paint itself. But the fact that in putting it on and taking it +off, they maintain a profound cleanliness of skin which the average +woman doesn’t even understand. The real value of the successful +skin-lotions and creams so widely exploited lies in the massage which +their use compels.” + +“Aside from the stuff on her face,” remarked Mrs. Sharpless, “Louise +looks like another woman, and acts like one. She came breezing in here +like a young cyclone.” + +“Which means trouble,” sighed Dr. Strong. “Now that her vitality is +returning, it will demand something to feed on. Well, we shall see.” + +He found his patient standing—not sitting, this time—before the +fireplace, with a face of gloom. Before he could greet her, she burst +out:— + +“How long am I to be kept on the grind? I see nobody. I have nothing to +amuse me. I’ve had a row with father.” Dr. Strong smiled. “The servants +are impertinent.” The smile broadened. “The whole world is hateful!” +The doctor’s face was now expanded into a positive grin. “I despise +everything and everybody! I’m bored.” + +“Passing that over for the moment for something less important,” said +Dr. Strong smoothly, “where do you buy your paint?” + +“I don’t paint!” retorted the girl hotly. + +“Well, your rouge. Your skin-rejuvenator. Your essence of bloom of +youth or whatever poetic name you call it by. Let me see the box.” +Mutiny shone from the scowling face, but her hand went to her reticule +and emerged with a small box. It passed to the physician’s hand and +thence to the fire. “I’ll use paint if I want to,” declared the girl. +“Undoubtedly. But you’ll use good paint if you use any. Get a +theatrical paper, read the ads, and send for the highest grade of +grease-paint. I won’t say anything about the vulgarity of the practice +because I’m not censoring your manners. I’ll only state that three +months from now you won’t want or need paint. Did you get this stuff,” +he nodded toward the fireplace whence issued a highly perfumed smoke, +“from that address in your deceased symptom-book?” + +“Yes.” + +“That was the firm which advertised to remove pimples, wasn’t it?” + +Miss Ennis shrank. “Pimple is an inexcusable word,” she protested. + +“Word? We’re dealing in realities now. And pimples were an inexcusable +reality in your case, because they were the blossoms of gluttony, +torpor, and self-indulgence.” + +He leaned forward and looked closely at her chin. The surface, once +blotched and roughened, was now of a smooth and soft translucency. “You +once objected to the word ‘sweat,’” he continued. “Well, it has +eliminated the more objectionable word ‘pimple’ from your reckoning. +And it has done the job better than your blemish-remover—-which leaves +scars.” + +Her hand went to her temple, where there was a little group of +silvery-white patches on the skin. “Can’t you fix that?” she asked +anxiously. + +“No. Your ‘remover’ was corrosive sublimate. It certainly removed the +blemish. It would also have removed your entire face if you had used +enough of it. Nothing can restore what the liquid fire has burned away. +That’s the penalty you pay for foolish credulousness. Fortunately, it +is where it won’t show much.” + +Gloom surged back into her face. “It doesn’t make any difference,” she +fretted. “I’m still a mess in looks even if I don’t feel so much like +one.” + +“One half of looks is expression,” stated the doctor didactically. “I +don’t like yours. What’s your religion?” + +His patient stared. “Why, I’m a Presbyterian, I suppose.” + +“Humph! You suppose! It doesn’t seem to have struck in very hard. Any +objection to going to a Christian Science church?” + +“Christian Science! I thought the regular doctors considered it the +worst kind of quackery.” + +“The regular doctors,” returned Dr. Strong quickly, “once considered +anaesthesia, vaccination, and the germ theory as quackery. We live and +learn, like others. There’s plenty of quackery in Christian Science, +and also quite a little good. And nowadays we’re learning to accept the +good in new dogmas, and discard the bad.” + +“And you really wish me to go to the Christian Science church?” + +“Why not? You’ll encounter there a few wild fanatics. I’ll trust your +hard common sense to guard you against their proselytizing. You’ll also +meet a much larger number of sweet, gentle, and cheerful people, with a +sweet, helpful, and cheerful philosophy of life. That’ll help to cure +you.” + +“And what will they cure me of, since you say I have no disease?” + +“They’ll cure you of turning your mouth down at the corners instead of +up.” + +At this, the mouth referred to did, indeed, turn up at the corners, but +in no very pleasant wise. + +“You think they’ll amuse me?” she inquired contemptuously. + +“Oh, as for amusement, I’ve arranged for that. You’re bored. Very well, +I expected it. It’s a symptom, and a good one, in its place. I’ll get +you a job.” + +“Indeed! And if I don’t want a job?” + +“No matter what you want. You need it.” + +“Settlement work, I suppose.” + +“Nothing so mild. Garbage inspection.” + +“What!” Louise Ennis closed her eyes in expectation of a qualm of +disgust. The qualm didn’t materialize. “What’s the matter with me?” she +asked in naïve and suppressed chagrin. “I ought to feel—well, +nauseated.” + +“Nonsense! Your nerves and stomach have found their poise. That’s all.” + +“But what do I know about garbage?” + +“You know it when you see it, don’t you? Now, listen. There has been a +strike of the city teamsters. Dr. Merritt, the Health Officer, wants +volunteers to inspect the city and report on where conditions are bad +from day to day. You’ve got intelligence. You can outwalk nine men out +of ten. And you can be of real service to the city. Besides, it’s +doctor’s orders.” + +The story of Louise Ennis’s part in the great garbage strike, and of +her subsequent door-to-door canvass of housing conditions, has no place +in this account. After the start, Dr. Strong saw little of her; but he +heard much from Mrs. Clyde, who continued her frequent visits to the +Ennis household; not so much, as she frankly admitted, for the purpose +of furnishing bulletins to Dr. Strong, as because of her own growing +interest in and affection for the girl. And, as time went on, Strong +noticed that, on the occasions when he chanced to meet his patient on +the street, she was usually accompanied by one or another of the +presentable young men of the community, a fact which the physician +observed with professional approval rather than personal gratification. + +“It isn’t her health alone,” said Mrs. Clyde, when they were discussing +her, one warm day in the ensuing summer. “These six months seem to have +made a new person of her. Trust the children to find out character. +Bettykins wants to spend half her time with Cousin Lou.” + +“You’ve surely worked a transformation, Strong,” said Clyde. “But, of +course, the raw material was there. You couldn’t do much for the +average homely woman.” + +“The average woman isn’t homely,” said Mrs. Clyde. “She’s got good +looks either spoiled or undeveloped.” + +“Perfectly true,” confirmed Dr. Strong. “Any young woman whose face +isn’t actually malformed can find her place in the eternal scheme of +beauty if she tries. Nature works toward beauty in all matters of sex. +Where beauty doesn’t exist it is merely an error in Nature’s game.” + +“Then the world is pretty full of errors,” said Mrs. Sharpless. + +“Most of them aren’t Nature’s errors. They are the mistakes of the +foolish human. Take almost any woman, not past the age of development, +build up her figure to be supple and self-sustaining; give her a clear +eye, quick-moving blood, fresh skin, and some interest in the game of +life that shall keep mind and body alert—why, the radiant force of her +abounding health would make itself felt in a blind asylum. And all this +she can do for herself, with a little knowledge and a good deal of +will.” + +“But that isn’t exactly beauty, is it?” asked Clyde, puzzled. + +“Isn’t it? In the soundest sense, I think it is. Anyway, put it this +way: No woman who is wholly healthy, inside and out, can fail to be +attractive.” + +“I wish that painter-man could see Louise now, as an example,” said +Grandma Sharpless. + +“Oren Taylor?” said Mr. Clyde. “Why, he can. He goes East next week, +and I’ll wire him to stop over.” + +Oren Taylor arrived late on a warm afternoon. As he crossed the lawn, +Louise Ennis was playing “catch” with Manny Clyde. Her figure swung and +straightened with the lithe muscularity of a young animal. Her cheek +was clear pink, deepening to the warmer color of the curved lips. The +blue veins stood out a little against the warm, moist temples from +which she brushed a vagrant lock of hair. Her eyes were wide and +lustrous with the eager effort of the play, for the boy was throwing +wide in purposeful delight over her swift gracefulness. + +“Great Heavens!” exclaimed the artist, staring at her. “Who did that?” + +“Strong did that,” explained Clyde; “as per specifications.” + +“A triumph!” declared Taylor. “A work of art.” + +“Oh, no,” said Dr. Strong; “a renewal of Nature.” + +“In any case, a lady remade and better than new. My profound +felicitations, Dr. Strong.” He walked over to the flushed and lovely +athlete. “Miss Ennis,” he said abruptly, “I want your permission to +stay over to-morrow and sketch you. I need you in my ‘Poet’s Cycle of +the Months.’” + +“How do you do, Mr. Taylor?” she returned demurely. “Of course you can +sketch me, if it doesn’t interfere with my working hours.” A quick +smile rippled across her face like sunlight across water. “The same +subject?” she asked with mischievous nonchalance. + +“No. Not even the same season,” he replied emphatically, coloring, as +he bethought him of his “November, the withered mourner of glories dead +and gone.” + +“What part am I to play now?” + +“Let Dr. Strong name it,” said Taylor with quick tact. “He has prepared +the model.” + +The girl turned to the physician, a little deeper tinge of color in her +face. + +“Referred to Swinburne,” said Strong lightly, and quoted:— + +“When the hounds of Spring are on Winter’s traces, +The mother of months in valley and plain +Fills the shadows and windy places +With lisp of leaves and ripple of rain.” + + +“Atalanta,” said Oren Taylor, bowing low to her; “the maiden spirit of +the spring.” + + + + +VII. +THE RED PLACARD + + +“Well?” questioned Mrs. Clyde, facing the Health Master haggardly, as +he entered the library. + +“Oh, come!” he protested with his reassuring smile. “Don’t take it so +tragically. You’ve got a pretty sick-looking boy there. But any +thoroughgoing fever makes a boy of nine pretty sick.” + +“What fever?” demanded the mother. “What is it?” + +“Let’s start with what it isn’t—and thank Heaven. It isn’t typhoid. And +it isn’t diphtheria.” + +“Then it’s—it’s—;” + +“It’s scarlet fever,” broke in her mother, Mrs. Sharpless, who had +followed the doctor into the room. “That’s what it is.” + +Mrs. Clyde shuddered at the name. “Has he got the rash?” + +“No. But he will have to-morrow,” stated the old lady positively. + +“Do you think so, too, Dr. Strong?” Mrs. Clyde appealed. + +“I’ll accept Grandma Sharpless’s judgment,” answered the physician. +“She has seen more scarlet fever in her time than I, or most +physicians. And experience is the true teacher of diagnosis.” + +“But you can’t be sure!” persisted Mrs. Clyde. “How can you tell +without the rash?” + +“Not in any way that I could put into words,” said her mother. “But +there’s something in the look of the throat and something about the +eyes and skin—Well, I can’t describe it, but I know it as I know my own +name.” + +“There speaks the born diagnostician,” observed the Health Master. “I’m +afraid the verdict must stand.” + +“Then—then,” faltered Mrs. Clyde, “we must act at once. I’ll call up my +husband at the factory.” + +“What for?” inquired Dr. Strong innocently. “Why, to let him know, of +course.” + +“Don’t. When I undertook to act as Chinese-plan physician to the Clyde +household, I was not only to guard the family against illness as well +as I could, but also to save them worry. This is Saturday. Mr. Clyde +has had a hard, trying week in the factory. Why break up his day?” + +Mrs. Clyde drew a long breath and her face lightened. “Then it isn’t a +serious case?” + +“Scarlet fever is always serious. Any disease which thoroughly poisons +the system is. But there’s no immediate danger; and there shouldn’t be +much danger at any time to a sturdy youngster like Charley, if he’s +well looked after.” + +“But the other children!” Mrs. Clyde turned to Mrs. Sharpless. “Where +can we send them, mother?” + +“Nowhere.” It was the doctor who answered. + +“Surely we can’t keep them in the house!” cried Mrs. Clyde. “They would +be certain to catch it from Charley.” + +“By no means certain. Even if they did, that would not be the worst +thing that could happen.” + +“No? What would, then?” challenged Grandma Sharpless. + +“That they should go out of this house, possibly carrying the poison +with them into some other and defenseless community.” Dr. Strong spoke +a little sternly. + +Neither woman replied for a moment. When Mrs. Clyde spoke, it was with +a changed voice. “Yes. You are right. I didn’t think. At least I +thought only of my own children. It’s hard to learn to think like a +mother of all children.” + +“It’s as near to the divine as any human can come,” returned the Health +Master gently. “However, I think I can promise you that, if the twins +and Bettykin haven’t been touched with the poison already, they shan’t +get it from Charley. We’ll organize a defense—provided only the enemy +hasn’t established itself already. Now the question is, where did the +poison come from? We’ll have Junkum in and see if she can help us find +out.” Julia, the more efficient of the eleven-year-old twins, a shrewd +and observing youngster, resembling, in many respects, her grandmother, +came at the doctor’s summons and was told what had befallen Charley. + +“Oh!” said Junkum. Then, “Can I nurse him?” + +“I should think not!” burst out her mother and grandmother in a breath. + +“Later on you can help,” said Dr. Strong. “In fact, I shall probably +need your help. Now, Junkum, you remember I told you children a month +ago that there was scarlet fever about and warned you to guard your +mouths and noses with special care. Can you recall whether Charley has +been careless?” + +Miss Julia took the matter under consideration. “We’ve all been, I +guess,” she said. “Clara Wingate gave a party last week and there was +bobbing for apples, and everybody had their faces in the same tub of +water.” + +“Yes; and Irving Wingate has since come down with scarlet fever,” added +Mrs. Clyde. + +“Enough said!” asserted the Health Master. “I can’t think of any better +way to disseminate germs than an apple-bobbing contest. It beats even +kissing games. Well, the mischief is done.” + +“Then they’ll all have it,” said Mrs. Clyde miserably. + +“Oh, let’s hope not. Nothing is more mysterious than the way contagion +hits one and misses others. I should say there was at least an even +chance of the rest escaping. But we must regard them as suspects, and +report the house for quarantine.” + +“Ugh!” shuddered Mrs. Clyde. “I hate that word. And think of my husband +coming home to find a flaming red placard on the house!” + +“We’ll give him warning before he leaves the factory. And now for our +campaign. Item 1: a trained nurse. Item 2: a gas-range.” + +“The trained nurse, certainly,” agreed Mrs. Clyde. “But why the +gas-range? Isn’t Charley’s room warm enough?” + +“Quite. The stove isn’t for warmth; it’s for safety. I’m going to +establish a line of fire beyond which no contagion can pass. We’ll put +the stove in the hall, and keep on it a tin boiler full of water just +at the simmering point. Everything which Charley has used or touched +must go into that or other boiling water as soon as it leaves the room: +the plates he eats from, the utensils he uses; his handkerchiefs, +night-clothes, towels—everything.” + +“That will be a hard regimen to keep up,” Mrs. Clyde objected. + +“Martial law,” said the Health Master positively. “From the moment the +red placard goes up, we’re in a state of siege, and I’m in command. The +rules of the camp will be simple but strict. Whoever violates any of +them will be liable to imprisonment in the strictest quarantine. We’ll +have a household conference to-night and go over the whole matter. Now +I’m going to telephone the Health Department and ask Dr. Merritt to +come up and quarantine us officially.” + +“But what of Charley?” exclaimed Mrs. Clyde. “You’re not going to keep +me away from my boy?” + +“Not when you put it in that way and use that tone,” smiled Dr. Strong. +“I probably couldn’t if I tried. Under official quarantine rules you’ll +have to give up going anywhere outside the house. Under our local +martial law you’re not to touch Charley or anything that he handles, +nor to kiss the other children. And you’re to wash your hands every +time you come out of the sick-room, though it’s only to step beyond the +door.” + +“It is an order,” said the mother gravely. “Will he be very ill, do you +think?” + +“So far the cases have been mild. His is likely to be, too. But it’s +the most difficult kind of case to handle.” + +“I don’t see that at all,” said Mrs. Sharpless. + +“You will, when he becomes convalescent. Then is when my troubles will +begin. For the present the bulk of the work inside the sick-room will +be upon the trained nurse and Mrs. Clyde. I’ll have my troubles +outside, watching the rest of the family.” + +Not since Dr. Strong came to the Clydes’ as guardian of their health +had there been an emergency meeting called of the Household Protective +Association, as the Health Master termed the organization which he had +formed (mainly for educative purposes) within the family. That evening +he addressed a full session, including the servants, holding up before +them the red placard which the Health Department had sent, and +informing them of the quarantine. + +“No school?” inquired the practical-minded Bobs, “Hooray!” + +“No school for you children, until further notice,” confirmed the +physician. + +“And no business for me, I suppose,” said Mr. Clyde, frowning. + +“Oh, yes. You can come and go as you please, so long as you keep away +from Charley’s room. Every one is barred from Charley’s room until +further instructions, except Mrs. Clyde; and she is confined within +military bounds, consisting of the house and yard. And now for the most +important thing—Rosie and Katie,”—the cook and the maid—“pay particular +heed to this—nothing of any kind which comes from the sick-room is to +be touched until it is disinfected, except under my supervision. When +I’m not in the house, the nurse’s authority will be absolute. Now for +the clinic; we’ll look over the throats of the whole crowd.” + +Throat inspection appeared to be the Health Master’s favorite pursuit +for the next few days. + +“I don’t dare open my mouth,” protested Bobs, “for fear he’ll peek into +it and find a spot.” + +“Dr. Strong spends a lot more time watching us than he does watching +Charley,” remarked Junkum. “Who’s the sick one, anyway—us or him?” she +concluded, her resentment getting the better of her grammar. + +“Ho!” jeered Bobs, and intoned the ancient couplet, made and provided +for the correction of such slips:— + +“Her ain’t a-callin’ we, +Us don’t belong to she.” + + +“Anyhow, I ain’t sick,” asseverated Bettina; “but he shut me up in my +room for a day jus’ because my swallow worked kinda hard.” + +“If I’m going to have scarlet fever I want to have scarlet fever and +get done with it!” declared. + +Bobs. “I’m getting tired of staying out of school. Charley’s having all +the fun there is out of this, getting read to all the time by that +nurse and Mother.” + +Meantime nothing of interest was happening in the sick-room. +Interesting phases seldom appear in scarlet fever, which is well, +since, when they do appear, the patient usually dies. Not at any time +did Charley evince the slightest tendency to forsake a world which he +had found, on the whole, to be a highly satisfactory place of +residence. In fact, he was going comfortably along through a typically +light onset of the disease; and was rather less ill than he would have +been with a sound case of measles. Already the furrows in Mrs. Clyde’s +forehead had smoothed out, and Grandma Sharpless had ceased waking, in +the dead of night, with a catch at her heart and the totally unfounded +fear that she had “heard something,” when one morning Charley awoke, +scratched a tiny flake of skin off his nose, yawned, and emitted a +hollow groan. + +“What is it, Charley boy?” asked his mother. + +“I’m tired of staying in bed,” announced the young man. + +“How do you feel?” + +The patient sat up, the better to consider the matter. “I feel,” he +stated in positive accents, “like a bucket of oyster stew, a steak as +big as my head, with onions all over it, a whole apple pie, a platter +of ice-cream, and a game of baseball.” + +Mrs. Clyde laughed happily. “I’ll tell the Health Master,” she said. +She did, and Dr. Strong came up and looked the patient over carefully. + +“You lie back there, young fellow,” he ordered, “and play sick, no +matter how well you feel, until I tell you different.” + +“How about that beefsteak and pie, Doctor?” inquired the boy wistfully. + +“Mere prospects,” retorted the hard-hearted physician. “But you can +have some ice-cream.” Conclave of the elders that evening to consider +the situation was opened by Dr. Strong. + +“We’ve now reached the critical point,” he began. + +“Critical?” gasped Mrs. Clyde, whose nerves had been considerably +stretched in the ten days of sick-room work. “Isn’t he getting well?” + +“He’s getting well quite as quickly as I want him to. Perhaps a little +more quickly. The fever is broken and he is beginning to peel.” + +“Then what’s the difficulty?” inquired Mr. Clyde. + +“Just this. Charley is a sturdy boy. The light attack he’s had hasn’t +begun to exhaust his vitality. From now on, he is going to be a bundle +of energy, without outlet.” + +“From now on till when?” It was Grandma Sharpless who wanted to know. + +“Two weeks anyway. Perhaps more.” + +“Are you going to keep that poor child in bed for two weeks after he’s +practically well?” said the mother. + +“For three weeks if the whole family will help me. It’s not going to be +easy.” + +“Isn’t that a little extreme, Strong?” asked Mr. Clyde. + +“Only the precaution of experience. The danger-point in scarlet fever +isn’t the illness; it’s the convalescence. People think that when a +child is cured of a disease, he is cured of the effects of the disease +also. That mistake costs lives.” + +“Because the poison is still in the system?” + +“Rather, the effects of the poison. Though the patient may feel quite +well, the whole machinery of the body is out of gear. What do you do +when your machinery goes wrong, Clyde?” + +“Stop it, of course.” + +“Of course,” repeated the Health Master. “Obviously we can’t stop the +machinery of life, but we can ease it down to its lowest possible +strain, until it has had a chance to readjust itself. That is what I +want to do in Charley’s case.” + +“How does this poison affect the system?” + +“If I could discover that, I’d be sure of a place in history. All we +know is that no organ seems to be exempt from its sudden return attack +long after the disease has passed. If we ever get any complete records, +I venture to say that we’ll find more children dying in after years +from the results of scarlet fever than die from the immediate disease +itself, not to mention such after-effects as deafness and blindness.” + +“I’ve noticed that,” said Grandma Sharpless, “when we lived in the +country. And I remember a verse on the scarlet-fever page of an old +almanac:— + +If they run from nose or ear, +Watch your children for a year. + + +But I always set down those cases to catching cold.” + +“Most people do. It isn’t that. It’s overstrain put on a poisoned +system. And it’s true not of scarlet fever alone, but of measles, and +diphtheria, and grippe; and, in a lesser degree, of whooping-cough and +chicken pox.” + +“You’ve seen such cases in your own practice?” asked Mr. Clyde, and +regretted the question as soon as he had put it, for there passed over +Dr. Strong’s face the quick spasm of pain which anything referring back +to the hidden past before he had come to the Clyde house always +brought. + +“Yes,” he replied with an effort. “I have had such cases, and lost +them. I might even say, killed them in my ignorance.” + +“Oh, no, Dr. Strong!” said Mrs. Clyde in quick sympathy. “Don’t say +that. Being mistaken isn’t killing.” + +“It is, sometimes, for a doctor. I remember one little patient who had +a very light case of scarlet fever. I let her get up as soon as the +fever broke. Three months later she developed a dropsical tendency. And +one day she fell dead across the doll she was playing with. The +official cause of death said heart disease. But I knew what it was. The +next case was not so wholly my fault. The boy was a spoiled child, who +held his parents in enslavement. They hadn’t the strength of character +to keep him under control. He insisted on riding his bicycle around the +yard, three days after he was out of bed. Against his willfulness my +protests were of no account. What I should have done is to have thrown +up the case; but I was young and the people were my friends. Well; that +boy made, apparently, a complete recovery. A few weeks later I was sent +for again. There was some kidney trouble. I knew, before the analysis +was made, what it would show: nephritis. The poison had struck to the +kidneys like a dagger. The poor little chap dragged along for some +months before he died; and his mother—God forgive me if I did wrong in +telling her the truth, as I did for the protection of their other +child—almost lost her reason.” + +“And such cases are common?” asked Mr. Clyde. + +“Common enough to be fairly typical. Afterward, I cited the two +instances in a talk before our medical society. My frankness encouraged +some of the other men to be frank; and the list of fatalities and +permanent disabilities, following scarlet fever and measles, which was +brought out at that meeting, nearly every case being one of rushing the +convalescence—well, it reformed one phase of medical procedure in—in +that city and county.” + +“That settles it for Charley,” decided Mr. Clyde. “He stays in bed +until you certify him cured, if I have to hire a vaudeville show to +keep him amused.” + +“My boy is not a spoiled child!” said Mrs. Clyde proudly. “I can handle +him.” + +“Maybe he wasn’t before,” remarked Grandma Sharpless dryly; “but I +think you’ll have your hands full now.” + +“Therefore,” said Dr. Strong, “I propose to enlist the services of the +whole family, including the children.” + +“What! Let the others go to see Charley when he’s peeling?” protested +Mrs. Sharpless. “They’ll all catch it.” + +“How?” + +“Why, from the skin-flakes. That’s the way scarlet fever spreads.” + +“Is it?” said the Health Master mildly. “Then perhaps you’ll explain to +me why doctors aren’t the greatest danger that civilization suffers +from.” + +“I suppose they disinfect themselves,” said the old lady, in a rather +unconvinced tone. + +“Let’s see how much that would amount to. The fine flakes of skin are +likely to be pretty well disseminated in a sick-room. According to the +old theory, every one of them is a potential disease-bearer. Now, a +doctor could hardly be in a sickroom without getting some of them on +his clothes or in his hair, as well as on his hands, which, of course, +he thoroughly washes on leaving the place. But that’s the extent of his +disinfection. Why don’t the flakes he carries with him spread the fever +among his other patients?” + +“Don’t ask _me!_” said Clyde. “I’m not good at puzzles.” + +“Many doctors still hold to the old theory. But I’ve never met one who +could answer that argument. Some of the best hospitals in the world +discharge patients without reference to the peeling of the skin, and +without evil results.” + +“How is scarlet fever caught, then?” asked Mrs. Clyde. + +“From the discharge from the inflamed nose and throat, or from the ears +if they are affected. Anything which comes in contact with this +poisonous mucus is dangerous. Thus, of course, the skin-flakes from the +lips or the hands which had been in contact with the mouth or nose +might carry the contagion, just as a fork or a tooth-brush or a +handkerchief might. Now, I’ll risk my status in this house on the +safety of letting the other children visit Charley under certain +restrictions.” + +“That settles it for me,” said Mr. Clyde, whose faith in his friend, +while not unquestioning, was fundamental; and the two women agreed, +though not without misgivings. Thereupon Bobs, Julia, and Bettina were +sent for, and the Health Master announced that Charley would hold a +reception on the following afternoon. There were shouts of acclamation +at the prospect. + +“But first,” added Dr. Strong, “there will be a rehearsal in the +playroom, to-morrow morning.” + +“What do we need a rehearsal for to see Charley?” inquired Julia. + +“To guard yourselves, Miss Junkum,” returned the doctor. “Possibly you +don’t know everything about scarlet fever that you should know. Do you, +Cherubic Miss Toots,” he added, turning upon Bettina, “know what a +contagious disease is?” + +“I know,” said the diminutive maiden gravely, “that if you leave +Charley’s door open the jerrums will fly out and bite people.” + +“Which fairly typifies the popular opinion concerning disease bacilli,” +observed Dr. Strong. + +“I saw a jerrum once,” continued the infant of the family. “It was +under a stone in a creek. It had horns and a wiggly tail. Just like the +Devil,” she added with an engaging smile. + +“Betty’s been looking at the pictures in the comic supplements,” +explained her elder sister. + +“Popular education by the press!” commented Dr. Strong. “Well, I +haven’t time for an exposition of the germ theory now. The point is +this: Can you children stay an hour in Charley’s room without putting a +lot of things in your mouths?” + +“Why, I never put anything in my mouth. You taught us better than +that,” said Julia reproachfully. + +The doctor was little impressed by the reproach. “Humph!” he grunted. +“Well, suppose you stop nibbling at your hair”—Julia’s braid flew back +over her shoulder—“and consider that, when you put your fingers in your +mouth, you may be putting in, also, a particle of everything that your +fingers have touched. And in Charley’s room there might be jerrums, as +Twinkles calls them, from his mouth which would be dangerous. Rehearsal +at noon tomorrow.” + +Expectant curiosity brought the children early to the playroom whither +they found that the Health Master had preceded them. + +“When’s it going to begin?” asked Bettina. + +“Presently,” replied the master of ceremonies. “We’re going to pretend +that this is Charley’s room. Just at present I’m busy with some work.” +He shook a notebook at them. “Go ahead and amuse yourselves till I get +through.” + +Julia the observant noted three hues of crayon on the stand beside the +doctor. “Are you going to make a sketch?” she inquired. + +“Never you mind. You attend to your affairs and I’ll attend to mine.” + +“Dr. Strong is a-goin’ to make a picture of a jerrum,” Bettina informed +her favorite doll, Susan Nipper, imprinting a fervent kiss on the pet’s +flattened face. “Come on an’ let’s read the paper.” + +Dr. Strong made a note in his book, with a pencil. + +“Want to play catch, Junkum?” suggested Bobs to his twin. + +“All right,” said Julia, seizing upon a glove, while Bobs, in his rôle +of pitcher, professionally moistened the ball. + +Dr. Strong made another note. + +For half an hour they disported themselves in various ways while the +Health Master, whose eyes were roving everywhere, made frequent entries +in his book. + +“All out now,” he ordered finally. “Come back in five minutes.” + +Before the time was up, they were clustered at the door. Dr. Strong +admitted them. + +“Does the rehearsal begin now?” asked Bobs. + +“It’s all over,” said the physician. “Look around you.” + +“Ow-w-w!” wailed Bettina. “Look at Susan Nipper’s nose!” + +That once inconspicuous feature had turned a vivid green. + +“And the baseball is red,” cried Bobs. + +“So’s my glove,” announced Julia. + +Walking over to her, the Health Master caught her left hand and smeared +it with blue crayon. For good measure he put a dab on her chin. + +“My story-book is all blue, too,” exclaimed the girl. “What’s it for?” + +“Just by way of illustration,” explained the doctor. “The mouths of all +of us contain germs of one kind or another. So I’ve assumed that Bob’s +mouth has red, and Junkum’s blue, and Miss Twinkle’s green. Every chalk +mark shows where you’ve spread your germs.” + +“Then the red on the ball is where I wet my fingers for that in-curve,” +said Bobs. + +“And on my glove is where I caught it,” said Julia. “But what’s the +blue doing on my left hand?” + +“I know,” announced Bobs triumphantly. “You got that slow drop on the +end of your finger and jammed your finger in your mouth.” + +“It hurt,” defended Julia. “Look at the walls—and the Indian clubs—and +the chair.” + +Crayon marks were everywhere.[2] In some places it was one color; in +others another; in many, a crazy pattern of red, blue, and green. + + [2] For this ingenious example of the crayon marks I am indebted to + Dr. Charles V. Chapin, Health Officer of Providence, Rhode Island, and + a distinguished epidemiologist. + + +“And if I carried it out,” said the doctor, “your faces would all be as +bad.” + +“I don’t care!” murmured Betty to Susan Nipper; “I _will_ kiss you even +if you do turn green.” + +“But you mustn’t kiss Charley,” interposed Dr. Strong. “If you’ve had +enough rehearsal, we’ll go and make our call right after luncheon.” + +Entering the sick-room, the three visitors stood a little abashed and +strange. Their hearty, rough-and-tumble brother looked strangely drawn +and brighteyed. + +“Hello, kids!” said he, airily. “Make yourselves at home.” + +Bettykin was the first to break the ice. “Did it hurt, Charley?” she +asked, remembering her own experience with adenoids. + +“Nope,” said the convalescent. “Only thing that hurts is being kept in +bed when I want to be up and around. What’s new?” + +Much was new, there in the room, and the children took it in, +wide-eyed. Although it was early May, the windows were screened. All +the hangings and curtains had been taken out of the room, which looked +bare and bright. On the door of the bathroom was a huge roller-towel of +soft, cloth-like paper, perforated in lengths so as to be easily +detachable, and below it a scrap-basket, with a sign: “Throw Paper +Towels in Here to be Burned after Using.” Between the two windows was a +larger sign:— + +Keep your Fingers Away from Your Mouth and Nose. +Don’t Handle Utensils Lying About. +Don’t Open an Unscreened Window. +After Touching Anything which may have been Contaminated Wash Your +Hands at Once. +Use the Paper Towels; They’re the Only Safe Kind. +One Dollar Reward to Any One Discovering a Fly in the Room. +Wash Your Hands Immediately After Leaving the Room. +Keep Outside the Dead-line. + + +PENALTIES + + +For First Violation of Rules—Offender Reads to Patient One Hour. Second +Violation—Banishment for Balance of Day. + + +“The dead-line is that thing, I suppose,” said Junkum, pointing to a +tape stretched upon standards around the bed at a distance of a yard. + +“Is it a game?” questioned the hopeful Bettina. “No, Bettykin. It’s a +germ-cage. No germs can get out of that unless they’re carried out by +somebody or something. And, in that case, they’re boiled to death on +the gas-stove outside.” + +At this moment Charley called for a drink of water. After he had +emptied the glass, his mother took it out and dropped it into the +disinfecting hot bath. Then she washed her hands, dried them on a strip +of the paper towel and dropped that in the basket. + +“I see,” said Julia, the observant. “Nothing gets any scarlet fever on +it except what Charley touches. And everything he touches has to be +washed as soon as it comes out of the dead-line.” + +“Exactly. We’ll make a trained nurse of you, yet, Junkum,” approved the +Health Master. + +“Then,” said Julia slowly, “I think Bobs ought to wash his hands now. +Mother opened the door after handling Charley’s glass, and when he went +to watch her wash the glass, he put his hand on the knob.” + +“One mark against Bobs,” announced the doctor. “The rigor of the game.” + +A game it proved to be, with Charley for umpire, and a very keen +umpire, as he was the beneficiary of the penalties. For some days +Charley quite fattened on literature dispensed orally by the +incautious. Presently, however, they became so wary that it was hard to +catch them. + +Then, indeed, was the doctor hard put to it to keep the invalid amused. +The children invented games and charades for him. A special telephone +wire was run to his room so that he might talk with his friends. Bobs +won commendations by flying a kite one windy day and passing the twine +up through Charley’s window, whereby the bedridden one spent a happy +afternoon “feeling her pull.” And the next day Betty won the first and +only dollar by discovering a small and early fly which, presumably, had +crawled in by the hole bored for the kite twine. As to any +encroachments upon the physical quiet of his patient or the protective +guardianship surrounding him, the Health Master was adamant, until, on +a day, after examining the prisoner’s throat and nose, and going over +him, as Mr. Clyde put it, “like a man buying a horse that’s cheaper +than he ought to be,” he sent for the Health Officer. + +“It’s a clean throat,” said Dr. Merritt. “Never mind the desquamating +skin. We’ll call it off.” + +Whereupon Charley was raised from his bed, and having symbolically +broken the tape-line about his bed, headed a solemn and slow procession +of the entire family to the front porch where he formally took down the +red placard and tore it in two. The halves still ornament the playroom, +as a memento. + +After this memorable ceremony, Mrs. Clyde retired to the library and, +quite contrary to her usually self-restrained nature, dissolved into +illogical tears, in which condition she was found by the rest. + +“I—I—I don’t know what’s the matter,” she sobbed, in response to her +husband’s inquiry. “It’s just because I hated the very thought of that +abominable red sign so,—as if we were unclean—like lepers.” + +“Well, we’re not lepers and if we can continue in that blessed state,” +remarked Dr. Strong cheerfully, “we can escape most of the ills that +flesh is heir to. After all, from a scientific point of view, contagion +is merely the Latin synonym for a much shorter and uglier word.” + +“Which is—” queried Mr. Clyde. + +“Dirt,” said the Health Master. + + + + +VIII. +HOPE FOR THE HOPELESS + + +“Hopeless from the first,” said old Mrs. Sharpless, with a sigh, to her +daughter. + +Mrs. Clyde nodded. “I suppose so. And she has so much to live for, +too.” + +“What’s this that’s hopeless from the first?” asked the Health Master, +looking up from the novel which he was enjoying in what he called his +“lazy hour,” after luncheon. + +“Mrs. Westerly’s case,” said the younger woman. “Even now that she’s +gone to the hospital, the family won’t admit that it’s cancer.” + +“Ah, of the liver, I suppose,” commented the physician. + +“Why on earth should you suppose that?” demanded Mrs. Sharpless +suspiciously. + +“Why, because cancer of the liver is the only form which could possibly +be regarded as hopeless from the first.” + +“All cancer, if it is really cancer, is hopeless,” declared the old +lady with vigorous dogmatism. “Don’t tell me. I’ve seen too many cases +die and too few get well.” + +“Were those ‘few’ hopeless, too?” inquired Dr. Strong with bland +slyness. + +“I guess they weren’t cancer, at all,” retorted Mrs. Sharpless; “just +doctors’ mistakes.” + +“Doctors do make mistakes,” admitted the representative of the +profession, “and cancer is one of the diseases where they are most +commonly at fault. But the error isn’t of the kind that you suggest, +Grandma Sharpless. Where they go wrong so often is in mistaking cancer +for some less malignant trouble; not in mistaking the less malignant +forms for cancer. And that wastes thousands of lives every year which +might have been saved.” + +“How could they have been saved?” asked the old lady combatively. + +“Let me do the questioning for a minute, and perhaps we’ll get at that. +Now, these many cases that you’ve known: were most of the fatal ones +recent?” + +“Not very,” she replied, after some consideration. “No; most of them +were from ten years ago, back.” + +“Exactly. Now, the few that recovered: when did these occur?” + +“Within a few years.” + +“None of the old cases recovered?” + +“No.” + +“But a fair proportion of the more recent ones have?” + +“Yes.” + +“All these were operated on, weren’t they?” + +“Yes; I believe they were. But not all that were operated on lived.” + +“Did a single one of those not operated on live?” + +“Not so far as I can remember.” + +“Well, there we have the truth about cancer in a few words; or, anyway, +a good part of the truth. Up to twenty years ago or so, cancer was +practically incurable. It always returned after operation. That was +because the surgeon thought he needed only to cut out the cancer. Now +he knows better; he knows that he must cut out all the tissue and the +glands around the obvious cancer, and thus get the root of the growth +out of the system.” + +“And that cures?” asked Mrs. Clyde. + +“In a great majority of cases, _if it is done early enough_.” The +Health Master dropped his book and beat time with an emphatic +forefinger to his concluding words. + +“But Agnes Westerly’s is cancer of the breast,” said Mrs. Clyde, as if +that clinched the case against the patient. + +“Just about the most favorable locality.” + +“I thought it was the worst.” + +“Where on earth do intelligent women collect their superstitions about +cancer?” cried Dr. Strong. “Carcinoma of the breast is the commonest +form among women, and the easiest to handle. Show me a case in the +first stages and, with a good surgical hospital at hand, I’d almost +guarantee recovery. It’s simply a question of removing the entire +breast, and sometimes the adjacent glands. Ninety per cent of the early +cases should get well.” + +“But the operation itself is so terrible,” shuddered Mrs. Clyde. + +“Terrible? Unpleasant, I’ll admit. But if you mean terrible in the +sense of dangerous, or even serious, you’re far wrong again. The +percentage of mortality from the operation itself is negligible. But +the percentage of mortality without operation is 100 out of 100. So the +choice is an easy one.” + +“They seem to hold out little hope for Agnes Westerly.” + +“Let’s hear about the circumstances,” suggested Dr. Strong. + +“About two years ago—” + +“That’s a bad beginning,” interrupted the physician, shaking his head. + +“—She noticed a small lump in her right breast. It didn’t trouble her +much—” + +“It seldom does at the start.” + +“—And she didn’t want to alarm her husband; so she said nothing about +it. It kept getting a little larger very slowly, but there was no +outside sore; so she thought it couldn’t be serious. If it were, she +thought, it would pain her.” + +“That fatal mistake! Pain is a late symptom in cancer—usually too +late.” + +“It was curious the way she finally came to find out. She read an +advertisement in the paper, headed, ‘Any Lump in Woman’s Breast is +Cancer.’” + +“Yes; I know that advertisement. It’s put out by a scoundrel named +Chamlee. Surely, she didn’t try his torturing treatment?” + +“Oh, no. Agnes is too intelligent for that. But it frightened her into +going to her doctor. He told her that a radical operation was her only +chance. She was terribly frightened,—more afraid of the knife than of +the disease, she told me,—and she insisted on delay until the pain grew +intolerable. And now, they say, there’s only a slight chance. Isn’t it +pitiful?” + +“Pitiful, and typical. Mrs. Westerly, if she dies, is a type of +suicide, the suicide of fear and ignorance. Two years’ waiting! And +every day subtracting from her chance. That’s the curse of cancer; that +people won’t understand the vital necessity of promptness.” + +“But is it true that any lump in a woman’s breast is cancer?” asked +Mrs. Sharpless. + +“No; it’s a lie; a damnable lie, circulated by that quack to scare +foolish women into his toils. Most of such lumps are non-malignant +growths. This is true, though: that any lump in a woman’s breast is +suspicious. It may be cancer; or it may develop into cancer. The only +course is to find out.” + +“How?” + +‘“With the knife.” + +“Isn’t that rather a severe method for a symptom that may not mean +anything?” + +“Not too severe, considering the danger. Whatever the lump may be, it +has no business there in the breast, any more than a bullet has. If it +is only a small benign tumor, the process of taking it out is very +simple, and there is nothing further to do. While the patient is still +under the anaesthetic, a microscopical examination of the tissue, which +can be made in a few minutes in a well-equipped hospital, will +determine whether the growth is malignant. If so, the whole breast is +taken off, and the patient, in all probability, saved. If not, sew up +the wound, and the subject is none the worse. Much the better, in fact, +for the most innocent growth may develop cancer by irritation. Thirty +per cent, or more, of breast cancers develop in this way.” + +“But irritation alone won’t cause cancer, will it?” asked Mrs. Clyde, +her restlessly inquiring mind reaching back, as was typical of her +mental processes, toward first causes. + +“No. There must be something else. What that something is, we don’t +know. But we are pretty certain that it doesn’t develop unless there is +irritation of some kind.” + +“Isn’t cancer a germ disease?” + +“Nobody knows. Some day we may—probably shall—find out. Meantime we +have the knowledge of how to prevent it.” + +“How to prevent a disease you don’t know the nature of?” said Mrs. +Sharpless incredulously. “That sounds like nonsense.” + +“Does it? What about smallpox? We haven’t any idea of what smallpox +really is; but we are able to control it with practical certainty +through vaccination.” + +“Doctors don’t vaccinate for cancer,” remarked the practical-minded old +lady. + +“They have tried serums, but that is no use. As I said, the immediate +occasion of cancer is irritation. There is overwhelming proof that an +unhealing sore or irritation at any point is likely to result in the +development of a cancer at that point, and at least a highly probable +inference that, without such irritation, the disease would not +develop.” + +“Then why not get rid of the irritation?” + +“Ah, there’s the point. That’s where the tremendous life-saving could +be effected. Take a very simple instance, cancer of the lip. In a +thousand cases recorded by one of the Johns Hopkins experts, there +wasn’t one but had developed from a small sore, at first of innocent +nature. It isn’t too much to say that this particular manifestation of +cancer is absolutely preventable. If every person with a sore on the +lip which doesn’t heal within three weeks were to go to a good surgeon, +this hideous and defacing form of tumor would disappear from the earth. +As for carcinoma of the tongue, one of the least hopeful of all +varieties, no careful person need ever develop it. Good dentistry, +which keeps the mouth free of jagged tooth-edges, is half the battle. +The other half is caution on the part of smokers. If a white patch +develops in the mouth, tobacco should be given up at once. Unless the +patch heals within a few weeks, the patient should consult a physician, +and, if necessary, have it removed by a minor operation. That’s all +there is to that.” + +“But if the irritant sore is internal?” inquired Mrs. Clyde. + +“To the watchful it will give evidence of its presence, usually in +time. If it is in the intestines or stomach, there is generally some +uneasiness, vague, perhaps, but still suspicious, to announce the +danger. Surgical records covering a long period show that eighty per +cent of stomach cancers were preceded by definite gastric symptoms of +more than a year’s duration. If it is in the uterus, there are definite +signs which every woman ought to be taught to understand. And here, to +go back to the matter of cure, even if the discovery isn’t made until +cancer has actually developed, there is an excellent chance in the +early stages. Cancer of the stomach used to be sure doom to a hideous +death. Now, taking the cases as they come, the desperate chances with +the early cases, more than a quarter are saved in the best surgical +hospitals. Where the growth is in the womb or the intestines, with +reasonably early discovery, a generous half should be repaired and +returned to active life as good as new.” + +“That doesn’t seem possible,” said Mrs. Sharpless flatly. + +“Simply because you’ve been steeped in the fatalism which surrounds +cancer. That fatalism, which is so hard to combat, is what keeps women +from the saving hope of the knife. ‘I’ve got to die anyway,’ they say, +‘and I’m not going to be carved up before I die.’ And so they throw +away what chance they have. Oh, if only I had control of the newspapers +of this city for one day a week or a month,—just for a half-column +editorial,—what a saving of life I could effect! A little simple advice +in straight-out terms would teach the people of this community to avoid +poor Mrs. Westerly’s fate.” + +“And drive ‘em all into the hands of the doctors,” said Mrs. Sharpless +shrewdly. “A fine fattening of fees for your trade, young man.” + +“Do you think so? Do you think that cancer _ever_ fails to come to the +physician at last? And do you think the fee is less because the surgeon +has to do twice the amount of work with a hundredth of the hope of +success?” + +“No-o-o,” admitted the old lady, with some hesitancy; “I didn’t think +of it in that light.” + +“Few do. Oh, for the chance to teach people to think straight about +this! Publicity is what we need so bitterly, and the only publicity +goes to the quacks who pay for it, because the local newspapers don’t +want to write about ‘unpleasant topics,’ forsooth!” + +“Do you want a chance for some publicity in a small way?” asked Mrs. +Clyde. + +“Do I! Show me the chance.” + +“The Mothers’ Association meets here this afternoon. We haven’t much +business on hand. Come in and talk to us for an hour.” + +“Fine!” said the Health Master, with enthusiasm. “Half of that time +will do me. How many will be there?” + +“About sixty.” + +“Very well. Just have me introduced with the statement that I’m going +to talk informally on a subject of importance to all of you; and then +help me out with a little object lesson. I’ll want sixty sealed +envelopes for the members to draw.” + +“Are you conducting a lottery, young man?” queried Grandma Sharpless. + +“In a way. Rather I’m arranging an illustration for the great lottery +which Life and Death conduct.” + + +Two hours later, the business of the meeting having been concluded, +Mrs. Clyde asked, from the assembled mothers, the privilege of the +floor for Dr. Strong, and this being granted, aroused the curiosity of +the meeting by requesting each member to draw an envelope from the +basket which she carried around, while the presiding officer introduced +the speaker. + +“Let me begin,” said the Health Master, “with an ungallant assumption. +I’m going to assume that I’m talking to a gathering of middle-aged +women. That being the case, I’m going on to a very unpleasant +statement, to wit, that one out of every eight women here may +reasonably expect to die of cancer in some form.” + +A little subdued flutter passed through the room, and the name of Agnes +Westerly was whispered. + +“Yes; it is Mrs. Westerly’s case which is responsible for my being +here,” said Dr. Strong, who had abnormally keen hearing. “I would like +to save at least part of the eight out of your number, who are +statistically doomed, from this probable fate. To bring the lesson home +to you, I have had each of you draw an envelope. Eight of these +represent death by cancer.” + +Every eye in the room turned, with rather ghastly surmise, to the +little white squares. But old Mrs. Sharpless rose from her place, +marched upon the Health Master, as one who leads a charge, and in low +but vehement tones protested: “I won’t be a party to any such nonsense. +The idea! Scaring some woman that’s as well as you are into nervous +collapse with your black dot or red cross or whatever you’ve got inside +these envelopes.” + +“Oh, Grandma Sharpless, Grandma Sharpless! Have you known me all this +time not to trust me further than that?” whispered the Health Master. +“Wait and see.” + +A little woman near the rear of the room spoke up with a fine bravado: +“I’m not afraid. It can’t give me cancer.” Then a pause, and a sigh of +relief, which brought out a ripple of nervous laughter from the rest, +as she said, “There’s nothing in mine.” + +“Nor in mine,” added a young and pretty woman, in the second row, who +had furtively and swiftly employed a hatpin to satisfy her curiosity. + +“Nor mine!”—“Nor mine!” added a dozen voices, in varying tones of +alleviated suspense. + +“Not in any of them,” said Dr. Strong, smiling. “My little design was +to arouse you collectively to a sense of the danger, not to frighten +you individually into hysterics.” (At this point Mrs. Sharpless sat +down abruptly and fanned a resentful face.) “The ugly fact remains, +however: one out of every eight here is marked for death by the most +dreadful of diseases, unless you do something about it.” + +“What can we do?” inquired the minister’s wife, in the pause that +followed this statement. + +“Educate yourselves. If, in the process, you educate others, so much +the better. Now I propose to tell you all about cancer in half an hour. +Does that sound like a large contract? When I say ‘all,’ I mean all +that it is necessary for you to know in order to protect yourselves. +And, for good measure, I’ll answer any questions—if I can—within the +limit of time.” + +“What _is_ cancer?” asked a voice. + +“Ah! There is one that I can’t answer. No one knows. If I told you that +it was a malignant tumor, that would be true, but it wouldn’t be an +answer, because we don’t know the real nature and underlying cause of +the tumor. Whether it is caused by a germ, science has not yet +determined. But though we know nothing of the fundamental cause of the +disease, we do understand, definitely, what is the immediate causative +influence. It practically always arises from some local sore or +irritation. Therefore—and here is my first important point—it is +preventable.” + +“That would be only theoretically, wouldn’t it, Dr. Strong?” asked the +little woman who had first braved the venture of the sealed envelope. +“One can’t get through life without bumps and scratches.” + +“True. But ordinary bumps or scratches properly looked after don’t +cause cancer. The sore must be an unhealing one, or the irritation a +continued condition, in order to be dangerous. Remember this: any sort +of a sore, inflammation, or scarification, external or internal, which +continues more than a few weeks, is an invitation to cancer. Therefore, +get rid of it.” + +“But suppose the injury is in the stomach, where it can’t be got at?” +asked a member. + +“Why can’t it be got at?” demanded Dr. Strong. + +“How can it be got at?” retorted the questioner. + +“By opening up the stomach and examining it.” + +“Well, I don’t want anybody to open up my stomach just to see what is +inside it!” declared Mrs. Sharpless vigorously. + +“Very likely not. Perhaps you’d feel different if you’d had steady pain +or indigestion for two or three years.” + +“Does that mean cancer?” asked a tall, sallow woman anxiously. + +“Not by any means necessarily. But it may well mean gastric ulcer, and +that may develop into cancer. Three fourths of the cases of carcinoma +of the stomach which come into the surgeon’s hands have developed from +gastric ulcer.” + +“Is there no cure but the knife?” inquired Mrs. Clyde. + +“Not for the cancer. For the gastric ulcer, yes. Careful medical care +and diet often cure it. The trouble is that patients insist on diet and +drugs in cases where they have proved themselves ineffectual. Those +cases should come to the surgeon. But it will take long to educate the +public to the significance of long-continued abdominal pain or +indigestion. The knife is the last thing they are willing to think of.” + +“But stomach operations are terribly dangerous, aren’t they?” inquired +a member. + +“Not any more. They were once. The operation for gastric ulcer in the +early stage is simple. Even developed cancer of the stomach can be +cured by the knife in from twenty-five to thirty per cent of the cases. +Without the knife, it is sure death. I’m glad we got to the stomach +first, because that is the most obscure and least hopeful of the common +locations of the growth. In carcinoma of the breast, the most prevalent +form among women, there is one simple, inclusive rule of prevention and +cure. Any lump in the breast should be regarded, as Blood-good of Johns +Hopkins puts it, ‘as an acute disease.’ It should come out immediately. +If such growths come at once to the surgeon, prevention and cure +together would save probably ninety per cent of those who now die from +this ‘creeping death,’ as our parents called it. + +“Now, I’ll ask you to imagine for the moment that I am conducting a +clinic, for I’m not going to mince words in speaking of cancer of the +womb, the next commonest form. Any persistent irritation there is a +peril. If there is a slight, steady, and untimely discharge, that’s a +danger signal. The woman should at once have a microscopical +examination made. This is simple, almost painless, and practically a +sure determination of whether there is cancer or not. The thing to do +is to find out.” + +“But if it is cancer, is there any chance?” asked the lady of the +hatpin. + +“Would you regard tuberculosis as hopeless?” + +“Of course not.” + +“Your parents would have. But you have profited by popular education. +If the public understood what to do in cancer as thoroughly as they +know about tuberculosis, we’d save almost if not quite as many victims +from the more terrible disease. Fatalism is as out of place in the one +as in the other. The gist of the matter is taking the thing in time. +Let me read you what the chairman of the Cancer Campaign Committee of +the Congress of Surgeons of North America, Dr. Thomas S. Cullen, of +Baltimore, says: ‘Surgeons are heartsick to see the many cancer +patients begging for operations when the disease is so far advanced +that nothing can be done. Cancer is in the beginning a local process +and not a blood disease, and in its early stages can be completely +removed. When the cancer is small the surgeon can, with one fourth the +amount of labor, accomplish ten times the amount of good.’” + +“Does that always mean the knife?” asked a timid-looking woman. + +“Always. There is no other hope, once the malignant growth has begun. +But the knife is not so terrible. In fact, in the early stages it is +not terrible at all. Modern surgery has reduced pain to a minimum. The +strongest argument against dread is a visit to a well-equipped surgical +hospital, where one can see patients sitting up in bed and enjoying +life a few days after a major operation. Even at the worst, the knife +is less terrible than death, its certain alternative.” + +“Why do you call it the certain alternative?” asked the minister’s +wife. “I have seen facial cancer cured by concentrated ray treatment.” + +“That wasn’t cancer; it was lupus,” replied Dr. Strong; “a wholly +different thing. True cancer of the face in its commonest location, the +lips, is the most frequently cured of any form, but only by operation. +Now here’s an interesting and suggestive point; taking lip-cancer +patients as they come to us, we get perhaps sixty-five per cent of +complete cures. With cancer of the womb, we get in all not more than +forty per cent of recoveries. Perhaps some of you will be able to +suggest the explanation for this contrast.” + +“Because cancer of the lip isn’t as deadly a disease,” ventured some +one. + +“Cancer is cancer, wherever it is located. Unless it is removed it is +always and equally deadly.” + +“Then it is because the internal operation is so much more dangerous,” +offered another member. + +“No; uterine operations are easy and simple. It is simply because the +sore on the face is obvious, plain, unmistakable evidence of something +wrong; and the patient ordinarily gets into the surgeon’s hands early; +that is, before the roots of the growth have spread and involved life +itself. The difference in mortality between carcinoma of the lip and +carcinoma of the womb is the difference between early operation and +delayed operation. If uterine cancer or breast cancer were discovered +as early as lip cancer, we’d save practically as many of the internal +as we do of the external cases. And if all the lip cancer cases were +noticed at the first development, we’d save ninety-five per cent of +them.” + +“Isn’t it the business of the physician to find out about the internal +forms?” asked Mrs. Sharpless. + +“Often the physician hasn’t the chance. The woman ought to do the first +diagnosing herself. That is, she must be taught to recognize suspicious +symptoms. In Germany there has been a campaign of education among women +on cancer of the womb. The result is that more than twice as many +Germans come to the operating table, in time to give a fair chance of +permanent recovery in this class of cases, as do Americans.” + +“How is the American woman, who knows nothing about such matters, to +find out?” queried the minister’s wife. + +“There is a campaign of education now under way here. Publications +giving the basic facts about cancer, its prevention and cure, in simple +and popular form, can be had from the American Society for the Control +of Cancer,—Thomas M. Debevoise, secretary, 62 Cedar Street, New York +City; or more detailed advice can be had from the Cancer Campaign +Committee of the Congress of Surgeons of North America, Dr. Thomas S. +Cullen, chairman, 3 West Preston Street, Baltimore; or from Dr. F. R. +Green, 535 Dearborn Avenue, Chicago, Illinois, secretary of the Council +of Health and Public Instruction of the American Medical Association.” + +“Why not more easily and readily one’s own physician?” asked Mrs. +Clyde. + +“Women don’t go to their own physicians early enough. It is necessary +that they be trained to understand symptoms which do not at first seem +serious enough for medical attention. Besides, I regret to confess, in +this matter of cancer our physicians need educating, too. They are too +prone to say, if they are not sure of the diagnosis, ‘Wait and see.’ +Waiting to see is what kills three fourths of the women who succumb to +cancer. Let me illustrate this peril by two cases which have come under +my observation: The wife of a lawyer in a Western city had a severe +attack of stomach trouble. Her doctor, a young and open-minded man, had +the courage to say, ‘I don’t know. But I’m afraid it’s cancer. You’d +better go to such-and-such a hospital and let them see.’ The woman +went. An exploratory incision was made and carcinoma found in the early +stage. It was cut out and to-day she is as good as new. + +“Now, this same lawyer had a friend who had been treated for months by +a stomach specialist of some reputation. Under the treatment he had +grown steadily thinner, paler, and weaker. ‘Indigestion, gastric +intoxication,’ the specialist repeated, parrotlike, until the man +himself, in his misery, began to suspect. At this point the lawyer +friend got hold of him and took him to the hospital where his wife had +been. The surgeons refused the case and sent the man away to die. +Indignant, the lawyer sought the superintendent of the hospital. + +“‘Why won’t you take my friend’s case?’ + +“‘It is inoperable.’ + +“‘Isn’t it cancer of the stomach, like my wife’s?’ + +“‘Yes.’ + +“‘You cured my wife. Why can’t you cure my friend?’ + +“The official shook his head. + +“I want an answer,” insisted the lawyer. + +“‘Well, frankly,’ said the other, ‘your wife’s physician knew his +business. Your friend’s physician is a fool. He has killed his patient +by delay.’ + +“Back home went the lawyer, and spread that story quietly. To-day the +specialist’s practice is almost ruined; but he has learned an expensive +lesson. The moral is this: If your doctor is doubtful whether your +trouble is cancerous, and advises delay, get another doctor. + +“Then, there is the ‘conservative’ type of practitioner, who is timid +about making a complete job of his operation. One of this kind had the +case of an acquaintance of mine who was stricken with cancer of the +breast. The physician, under persuasion of his patient, I presume, +advised excising only the tumor itself, but the husband, who had been +reading up on cancer, insisted on a radical operation. The entire +breast was removed. A year later the woman’s unmarried sister was +afflicted in exactly the same way; but the discovery was made earlier, +so that the case was a distinctly favorable one. The girl, however, +would not consent to the radical operation, and the physician (the same +man) declared it unnecessary. The tumor alone was cut out. The cancer +reappeared and another operation was necessary. The girl died after +cruel suffering. The married sister is alive, and, five years after the +operation, as sound as a bell. That physician is a wiser man; also a +sadder one. There’s a special moral to this, too: the operator has but +one chance; he must do his work thoroughly, or he might better not do +it at all. When cancer returns after operation—which means that the +roots were not eradicated—it is invariably fatal. + +“Here are a few things which I want every one of you to remember. Had I +had time I’d have had them printed for each of you to take home, so +important do I think them:— + +“No cancer is hopeless when discovered early. + +“Most cancer, discovered early, is permanently curable. + +“The only cure is the knife. + +“Medicines are worse than useless. + +“Delay is more than dangerous; it is deadly. + +“The one hope, and a strong one, is prompt and radical operation. A +half-operation is worse than none at all. + +“Most, if not all, cancer is preventable by correcting the minor +difficulty from which it develops. + +“With recognition of, and prompt action upon early symptoms, the death +rate can be cut down at least a half; probably more. + +“The fatalism which says: ‘If it’s cancer, I might as well give up,’ is +foolish, cowardly, and suicidal. + +“And, finally, here is some simple advice, intelligible to any thinking +human being, which has been indorsed in printed form by the Congress of +Surgeons of North America:— + +“‘Be careful of persistent sores or irritations, external or internal. + +“‘Be careful of yourself, without undue worry. At the first suspicious +symptom go to some good physician and demand the truth. Don’t wait for +pain to develop. + +“‘If the doctor suspects cancer insist that he confirm or disprove his +suspicions. + +“‘Don’t be a hopeless fatalist. If it’s cancer face it bravely. With +courage and prompt action the chances of recovery are all in your +favor. + +“‘Don’t defer an advised operation even for a day; and don’t shrink +from the merciful knife, when the alternative is the merciless anguish +of slow death.’ + +“For the woman who fears the knife, Dr. Charles H. Mayo, one of the +greatest of living surgeons, has spoken the final words: ‘The risk is +not in surgery, but in _delayed surgery_.’ + +“I have said my say, ladies, and there are five minutes left. Has any +one any further questions?” + +There was none. But as he stepped down, Mrs. Sharpless whispered to +him: “I watched them while you talked, and half of those women are +thinking, and thinking _hard_.” + + +Six months thereafter, Mrs. Clyde came into the Health Master’s office +one day. + +“I’ve just come from a sort of experience meeting of the Mothers’ +Club,” she said. + +“What was the topic this time?” asked Dr. Strong. + +“Aftermath.” + +“Of what?” + +“Your cancer talk.” + +“Anything definite?” + +“Definite, indeed! Between fifteen and twenty of the members went away +from that meeting where you talked, suspecting themselves of cancer.” + +“That’s too many.” + +“Yes. Ten of them had their fears set at rest right away.” + +“I’m sorry to have frightened them; but one has to do a little harm in +aiming at almost any good.” + +“This was worth it. Half a dozen others had minor operations.” + +“Perhaps saving major ones later.” + +“Very likely. And four of them actually had cancer. Three out of the +four are going to be well women. The fourth has an even chance. Dr. +Strong, I don’t think you’ve done so good a day’s work since you +brought health into this house.” + +“I thank you,” said the doctor simply; “I think you are right. And +you’ve given me the most profound and about the rarest satisfaction +with which the physician is ever rewarded.” + +“And that is?” she asked. + +“The practical certainty of having definitely saved human life,” said +the Health Master. + + + + +IX. +THE GOOD GRAY DOCTOR + + +A twenty-dollar bill! Crisp, fresh, and golden, it rose monumentally +from the basis of nickels, dimes, and quarters which made up the +customary collection of the Bairdstown Memorial Church. Even the +generosity of the Clyde family, who, whenever they spent a week-end at +Mr. Clyde’s farm outside the little city, attended the Sunday services, +looked meager and insignificant beside its yellow-backed splendor. +Deacon Wilkes, passing the plate, gazed at it in fascination. +Subsequent contributors surreptitiously touched it in depositing their +own modest offerings, as if to make certain of its substance. It was +even said at the Wednesday Sewing Circle that the Rev. Mr. Huddleston, +from his eminence in the pulpit, had marked its colorful glint with an +instant and benign eye and had changed the final hymn to one which +specially celebrated the glory of giving. + +In the Clyde pew also there was one who specially noted the donor, but +with an expression far from benign. Dr. Strong’s appraising glance +ranged over the plump and glossy perfection of the stranger, his +symphonic grayness, beginning at his gray-suède-shod feet, one of which +unobtrusively protruded into the aisle, verging upward through gray +sock and trouser to gray frock coat, generously cut, and terminating at +the sleek gray head. Even the tall hat which the man dandled on his +knees was gray. Against this Quakerish color-scheme the wearer’s face +stood out, large, pink, and heavy-jowled, lighted by restless brown +eyes. His manner was at once important and reverent, and his “amen” a +masterpiece of unction. No such impressive outlander had visited +Bairdstown for many a moon. + +After the service the visitor went forward to speak with Mr. +Huddleston. At the same time Dr. Strong strolled up the aisle and +contrived to pass the two so, as to obtain a face-to-face view of the +stranger. + +“At nine o’clock to-morrow, then, and I shall be delighted to see you,” +the pastor was saying as Dr. Strong passed. + +“Good-morning, Professor,” said Dr. Strong, with an accent on the final +word as slight as the nod which accompanied it. + +“Good-morning! Good-morning!” returned the other heartily. But his +glance, as it followed the man who had accosted him, was puzzled and +not wholly untroubled. + +“Who is your munificent friend?” asked Mrs. Clyde, as the Health Master +emerged from the church and joined her husband and herself in their +car. + +“When I last ran across him he called himself Professor Graham Gray, +the Great Gray Benefactor,” replied Dr. Strong. + +“Dresses the part, doesn’t he?” observed Mr. Clyde. “Where was it that +you knew him?” + +“On the Pacific Coast, five years ago. He was then ‘itinerating’—the +quack term for traveling from place to place, picking up such practice +as may be had by flamboyant advertising. Itinerating in eyes, as he +would probably put it.” + +“A wandering quack oculist?” + +“Optician, rather, since he carried his own stock of glasses. In fact +that’s where his profit came in. He advertised treatment free and +charged two or three dollars for the glasses, special rates to +schoolchildren. The scheme is an old one and a devilish. Half of the +children in San Luis Obispo County, where I chanced upon his trail, +were wearing his vision-twisters by the time he was through with them.” + +“What kind of glasses were they?” + +“Sometimes magnifying lenses. Mostly just plain window glass. Few +children escaped him, for he would tell the parents that only prompt +action could avert blindness.” + +“At least the plain glass couldn’t hurt the children,” suggested Mrs. +Clyde. + +“Couldn’t it! It couldn’t fail to hurt them. Modify the sight of a +delicate instrument like a child’s eye continuously by the most +transparent of barriers, and it is bound to go wrong soon. The +magnifying glasses are far worse. There are hundreds of children in +that one locality alone who will carry the stigma of his quackery +throughout their lives.” + +“Do you think he is here with a view to practicing his amiable trade?” +inquired Clyde. + +“Only in part, if at all. I understand that he has changed his line.” + +“How comes he by all that showy money, then?” + +“By murder.” + +The Clydes, accustomed to their physician’s hammerstroke turns of +speech, took this under consideration. + +“But he wasn’t committing murder in the church just now, I suppose,” +insinuated Mrs. Clyde at length. + +“Not directly. His immediate business there, I suspect, was bribery.” + +“Of whom?” + +“The minister.” + +“Oh, come, Strong!” protested Mr. Clyde. “Mr. Huddleston isn’t an +intellectual giant, I grant you; but he’s certainly a well-meaning and +honorable old fellow.” + +“Some cynical philosopher has remarked that wicked men have a talent +for doing harm, but fools have a genius. Mr. Huddleston’s goodness and +honesty, taken in connection with his hopeless ignorance of human +nature, are just so much capital to hand for a scoundrel like this +Gray.” + +“What does he expect to get for his twenty-dol-lar bill?” + +“First, a reputation for piety and generosity. Second, that reputation +duly certified to by the leading minister of the town.” + +“In other words, a testimonial.” + +“Precisely. For home use, and cheap at twenty dollars. Preparatory to +operating in a town, your itinerating quack bribes two people—if he +can. First, the editor of the local paper; second, the pastor of the +leading church. The editor usually takes the money with his eyes wide +open; the minister with his eyes tight shut.” + +“How can his eyes be shut to such a business?” asked Mrs. Clyde. + +“Because so much dust has been thrown in them by the so-called +religious journals.” + +“Surely you don’t mean that religious journals exploit quackery in +their pages!” cried Mrs. Clyde. + +“They are the mainstay of the quack and patent medicine business,” +declared the Health Master. “Leaving out the Christian Science papers, +which, of course, don’t touch this dirty money, the religious press of +all denominations, with a few honorable individual exceptions, sells +out to any form of medical fraud which has a dollar to spend. Is it +strange that the judgment of some of the clergy, who implicitly trust +in their sectarian publications, becomes distorted? It’s an even chance +that our Great Gray faker’s advertisement is in the religious weekly +which lies on Mr. Huddleston’s study-table at this moment.” + +Grandma Sharpless turned around from her seat in front, where she +always ensconced herself so that, as she put it, she could see what was +coming in time to jump. “I know it is,” she stated quietly. “For while +I was waiting in the parsonage last week I picked up the ‘Church +Pillar’ and saw it there.” + +“Trust Grandma Sharpless’s eyes not to miss anything that comes within +their range,” said Dr. Strong. + +“Well, I missed the sense of that advertisement till just now,” +retorted the old lady. “I’ve just remembered about this Graham Gray.” + +“What about him?” asked the Health Master with eagerness, for Mrs. +Sharpless’s memory was as reliable for retaining salient facts as her +vision was for discerning them. “Do you know him?” + +“Only by his works. Last year a traveling doctor of that name stopped +over at Greenvale, twenty miles down the river, and gave some of his +lectures to Suffering Womanhood, or some such folderol. He got hold of +Sally Griffin, niece of our farmer here, while she was visiting there. +Sally’s as sound as a pippin, except for an occasional spell of +fool-in-the-head, and I guess no school of doctoring ever helps that +common ailment much. Well, this Gray got her scared out of her wits +with symptoms, and sold her twenty-five dollars’ worth of medicine to +cure her of something or other she didn’t have. Cured!” sniffed the +lively narrator. “If I hadn’t taken the stuff away from her and locked +it up, I expect she’d be in the churchyard by now.” + +“The whole philosophy of quackery explicated and punctured, by one who +knows,” chuckled Dr. Strong. + +“None of your palaver with me, young man!” returned the brisk old lady, +who was devoted to the Health Master, and showed it by a policy of +determined opposition of the letter and whole-hearted support of the +spirit and deed, in all things. “Probably he knows as much as most of +your regular doctors, at that!” + +“At least he seems to know human nature. That’s the strong point of the +charlatan. But have you got any of his medicine left?” + +“Yes; I think I can lay my hands on what’s left of it. I remember that +Sally boohooed like a baby, grown woman that she is, when I took it +away from her.” Dr. Strong’s eyebrows went up sharply. “As soon as we +get to the house I’ll look it up.” + +On their arrival at the roomy old farmstead which Mr. Clyde had +remodeled and modernized for what he called “an occasional three days +of grace” from his business in the city of Worthington, Grandma +Sharpless set about the search, and presently came to the living-room +bearing in one hand a large bottle and in the other a newspaper. + +“Since you’re interested in Professor Gray,” she said, “here’s what he +says about himself in yesterday’s ‘Bairdstown Bugle.’ I do think,” she +added, “that the Honorable Silas Harris might be in better business +with his paper than publishing such truck as this. Listen to it.” + +GOSPEL HERBS WILL CURE YOUR ILLS + + +Women of Bairdstown; Read your Bible! Revelation 22d chapter, 2d verse. +God promises that “the Herbs of the field shall heal the nations.” In a +vision from above, the holy secret has been revealed to me. Alone of +all men, I can brew this miracle-working elixir. + + +“The blasphemous old slinkum!” Grandma Sharpless interrupted herself to +say angrily. “He doesn’t even quote the Scriptures right!” + +“Oh, blasphemy is a small matter for a rascal of his kind,” said the +Health Master lightly. “Go on.” + +She read on:— + +Come to me, ye women who suffer, and I will give you relief. All those +wasting and wearing ailments from which the tender sex suffers, vanish +like mist before the healing, revivifying influence of Gospel Herbs. +Supposed incurable diseases: Rheumatism, Dropsy, Diabetes and all +kidney ills, Stomach Trouble, Scrofula, Blood Poison, even the dreaded +scourge, Consumption, yield at once to this remedy. + Though my special message is to women, I will not withhold this + boon from any suffering human. Come one and all, rich and poor, + young and old, of either sex. Your money refunded if I do not cure + you. Public meeting Monday and Tuesday evenings, at eight o’clock + sharp in the Scatcherd Opera House; admission free to all. Private + consultation at the Mallory Hotel, Monday, Tuesday, and Wednesday + from 10 a.m. to 4 p.m. Remember, I cure where the doctors fail; or + no pay. + + +Prof. Graham Gray, +The Great Gray Benefactor. + + +Mrs. Sharpless held out for the general view the advertisement, which +occupied, in huge type, two thirds of a page of the “Bugle.” The +remainder of the page was taken up with testimonials to the marvelous +effects of the Gospel Herbs. Most of the letters were from far-away +towns, but there were a few from the general vicinity of Bairdsville. + +Meantime Dr. Strong had been delicately tasting and smelling the +contents of the bottle, which were thick and reddish. + +“What do you make out is in it?” asked Clyde. + +“Death—and a few worse things. Grandma Sharpless, you say that the girl +cried for this after you took it from her?” + +“Not only that; she wrote to the Professor for more. And when it came I +smashed the bottle.” + +“You ought to have the honorary degree of M.D. Well, it’s pretty plain, +but to make sure I’ll send this to Worthington for an analysis.” + +“So our friend, the gray wolf, is going to prowl in Bairdstown for the +next three days!” Thomas Clyde began to rub his chin softly; then not +so softly; and presently quite hard. His wife watched him with troubled +eyes. When his hand came down to rest upon his knee, it was doubled +into a very competent-looking fist. His face set in the expression +which the newspapers of his own city had dubbed, after the tenement +campaign of the year before, “Clyde’s fighting smile.” + +“Oh, Tom!” broke out his wife, “what kind of trouble are you going to +get into now?” + +“Trouble?” repeated the head of the family, in well-simulated surprise. +“Why, dear, I wasn’t even thinking of trouble—for myself. But I believe +it is time for a little action. Let’s call this a household meeting” +(this was one of the established methods of the Clyde clan) “and find +out. As it isn’t a family affair, we won’t call in the children this +time. Strong, what, if anything, are we going to do about this stranger +in our midst? Are we going to let him take us in?” + +“The question is,” said Dr. Strong quickly, “whether the Clyde family +is willing to loan its subsidized physician temporarily to the city of +Bairdstown.” + +“On the Chinese plan,” supplemented Clyde. + +“Certainly. On the Chinese plan of trying to save the community from a +visitation instead of waiting to cure them of the incurable results of +it.” + +“By visitation I suppose you mean Professor Gray?” said Mrs. Sharpless. + +“Exactly. I should rank him rather higher than an epidemic of scarlet +fever, as an ally of damage and death.” + +“I’ll vote ‘Yes,’” said Mrs. Clyde rather plaintively. “Only, I wish +you two men didn’t have so much Irish in your temperament.” + +“I scorn your insinuation,” replied her husband. “I’m the original dove +of peace, but this Gray person ruffles my plumage. What do you say, +Grandma?” + +“Bairdstown is my own place, partly. I know the people and they know me +and I won’t sit quiet and see ‘em put upon. I vote ‘Yes.’” + +“Make it unanimous!” said Clyde. “What’s the first move of the army of +relief? I’m in on this somewhere, Strong.” + +“Contribute your car for a couple of days, then, and we’ll go out on a +still hunt for the elusive clue and the shy and retiring evidence. In +other words, we’ll scour the county, and look up some of these local +testimonials which the Great Gray One gathered in last year, and now +prints in the ‘Bugle.’” + +“And I’ll stop in town and see Mr. Huddleston to-morrow,” said Mrs. +Sharpless. + +“You won’t get any results,” prophesied the Health Master. “But, +anyway, get him to come to the Gray lecture on Tuesday evening. We’ll +need him.” + +During the ensuing two and a half days and two nights Mrs. Clyde had +speech of her husband but once; and that was at 2 a.m. when he woke her +up to tell her that he was having the time of his life, and she replied +by asking him whether he had let the cat in, and returned to her +dreams. + +Bairdstown’s Suffering Womanhood—as per advertisement—turned out +extensively and self-commiseratingly to the free lecture of Tuesday +evening, bringing with them a considerable admixture of the male +populace, curious, cynical, or expectant. On the platform sat a number +of “special guests,” including the Rev. Mr. Huddleston, mild of face +and white of hair, and the Honorable Silas Harris, owner of the +“Bugle.” + +“Cured” patients, to the number of half a dozen, fidgeted in the seats +of honor with expressions of conscious and pleasurable importance. + +“They appear to be enjoying poor health quite literally,” whispered +Clyde to Dr. Strong, as the two, begrimed with the dust of a long day’s +travel just finished, slipped quietly into side seats. + +At once the entertainment began. A lank, harshfaced, muscular man whom +Professor Gray introduced as his assistant, seated himself at the +piano, and struck a chord, whereupon the Professor, in a powerful +voice, sang what he termed the “Hymn of Healing,” inviting the audience +to “assist” in the chorus, which gem of poesy ran as follows:— + +“Ye shall be healed! Ye shall be healed! + Trust in the gospel advice. +Cured by the herbs of the wood and the field; + Healed without money or price.” + + +“Some poetic license in that last line,” murmured Clyde to his +companion. + +“The next portion of our programme,” announced the Great Gray +Benefactor, “will be corroborative readings from the Good Book.” And he +proceeded to deliver in oratorical style sundry Bible quotations so +patched together and garbled as to ascribe, inferentially, miraculous +powers to the Gospel Herbs. Then came the lecture proper, which was +merely an amplification of the “Bugle” advertisement, interspersed with +almanac funny stories and old jokes. + +“And now, before our demonstration,” concluded Professor Graham Gray, +“if there is any here seeking enlightenment or help, let him rise. This +is your meeting, dear friends, as much as mine; free to your voices and +your needs, as well as to your welcome presence here. I court inquiry +and fair investigation. Any questions? If not, we—” + +“One moment!” The whole assemblage turned, as on a single pivot, to the +side aisle where Dr. Strong had risen and now stood, tall, straight, +and composed, waiting for silence. + +“Our friend on the right has the floor,” said the Professor suavely. + +“You state that this God-given secret remedy was imparted to you for +the relief of human misery?” asked Dr. Strong. + +“Thousands of grateful patients attest it, my friend.” + +“Then, with human beings suffering and dying all about you, why do you +continue to profit by keeping it secret?” + +Down sat the questioner. A murmur rose and ran, as the logic of the +question struck home. But the quack had his answer pat. + +“Does not the Good Book say that the laborer is worthy of his hire? Do +your regular physicians, of whom I understand you are one, treat cases +for nothing? Ah,” he went on, outstretching his hands to the audience +with a gesture of appeal, “the injustice which I have suffered from the +jealousy and envy of the medical profession! Never do I enter a town +without curing many unfortunates that the regular doctors have given up +as hopeless. Hence the violence of their attacks upon me. But I forgive +them their prejudice, as I pity their ignorance.” + +Some applause followed the enunciation of this noble sentiment. + +“We have with us to-night,” pursued the speaker, quick to catch the +veering sentiment, “a number of these marvelous cures. You shall hear +from the very mouths of the saved ones testimony beyond cavil. I will +call first on Mrs. Amanda Gryce, wife of Mr. Stanley Gryce, the well +and favorably known laundryman. Speak up clearly, Mrs. Gryce, and tell +your story.” + +“It’s two years now that I been doctorin’,” said the lady thus adjured, +in a fluttering voice. “I doctored with a allopathic physician here, +an’ with a homypath over to Roxton, an’ with a osty-path down to +Worthington, an’ with Peruny in betwixt, an’ they didn’t any of ‘em do +me no good till I tried Professor Gray. He seen how I felt without +askin’ me a question. He just pulled down my eyelid an’ looked at it. +‘You’re all run down; gone!’ says he. An’ thet’s jest what I was. So he +treated me with his herb medicine an’ I feel like a new woman. An’ I +give Professor Graham Gray the credit an’ the thanks of a saved woman.” + +“Not to mention seven dollars an’ a half,” supplemented a mournful +drawl from the audience. + +“You hush, Stan Gryce!” cried the healed one, shrill above the laughter +of the ribald. “Would you begrutch a few mizzable dollars for your +poor, sufferin’ wife’s health?” + +An alarmed child of ten was next led forward and recited in sing-song +measure:— + +“I—had—the—fits—for—most—three— years—and—I—was—cured—by +Gospel—Herbs—and—I—have—come—here—to—say—God—bless—my—dear +benefactor—Professor—Graham—Gray,”—and sat down hard at the last word, +whereupon a tenor squeak in the far gallery took up the refrain: + +“You’d scarcex peckwon of my yage +To speakin public on the stage.” + + +Again there was a surge of mirth, and the lecturer frowned with +concern. But he quickly covered whatever misgivings he might have had +by bringing forward other “testimonies”: old Miss Smithson whose +nervousness had been quite dispelled by two doses of the herbs; Auntie +Thomas (colored) whose “misery” had vanished before the wonder-working +treatment; and the Widow Carlin, whose boy had been “spittin’ blood +like as if he was churchyard doomed,” but hadn’t had a bad coughing +spell since taking the panacea. And all this time Dr. Strong sat quiet +in his seat, with a face of darkening sternness. + +“You have heard your fellow-citizens,” the lecturer took up his theme +again, “testify to the efficacy of my methods. And you see on this +rostrum with me that grand and good old man, the worthy pastor of so +many of you, my dear and honored friend—I feel that I may call him +friend, since I have his approval of my humble labors—the Reverend +Doctor Huddleston. You see also here, lending the support of his valued +presence, the Honorable Silas Harris, whom you have twice honored by +sending him to the state legislature. Their presence is the proudest +testimonial to my professional character. In Mr. Harris’s fearless and +independent journal you have read the sworn evidence of those who have +been cured by my Godgiven remedies; evidence which is beyond +challenge—” + +“I challenge it.” + +Dr. Strong, who had been hopefully awaiting some such opening, was on +his feet again. + +“You have had your say!” cried Professor Gray, menacing him with a +shaking hand. “These people don’t want to hear you. They understand +your motives. You can’t run this meeting.” + +The gesture was a signal. The raw-boned accompanist, whose secondary +function was that of bouncer, made a quick advance from the rear, +reached for the unsuspicious Health Master—and recoiled from the impact +of Mr. Thomas Clyde’s solid shoulder so sharply that only the side wall +checked his subsidence. + +“Better stay out of harm’s way, my friend,” suggested Clyde amiably. + +Immediately the hall was in an uproar. The more timid of the women were +making for the exits, when a high, shrill voice, calling for order +strenuously, quelled the racket, and a very fat man waddled down the +middle aisle, to be greeted by cries of “Here’s the Mayor.” Several +excited volunteers explained the situation to him from as many +different points of view, while Professor Graham Gray bellowed his +appeal from the platform. + +“All I want is fair play. They’re trying to break up my meeting.” + +“Not at all,” returned Dr. Strong’s calm voice. “I’m more than anxious +to have it continue.” + +With a happy inspiration, Mr. Clyde jumped up on his bench. + +“I move Mayor Allen take the chair!” he shouted. “Professor Gray says +that he courts fair investigation. Let’s give it to him, in order.” + +A shout of acclaim greeted this suggestion. Bairdstown’s Suffering +Womanhood and Bored Manhood was getting more out of a free admission +than it had ever had in its life before. Ponderously the obese Mayor +hoisted his weight up the steps and shook hands with the reluctant +lecturer. He then invited Dr. Strong to come to the platform. + +“This is my meeting!” protested the Great Gray Benefactor. “I hired +this hall and paid good money for it.” + +“You said it was our meeting as much as yours!” roared an insurgent +from the crowd, and a chorus of substantiation followed. + +“Ten minutes will be all that I want,” announced Dr. Strong as he took +a chair next the Mayor. + +“That’s fair!” shrilled the Chairman. “On the Professor’s own +invitation.” In a tone lowered to the alarmed quack’s ear, he added: +“Of course, you can back out if you want to. But I’d advise you to do +it quick if you’re going to do it at all. This is a queer-tempered +town.” + +So significant was his tone that the other judged advance to be safer +than retreat. Therefore, summoning all his assurance, he sought, in an +impassioned speech, to win back his hearers. He was a natural orator, +and, when he reached his peroration, he had a large part of his +audience with him again. In the flush of renewed confidence he made a +grave tactical error, just when he should have closed. + +“Let this hireling of the Doctors’ Trust, the trust that would strangle +all honest competition, answer these if he can!” he shouted, shaking +the page of testimonials before his adversary’s face. “Let him confute +the evidence of these good and honorable women who have appeared here +to-night; women who have no selfish aims to subserve. Let him impugn +the motives of the reverend clergyman and of the honored statesman who +sit here with me. Let him do this, or let him shrink from this hall in +the shame and dishonor which he seeks to heap upon one whose sole +ambition it is to relieve suffering and banish pain and death.” + +There was hearty applause as the speaker sat down and Dr. Strong arose +to face a gathering now turned for the most part hostile. He wasted no +time in introduction or argument. “Mr. Chairman,” said he, “Professor +Gray rests his case on his testimonials. With Mr. Clyde I have +investigated a number of them, and will give you my results. Here are +half a dozen testimonials to the value of one of his nostrums, the +Benefaction Pills, from women who have been cured, so they state, of +diseases ranging from eczema through indigestion to consumption. All, +please note, by the same wonderful medicine. And here,” he drew a small +box from his pocket, “is a sample of the medicine. I have just had it +analyzed. What do you suppose they are? Sugar! Just plain sugar and +nothing else.” Professor Gray leaped to his feet. “You don’t deny the +cures!” he thundered. + +“I don’t deny that these people are well to-day. And I don’t deny that +the testimonials from them are genuine, as documents. But your sugar +pills had no more to do with the cure than so much moonshine. Listen, +you people! Here is the core and secret of quackery: + +“All diseases tend to cure themselves, through the natural resistance +of the body. But for that we should all be dead. This man, or some +other of his kind, comes along with his promises and pills, and when +the patient recovers from the disease in the natural course of events, +he claims the credit. Meantime, he is selling sugar at about one +hundred dollars per pound.” + +“Sugar,” said the quack, quick-wittedly. “But what kind of sugar? This +sugar, as he calls it, is crystal precipitated from the extract of +these healing herbs. No chemist can determine its properties by any +analysis.” + +“Very well turned,” said Dr. Strong, with a smile. “I can’t immediately +disprove that, though I could with time. But, whatever the case with +his sugar, any chemist can analyze this.” He held up a small bottle, +half filled with a red-brown liquid. “This is the Extract of Gospel +Herbs. Now, let us see what this does.” + +He referred to his copy of the “Bugle,” containing the testimonials. +“Here is Mrs. Sarah Jenkins, of the neighboring town of Maresco, where +Professor Gray lectured a year ago, cured of Bright’s disease and +dropsy; Miss Allie Wheat, of Weedsport, cured of cancer of the stomach; +and Mrs. Howard Cleary, of Roxton, wholly relieved of nervous breakdown +and insomnia. All genuine testimonials. Mr. Clyde and I have traced +them.” + +Professor Gray raised his head with a flash of triumph. “You see!” he +cried. “He has to admit the genuineness of my testimonials!” + +“Of your testimonials; yes. But what about your cures? Mrs. Jenkins +has, as she said, ceased to suffer from her ills. She died of Bright’s +disease and dropsy three months after Professor Gray cured her of them. +Miss Wheat, whose cancer was purely imaginary, is now a hopeless wreck, +in a sanitarium whither the Gospel Herbs drove her. Mrs. Cleary—but let +me read what she testified to. Here it is in the paper with a picture +of the Cleary home:—” + +_Dear Professor Gray: You have indeed been a benefactor to me. Before +our baby was born my husband and I were the happiest of couples. Then I +became a nervous wreck. I couldn’t sleep. I was cross and irritable. My +nerves seemed all on fire. Your first treatment worked wonders. I slept +like a log. Since then I have not been without Gospel Herbs in the +house, and I am a well woman._ + +(Signed) Mrs. Howard Cleary. + +“That was a year ago,” continued Dr. Strong. “Yesterday we visited the +Cleary home. We found a broken husband and a deserted baby. The young +wife we traced to Worthington, where we discovered her—well, I won’t +name to this audience the sort of place we found her in. + +“But so far as there can be a hell on this earth, she had descended +into it, and this,” he held the vial high to view, “_this_ sent her +there.” His fingers opened; there was a crisp little crash of glass, +and the red-brown liquid crept and spread along the floor, like blood. + +“Morphine,” said Dr. Strong. “Morphine, which enslaves the body and +destroys the soul. There are your Gospel Herbs!” + +A murmur rose, and deepened into a growl. The Great Gray Benefactor, +his face livid, sprang forward. + +“Lies!” he shouted. “All lies! Where’s his proof? What’s he got to +show? Nothing but his own say-so. If there’s a law in the land, I’ll +make him sweat for this. Mr. Huddleston, I appeal to you for justice.” + +“We shall be glad to hear from the Reverend Mr. Huddleston,” mildly +suggested the chairman, who was evincing an enjoyment of the +proceedings quite puzzling to Dr. Strong. + +The old clergyman got slowly to his feet. His mild, weak face was +troubled. “Let us bear and forbear,” he pleaded in a tremulous voice. +“I cannot believe these charges against our good friend, Professor +Gray. I am sure that he is a good and worthy man. He has given most +liberally to the church. I am informed that he is a member of his home +church in good and regular standing, and I find in the editorial +columns of the ‘Church Pillar’ a warm encomium upon his beneficent +work, advising all to try his remedies. Surely our friend, Dr. Strong, +has been led astray by mistaken zeal. + +“Only yesterday two members of my congregation, most estimable ladies, +called to see me and told me how they had benefited by a visit just +made to Professor Gray. He had treated them with his new Gospel Elixir, +of which he has spoken to me. There was evidence of its efficacy in +their very bearing and demeanor—” + +“I should say there was! _And_ in their breath. Did you smell it?” + +The interruption came in a very clear, positive, and distinct +contralto. + +“Great Grimes’s grass-green ghost!” exclaimed Mr. Thomas Clyde, quite +audibly amidst the startled hush. “Grandma Sharpless is among those +present!” + +“I—I—I—I do not think,” began the clergyman, aghast, “that the matter +occurred to me.” + +“Because, if _you_ didn’t, _I_ did,” continued the voice composedly. +“They reeked of liquor.” + +The tension to which the gathering had been strung abruptly loosened in +mirth. + +“Mrs. Sharpless will please take the platform,” invited the +Mayor-chairman. + +“No, I’ll do my talking from here.” The old lady stood up, a straight, +solid, uncompromising figure, in the center of the floor. “I met those +two ladies in the parsonage hall,” she explained. “They were coming out +as I was going in. They stopped to talk to me. They both talked at +once. I wouldn’t want to say that they were—well—exactly—” + +“Spifflicated,” suggested a helpful voice from the far rear. + +“Spifflicated; thank you,” accepted the speaker. “But they certainly +were—” + +“Lit up,” volunteered another first-aid to the hesitant. + +“Yes, lit up. One of them loaned me her bottle. If I’m any judge of bad +whiskey, that was it.” + +An appreciative roar from the house testified to the fact that Mrs. +Sharpless had her audience in hand. + +“As for you women on the stage,” she pursued, rising to her topic, “I +know what’s wrong with you.‘Mandy Gryce, if you’d tend more to your +house and less to your symptoms, you wouldn’t be flitting from +allopathic bud to homoeopathic flower like a bumblebee with the +stomach-ache.” (“Hear, hear!” from Mr. Gryce.) “Lizzie Tompy, your fits +are nine tenths temper. I’d cure you of ‘em without morphine. Miss +Smithson, if you’d quit strong green tea, three times a day, those +nerves of yours would give you a fairer chance—and your neighbors, +too.” (Tearful sniffs from Miss Smithson.) + +“Auntie Thomas, you wait and see what your rheumatism says to you +to-morrow, when the dope has died out of your system. Susan Carlin, you +ought to be home this minute, looking after your sick boy, instead of +on a stage, in your best bib and tucker, giving testimonials to +you-don’t-know-what-all poison. + +“Bairdstown’s Suffering Womanhood!” exclaimed the vigorous old lady, +her color rising with her voice. “Go home! Go home, you poor, +self-coddling fussybuddies, to your washboards and your sewing-machines +and forget your imaginary symptoms. + +“There!” she drew a long breath, looking about over the group of +wilting testimonial-givers. “That’s the first speech I have ever made, +and I guess it’ll be the last. But before I stop, I’ve got a word to +say to you, Professor Graham Gray. Bless us! Where’s the man gone?” + +“Professor Gray,” announced the chairman with a twinkle in his voice, +“has retired to obtain fresh evidence. At least, that is what he _said_ +he had gone for.” + +From the main floor came a hoarse suggestion which had the words “tar +and feathers” in it. It was cut short by a metallic shriek from +without, followed by a heavy rumbling. + +“Something seems to tell me,” said the fat Mayor solemnly, “that the +9.30 express, which just whistled for the crossing, is the heavier by +about two hundred pounds of Great Gray Benefactor clinging to the rear +platform, and happy to be there.” + +“And your money back if not benefited,” piped a reedy voice from the +front, whereupon there was another roar. + +“The bright particular star of these proceedings having left, is there +anything else to come before the meeting?” inquired the chairman. + +“I’d like to have one more word,” said Dr. Strong. “Friends, as one +quack is, all quacks are. They differ only in method and degree. Every +one of them plays a game with stacked cards, in which you are his +victims, and Death is his partner. And the puller-in for this game is +the press. + +“You have heard to-night how a good and wellmeaning clergyman has been +made stool-pigeon for this murderous charlatan, through the lying of a +religious—God save the mark!—weekly. That publication is beyond our +reach. But there is one here at home which did the quack’s work for +him, and took his money for doing it. I suggest that the Honorable +Silas Harris explain!” + +“I’m running my paper as a business proposition,” growled the baited +editor and owner of the ‘Bugle,’ “and I’m running it to suit myself and +this community.” + +“You’re running it to suit the crooked and cruel advertisers who prey +on this community,” retorted the other. “And you’ve served them further +in the legislature, where you voted to kill the patent-medicine bill, +last session, in protection of your own profits. Good profits, too. One +third of all your advertising is medical quackery which takes good +money out of this town by sheer swindling; money which ought to stay in +town and be spent on the legitimate local products advertised in your +paper. If I were a local advertiser, I’d want to know why.” + +“If that’s the case,” remarked Mr. Stanley Gryce, quick to catch the +point, “I guess you owe my family seven dollars an’ a half, Silas, and +till it’s paid up you can just drop my laundry announcement out of your +columns.” + +“I guess I’ll stay out for a spell, too,” supplemented Mr. Corson, the +hay and feed man. “For a week, my ad’s been swamped by Swamp Root so +deep you can’t see it.” + +“While you’re about it,” added a third, “leave me out. I’m kinder sick +of appearin’ between a poisonous headache powder and a consumption +dope. Folks’ll be accusin’ me of seekin’ trade untimely.” This was +greeted with a whoop, for the speaker was the local undertaker. + +“We’ve got a league for Clean Advertising in Worthington,” announced +Mr. Clyde. “Why not organize something of the kind here?” + +“Help!” shouted the Honorable Silas, throwing up his hands. “Don’t +shoot! I holler ‘Enough!’ As soon as the contracts are out, I’ll quit. +There’s no money in patent-medicine advertising any more for the small +paper, anyway.” + +“Well, we’ve done our evening’s chores, I reckon,” remarked the +chairman. “A motion to adjourn will now be in order.” + +“Move we adjourn with the chorus of the ‘Hymn of Healing,’” piped the +wag with the reedy voice, and the audience filed out, uproariously and +profanely singing:— + +“Ye shall be healed! Ye shall be healed! + Trust in the gospel advice. +Cured by the herbs of the wood and the field; + Healed without money or price.” + + +“Well, young man,” said Grandma Sharpless, coming forward to join the +Health Master, “you certainly carried out your programme.” + +“I?” said Dr. Strong, affectionately tucking the old lady’s arm under +his. “To you the honors of war. I only squelched a quack. You taught +Bairds-town’s self-coddling womanhood a lesson that will go down the +generations.” + +“What I want to know,” said the Mayor, advancing to shake hands with +Mrs. Sharpless, “is this: what’s a fussybuddy?” + +“A fussybuddy,” instructed Grandma Sharpless wisely, “is a woman who +catches a stomach-ache from a patent-medicine almanac. What I want to +know, Tom Allen, is what you had against the man. I seemed to get an +inkling that you didn’t exactly like him.” + +“He’s forgotten me,” chuckled the Mayor, “but I haven’t forgotten him. +Fifteen years ago he came along here horse-doctoring and poisoned a +perfectly good mare for me. He won’t try to poison this town again in a +hurry. You finished him, Mrs. Sharpless, you and Dr. Strong.” + +“What _I_ want to know,” said the Health Master, “is how poor old Mr. +Huddleston feels about that contribution, now.” + +A month later he found out. Traveling by trolley one evening, he felt a +hand on his shoulder, and turned to face Professor Graham Gray. + +“No hard feelings, I hope,” said the quack with superb urbanity. “All +in the way of business, I take it. I’d have done the same to you, if +you’d come butting in on my trade. Say, but that old lady was a Tartar! +She cooked my goose in Bairdstown. For all that, I got an unsolicited +testimonial from there two weeks ago that’s a wonder. Anonymous, too. +Not a word of writing with it to tell who the grateful patient might +be.” + +“What was it?” asked Dr. Strong with polite interest. + +“A twenty-dollar bill. Now, _what_ do you think of that?” + +When Dr. Strong spoke again—and the Great Gray Benefactor has always +regarded this as the most inconsequential reply he ever received to a +plain question—it was after a long and thoughtful pause. + +“I think,” said he with conviction, “that I’ll start in going to church +again, next Sunday.” + + + + +X. +THE HOUSE THAT CAUGHT COLD + + +“Can you cure a cold?” asked Grandma Sharpless. + +A flare from the soft-coal fire flickered across the library, revealing +a smile on the Health Master’s face. + +“Am I a millionaire?” he countered. + +“Not from your salary as Chinese physician to the Clydes,” laughed the +head of that family. + +“If I could cure a cold, I should be, easily, more than that. I’d be +the foremost medical discoverer of the day.” + +“Then you can’t cure a cold,” pursued Mrs. Sharpless. + +“What _is_ a cold?” countered the Health Master in that insinuating +tone of voice which he employed to provoke the old lady into one of +those frequent verbal encounters so thoroughly enjoyed by both of them. + +“An ordinary common cold in the head. You know what I mean perfectly +well, young man. The kind you catch by getting into drafts.” + +“Oh, _that!_ Well, you see, there’s no such thing.” + +“No such thing as a cold in the head, Dr. Strong?” said Julia, looking +up from her book. “Why, we’ve all had ‘em, loads of times.” + +“And Bettina is coming down with one now, if I’m any judge,” said Mrs. +Sharpless. “She’s had the sniffles all day.” + +“Let’s hope it isn’t a cold. Maybe it’s only chicken-pox or mumps.” + +“Are you wishing chicken-pox and mumps on my baby?” cried Mrs. Clyde. + +In the three years during which Dr. Strong had been the “Chinese +physician” of the household, earning his salary by keeping his patients +well instead of curing them when ill, Mrs. Clyde had never quite +learned to guard against the surprises which so often pointed the +Health Master’s truths. + +“Not by any means; I’m only hoping for the lesser of evils.” + +“But mumps and chicken-pox are real diseases,” protested Clyde. + +“And you think that a ‘cold,’ as you call it, isn’t.” + +“Why, no,” said Clyde hesitantly. “I wouldn’t call it a disease, any +more than I’d call a sprain a broken leg.” + +“But it is. A very real, serious disease. Its actual name is coryza.” + +“Bogy-talk,” commented Grandma Sharpless scornfully. “Big names for +little things.” + +“Not a little thing at all, as we should all realize if our official +death-records really dealt in facts.” + +“Death-records?” said Grandma Sharpless incredulously. “People don’t +die of colds, do they?” + +“Hundreds every year; all around us.” + +“Well, _I_ never hear of it.” + +“Are you sure? Think back and recall how many of your friends’ obituary +notices include some such sentence as this: ‘Last Thursday evening Mr. +Smith caught a severe cold, from which he took to his bed on Saturday, +and did not leave it again until his death yesterday morning?’ Doesn’t +that sound familiar?” + +“So familiar,” cried Mr. Clyde, “that I believe the newspapers keep it +set up in type.” + +“But the newspaper always goes on to say that Mr. Smith developed +pneumonia or grip or bronchitis, and died of that, not of the cold,” +objected Mrs. Sharpless. + +“Oh, yes. In the mortality records poor Smith usually appears under the +heading of one of the well-recognized diseases. It would hardly be +respectable to die of a cold, would it?” + +“He doesn’t _die_ of the cold,” insisted the old lady. “He catches the +cold and dies of something else.” + +“If I take a dose of poison,” the Health Master mildly propounded, “and +fall down and break my neck, what do I die of?” + +“It’s no parallel,” said Grandma Sharpless. “And even if it is,” she +added, tacitly abandoning that ground, “we’ve always had colds and we +always will have ‘em.” + +“Not with my approval, at least,” remarked the Health Master. + +“I guess Providence won’t wait for your approval, young man.” + +“Then you regard coryza as a dispensation of Providence? The +Presbyterian doctrine of foreordination, applied to the human nose,” +smiled the physician. “We’re all predestined to the ailment, and +therefore might as well get out our handkerchiefs and prepare to sneeze +our poor sinful heads off. Is that about it?” + +“No, it isn’t! This is a green December and it means a full churchyard. +We’re in for a regular cold-breeding season.” + +“Nonsense! Weather doesn’t breed colds.” + +“What does, then?” + +“A very mean and lively little germ. He’s rather more poisonous than +the chicken-pox and mumps variety, although he hasn’t as bad a name. In +grown-ups he prepares the soil, so to speak, for other germs, by +getting all through the system and weakening its resistant powers, +thereby laying it open to the attacks of such enemies as the +pneumococcus, which is always waiting just around the corner of the +tongue to give us pneumonia. Or bronchitis may develop, or tonsillitis, +or diphtheria, or kidney trouble, or indeed almost anything. I once +heard an eminent lecturer happily describe the coryza bacillus as the +bad little boy of the gang who, having once broken into the system, +turns around and calls back to the bigger boys: ‘Come on in, fellers. +The door’s open.’ + +“With children the coryza-bug makes various trouble without necessarily +inviting the others in. A great proportion of the serious ear-troubles +come from colds; all the way from earache to mastoiditis, and the +consequent necessity of quick operations to save the patient’s life. +Almost any of the organs may be impaired by the activity of the little +pest. And yet as intelligent a family as this”—he looked around the +circle—“considers it a ‘mere cold.’” + +“Why haven’t you told us before?” asked Mr. Clyde bluntly. + +“A just reproach,” admitted the Health Master. “Not having been +attacked, I haven’t considered defense—a wretched principle in health +matters. In fact, I’ve let the little matters of life go, too much, in +my interest in the bigger.” + +“But what about Bettina?” said the mother anxiously. + +“Let’s have her in,” said the Health Master, and the six-year-old +presently trotted into the room, announcing through a somewhat reddened +nose, “I’m all stobbed ub; and Katie rubbed me with goose-grease, and I +don’d wand to take any paregoric.” + +“Paregoric?” said the physician. “Opium? I guess not. Off to bed with +you, Toots, and we’ll try to exorcise the demon with hot-water bottles +and extra blankets.” + +Following her usual custom of kissing everybody good-night around the +circle, Bettina held up her arms to her sister, who was nearest. + +“Stop!” said the Health Master. “No kissing.” + +“Not even my mamma?” queried the child. “I’m afraid not. You remember +when Charley had scarlet fever he wasn’t allowed even to be very near +any of you.” + +“But scarlet fever is the most contagious of any of the diseases, isn’t +it?” asked Julia. + +“Not as contagious as a cold in the head.” + +“I don’t know how contagious a cold is,” said Grandma Sharpless; “but I +do know this: once it gets into a house, it goes through it like +wildfire.” + +“Then the house ought to be ashamed of itself. That’s sheer +carelessness.” + +“Half the kids in our school have got stopped-up noses,” contributed +Charley. + +“Why hasn’t the Committee on Schools reported the fact?” demanded the +Health Master, turning an accusing eye on Julia. + +“Why—why, I didn’t think of it,” said she. “I didn’t think it was +anything.” + +“Oh, you didn’t! Well, if what Charley says is correct, I should think +your school ought to be put under epidemic regimen.” + +“You’d have a fine row with the Board of Education, trying to persuade +them to special action for any such cause as that,” remarked Mr. Clyde. + +“There’s the measure of their intelligence, then,” returned the Health +Master. “Sickness is sickness, just as surely as a flame is fire; and +there is no telling, once it’s well started, how much damage it may +do.” + +“But a cold is only in the head, or rather, in the nose,” persisted +Mrs. Sharpless. + +“That’s where you’re wrong. Coryza is a disease of the whole system, +and it weakens the whole system. The symptoms are most apparent in the +nose and mouth: and it is from the nose and mouth that the disease is +spread. But if you’ve got the cold you’ve got it in every corner of +your being. You won’t be convinced of its importance, I suppose, until +I can produce facts and figures. I only hope they won’t be producible +from this house. But by the end of the season I’ll hope to have them. +Meantime we’ll isolate Bettykin.” + +Bettina was duly isolated. Meanwhile the active little coryza bacillus +had got its grip on Mr. Clyde, who for three days attended to his +business with streaming eyes, and then retired, in the company of +various hot-water bags, bottles, and foot-warmers, to the sanctuary of +his own bedroom, where he led a private and morose existence for one +week. His general manager succeeded to his desk; likewise, to his +contaminated pencils, erasers, and other implements, whereby he +alternately sneezed and objurgated himself into the care of a doctor, +with the general and unsatisfactory result that the balance-sheet of +Clyde & Co., Manufacturers, showed an obvious loss for the month—as it +happened, most unfortunately, an unusually busy month—of some three +thousand dollars, directly traceable to that unconsidered trifle, a +cold in the head. + +“At that you got off cheap,” argued the Health Master. + +It was three months after the invasion of the Clyde household by +Bettina’s coryza germ. + +“I’m glad somebody considers it cheap!” observed Mr. Clyde. “Personally +I should rather have taken a trip to Europe on my share of that three +thousand dollars.” + +“Yet you were lucky,” asserted Dr. Strong. “Bettykin got through her +earache without any permanent damage. Robin’s attack passed off without +complications. Your own onset didn’t involve any organ more vital than +your bank account. And the rest of us escaped.” + +“Doesn’t it prove what I said,” demanded Grandma Sharpless; “that a +cold in the head is only a cold in the head?” + +“‘Answer is No,’ as Togo would put it,” replied the Health Master. “In +fact, I’ve got proof here of quite the opposite, which I desire to +present to this gathering.” + +“This meeting of the Household Protective Association is hereby called +to order!” announced Mr. Clyde, in the official tones proper to the +occasion. The children put aside their various occupations and assumed +a solemn and businesslike aspect which was part of the game. “The lone +official member will now report,” concluded the chairman. + +“Let the Health Officer of the city report for me,” said Dr. Strong, +taking a printed leaflet from his pocket. “He is one of those rare +officials who aren’t afraid to tell people what they don’t know, and +may not want to know. Listen to what Dr. Merritt has to say.” And he +read:— + +“‘The death-rate of the city for the month of February, like the rate +for December and January, is abnormally high, being a shade over ten +per cent above the normal for this time of year. While the causes of +mortality range through the commoner diseases, with a special rise in +pulmonary troubles, it is evident that the increase must be due to some +special cause. In the opinion of the Bureau of Health this cause is the +despised and infectious “cold,” more properly known as coryza, which +has been epidemic this winter in the city. Although the epidemic wave +is now receding, its disastrous aftereffects may be looked for in high +mortality rates for some months. Should a similar onset occur again, +the city will be asked to consider seriously a thorough school +campaign, with careful isolation of all suspicious cases.’” + +“Did you write that, young man?” asked Mrs. Sharpless suspiciously. + +“Why, no; I didn’t _write_ it,” answered the Health Master. “I’ll go as +far as to admit, however, that Dr. Merritt listens politely to my +humble suggestions when I offer them.” + +“Humph! Ten per cent increase. What is that in real figures?” + +“Twenty-five extra deaths a month,” said Manny Clyde, a growing expert +on local statistics. + +“Seventy-five needless deaths for the three months, and more to come,” +said the Health Master, “besides all the disability, loss of time and +earning power and strength, and all the pain and suffering—which things +never get into the vital statistics, worse luck! So much to the account +of the busy little coryza-bug.” + +“Can’t the Health Bureau do something?” asked the practical Mr. Clyde. + +“Not much, until its public is better educated,” said Dr. Strong +wearily. “The present business of a health official is to try and beat +the fool-killer off from his natural prey with a printed tract. It’s +quite a job, when you come to consider it.” + +“What he ought to have, is the club of the law!” said Mr. Clyde. + +“Precisely. The people won’t give it to him. In this household we’re +better off, since we can make our own laws. Since Betty’s attack we’ve +tried out the isolation plan pretty effectually; and we’ve followed, as +well as might be, the rule of avoiding contact with people having +coryza.” + +He glanced up at a flamboyant poster which Mrs. Clyde, who had a +natural gift of draftsmanship, had made in a spirit of mischief, +entitling it “The Red Nose as a Danger Signal.” + +“As much truth as fun in that,” he remarked. “But, at the best, we +can’t live among people and avoid all danger. In fact, avoidance is +only the outer line of defense. The inner line is symbolized by a +homely rule, ‘Keep Comfortable.’” + +“What’s comfort to do with keeping well?” asked Grandma Sharpless. + +“What are your nerves for?” retorted Dr. Strong with his quizzical +smile. + +“Young man,” said the old lady plaintively, “did I ever ask you a +question that you didn’t fire another back at me before it was fairly +out of my mouth? My nerves, if I let myself have any, wouldn’t be for +anything except to plague me.” + +“Oh, those are pampered nerves. Normal nerves are to warn you. They’re +to tell you whether the little things of life are right with you.” + +“And if they’re not?” asked Mr. Clyde. + +“Why, then you’re uncomfortable. Which is to say, there’s something +wrong; and something wrong means, in time, a lessening of vitality, and +when you let down your body’s vitality you’re simply saying to any germ +that may happen along, ‘Come right in and make yourself at home.’ + +“Perhaps you remember when the house caught cold, how shocked Grandma +Sharpless was at my saying that colds aren’t caught in a draft. Well, +they’re not. Yet I ought to have qualified that. Now, what is a draft? +Air in motion. If there is one thing about air that we thoroughly know, +it’s this: that moving air is infinitely better for us than still air. +Even bad, stale air, if stirred vigorously into motion, seems to purify +itself and become breathable and good. Now, the danger of a draft is +that it may mean a sudden change of the body’s temperature. Nobody +thinks that wind is unhealthful, because when you’re out in the +wind—which is the biggest and freest kind of a draft—you’re prepared +for it. If not, your nerves say to you, ‘Move faster; get warm.’ It’s +the same indoors. If the draft chills you, your nerves will tell you +so. Therefore, mind your nerves. Otherwise, you’ll become specially +receptive to the coryza germ and when you’ve caught _that_, you’ll have +caught cold.” + +“I wish,” remarked Mr. Clyde, “that my nerves would tell me why I feel +so logy every morning. They don’t say anything definite. It isn’t +indigestion exactly. But I feel slow and inert after breakfast, as if +my stomach hadn’t any enthusiasm in its job.” + +“Breakfast is the only meal I don’t have with you, so I don’t know,” +replied the Health Master, who was a very early riser. “But I should +say you were eating the wrong things, perhaps.” + +“How could that be?” said Mrs. Clyde. “Tom has the simplest kind of +breakfast, and it’s the same every day.” + +“Well, there you are.” The Health Master’s tone assumed that the +solution was found. + +“Where are we?” queried Mr. Clyde. “I’m up in the air!” + +“What is this remarkably regular breakfast?” + +“Eggs, rolls, and coffee.” + +“Oh! Eggs every morning?” + +“Two of them. Medium boiled.” + +“Not even the method is varied. Same eggs, same preparation every +morning, seven days a week, four weeks a month, twelve months—” + +“No. That’s my winter breakfast only.” + +“Very well; four or five months in the year. No wonder your poor +stomach gets bored.” + +“What’s the matter with eggs, Dr. Strong?” inquired Manny. “They let us +have ‘em, in training.” + +“Nothing is the matter with two eggs, or twenty. But when you come to +two hundred, there’s something very obvious the matter—monotony. Your +stomach is a machine, it’s true, but it’s a human machine. It demands +variety.” + +“Then Charles ought to be a model. He wants everything from soup to +pie.” + +“A thoroughly normal desire for a growing boy.” + +“He eats an awful lot of meat,” observed Julia, who was a somewhat +fastidious young lady. “My Sunday-school teacher calls meat-eaters +human tigers.” + +“Oh, that’s too easy a generalization, Junkum,” replied the Health +Master. “With equal logic she could say that vegetable-eaters are human +cows.” + +“But the vegetarians make very strong arguments,” said Mrs. Clyde. + +“A lot of pale-eyed, weak-blooded nibblers!” stated Grandma Sharpless. +“If meat weren’t good for us, we wouldn’t have been eating it all these +generations.” + +“True enough. Perhaps we eat a little too much of it, particularly in +the warm months. But in winter it’s practically a necessity.” + +“Some of the big athletes say they’re vegetarians,” said Manny. + +“There are individual cases,” admitted the Health Master; “but in the +long run it doesn’t work. A vegetarian race is, generally speaking, +small of stature and build, and less efficient than a meat-eating race. +The rule of eating is solid food, sound food, plenty of it, and a good +variety. Give your stomach a fair chance: don’t overload it, don’t +understock it, and don’t let it get bored.” + +For some time Miss Bettina had been conducting a quiet and strategic +advance upon the Health Master, and now by a sudden onslaught she +captured his knee and, perching herself thereon, put a soft and chubby +hand under his chin. + +“You want something, Miss Toodles,” he accused with a formidable frown. +“None of your wheedling ways with me! Out with it!” + +“Candy,” said the child, in no way impressed by his severity. + +“Candy, indeed! When?” + +“Now. Any time. Lots of it. Lots of sugar, too.” + +“Betty’s developing _such_ a sweet tooth!” mourned her mother. “I have +to limit her rigidly.” + +“Why?” + +“You wouldn’t let the child stuff herself on sweets all the time,” +protested Grandma Sharpless, scandalized. + +“Nor on anything else. But if she craves sweets, why not let her have +them at the proper time?” + +“Well, in my day children ate plain food and were thankful.” + +“Hm! I’m a little dubious about the thankfulness. And in your day +children died more frequently and more easily than in ours.” + +“They weren’t pampered to death on candy, anyway!” + +“Possibly they weren’t pampered quite enough. Take the Cherub, here,” +he tossed Betty in the air and whisked her to his shoulder. “She’s a +perfect little bundle of energy, always in motion. She needs +energy-producing food to keep going, coal for that engine. Sugar is +almost pure carbon; that is, coal in digestible form. Of course she +wants sweets. Her little body is logical.” + +“But isn’t it bad for her teeth?” asked Mrs. Clyde. + +“No; nor for her last year’s overshoes or her tin dog’s left hind leg,” +chuckled the Health Master. “Sometimes I marvel that the race has +survived all the superstitions surrounding food and drink.” + +“In my father’s household,” said Mr. Clyde, “the family principle was +never to drink anything with meals. The mixture of solids and liquids +was held to be bad. Another superstition, I suppose.” + +“At that rate, bread and milk would be rank poison,” said Dr. Strong. +“Next to food, water has got the finest incrustation of old-wives’ +warnings. Now, there’s some doubt whether a man should eat whenever he +wants to. Appetite, in the highly nervous American organization, is +sometimes tricky. But thirst is trustworthy. The normal man is +perfectly safe in drinking all the water he wants whenever he wants +it.” + +“I can still remember the agonies that I suffered when, as a boy, I had +scarlet fever, and they would allow me almost no water,” said Mr. +Clyde. + +“One of medicine’s direst errors,” said Dr. Strong. “Nobody will ever +know how much that false and cruel system has added to our death-rate +in the past. To-day a practitioner who kept water from a fever +patient—unless there were unusual complications—would be properly +citable for malpractice. By the way,” he continued, “we’re changing our +views about feeding in long illnesses. Typhoid patients have always +been kept down to the lowest possible diet, nothing but milk. Now, some +of the big hospitals are feeding typhoid cases, right through the +fever, on foods carefully selected for their heat and energy values, +with the result that not only has the patient more strength to fight +the disease, but he pulls through practically free from the emaciation +which has always been regarded as inevitable.” + +“Can I have my candy?” inquired Bettina, holding to her own point. + +“If it’s good, sound candy. Now I’m going to utter an awful heresy. +Generally speaking, and in moderation, what you want is good for you.” + +“Pure anarchy,” laughed Mr. Clyde. + +“Not at all; the law of the body, always demanding what is best for its +development.” + +“Well, I want,” declared Robin, with a sudden energy, “to take off +these hot, scratchy flannels.” + +“Too late now,” said the Health Master, “until spring. You’ve been +wearing them all winter. But another year, if I have my way, you won’t +have to put them on.” + +“You’d let him tempt pneumonia by going through a winter with light +summer underwear?” + +“Unless you get out an injunction against me,” smiled the physician. +“Bobs had a pretty tough time of it for the first week when he changed +to flannels. He’s thin-skinned, and the rough wool irritated him pretty +badly. In fact, he had a slight fever for two days. It isn’t worth that +suffering. Besides, he’s a full-blooded youngster, and doesn’t need the +extra warmth. You can’t dress all children alike in material any more +than you can dress them all from the same pattern.” + +“Then I want to leave off mine, too,” announced Charles. + +“Nonsense! You little ruffian, you could wear sandpaper on that skin of +yours. Don’t talk to me, or next time I see you without your overcoat +I’ll order a hair shirt for you.” + +“I’ve never thought much about the children’s clothes, except to change +between the seasons,” confessed Mrs. Clyde. “I supposed that was all +there is to it.” + +“Not wholly. I once knew a man who died from changing his necktie.” + +“Did he put on a red tie with a pink shirt?” interestedly queried +Manny, who had reached the age where attire was becoming a vital +interest. + +“He changed abruptly from the big puff-tie which he had worn all +winter, and which was a regular chest-protector, to a skimpy bow, +thereby exposing a weak chest and getting pneumonia quite naturally. +Yet he was ordinarily a cautious old gentleman, and shifted the weight +of his underclothes by the calendar—a rather stupid thing to do, by the +way.” + +“On the first of November,” began Grandma Sharpless severely— + +“Yes, I know,” cut in the Health Master. “Your whole family went into +flannels whether the thermometer was twenty or seventy. And we’ve seen +it both, more than once on that date.” + +“What harm did it ever do them?” + +“Bodily discomfort. In other words, lessened vitality. Think how much +nervous wear is suffered by a child itching and squirming in a scratchy +suit of heavy flannels on a warm day.” + +“Children can’t be changing from one weight to another every day, can +they?” asked Mrs. Clyde. + +“No need of that. But in the fall and spring we can regulate that +matter a little more by the thermometer, and a little less by the +almanac. There is also the consideration of controlling heat. Now, +Charley, what would you think of a man who, in June, say, with the +mercury at seventy-five, wandered around in a heavy suit and his winter +flannels.” + +“I’d think he was sick,” said the nine-year-old promptly, “or else +foolish. But what makes you ask me?” + +“Just by way of calling your attention to the thermometer, which in +this room stands at seventy-nine. And here we all sit, dressed +twenty-five per cent warmer than if we were out doors in a June +temperature several degrees colder. You’re the Committee on Air and +Light, Charley. I think this matter of heat ought to come within your +province.” + +“And it makes you feel so cold when you go out,” said Julia. + +“Of course. We Americans live in one of the most trying climates in the +world, and we add to its rigors by heating our houses like incubators. +No room over seventy, ought to be the rule.” + +“It’s hard to work in a cold room,” said Mr. Clyde. + +“Not when you’re used to it. The Chicago schools that have started +winter roof classes for sickly children, find that the average of +learning capacity goes up markedly in the cold, clean air.” + +“But they can’t be as comfortable,” said Mrs. Clyde. + +“Much more so. As soon as the children get used to it, they love it, +and they object strenuously to going back into the close rooms. The +body grasps and assimilates the truth; the mind responds.” + +“Well, I like to be comfortable as well as anybody,” said Mrs. +Sharpless, “but I don’t consider it the chief end of life.” + +“Not the chief end,” assented Dr. Strong; “the chief means.” + +“Comfort and health,” mused Mrs. Clyde. “It seems a natural +combination.” + +“The most natural in the world. Let me put it into an allegory. Health +is the main line, the broad line, the easy line. It’s the simple line +to travel, because comfort keeps pointing it out. Essentially it is the +line of the least resistance. The trouble with most of us is we’re +always unconsciously taking transfers to the cross-lines. The transfer +may be Carelessness, or Slothfulness, or Gluttony, or one of the +Dissipations in food, drink, work or play; or it may be even Egotism, +which is sometimes a poison: but they all take you to Sick Street. +Don’t get a transfer down Sick Street. The road is rough, the scenery +dismal, and at the end is the cemetery.” + +“That’s the end of all roads,” said Grandma Sharpless. + +“Then in Heaven’s name,” said the Health Master, “let us take the +longest and sunniest route and sing as we go!” + + + + +XI. +THE BESIEGED CITY + + +To Bettina falls the credit of setting the match to the train. That +lively-minded young lady had possessed herself of a large, red square +of cardboard, upon which, in the midst of the Clyde family circle, she +wrought mightily with a paint-brush. + +“What comes after p in ‘diphtheria,’ Charley?” she presently appealed +to her next older brother. + +Charley considered the matter with head aslant. “Another p,” he +answered, tactfully postponing the evil moment. + +“It doesn’t look right,” announced the Cherub, after a moment’s +contemplation. “Dr. Strong, how do you spell ‘diphtheria’?” + +“I? Why, Toots, I spell it with a capital, but leave off the final x,” +replied the Health Master cheerfully. “What kind of a game are you +playing? Quarantining your dolls?” + +“It isn’t a game.” Betty could be, on occasion, quite a self-contained +young person. + +“What is it, then, if I’m not prying too far into personal matters?” + +“It’s for Eula Simms to put on her house.” + +“The Simmses _will_ be pleased,” remarked Julia. + +“They ought to be,” said Betty complacently. “I don’t suppose they can +afford a regular one like the one we put up when Charley had scarlet +fever, two years ago. And Eula’s big sister’s got diphtheria,” she +added quite casually. + +“What’s that?” The Health Master straightened up sharply in his chair. +“How do you know that, Twinkles?” + +“Eula told me across the fence this morning. She’s excused from school. +Three other houses on the street have got it, too. I’m going to make +placards for them.” + +“And do the work in play that the Health Department ought to be doing +in the deadliest earnest! What on earth is Dr. Merritt thinking of?” +And he went to the telephone to call up the Health Officer and find +out. + +“We’re due for a bad diphtheria year, too,” observed Grandma Sharpless, +whose commentaries on practical matters, being always the boiled-down +essence of first-hand observation, carried weight in the household. +“I’ve noticed that it swings around about once in every five or six +years. And it was six years ago we had that bad epidemic.” + +“Then there is the influenza epidemic of last spring to consider,” said +Mrs. Clyde. “Dr. Strong told us then that we’d have to pay for that for +months. So, I suppose, the city is still in a weakened condition and +easy soil for diphtheria or any other epidemic.” + +“There’s measles already in our school,” said Julia. “That’ll help, +too.” + +“Why haven’t you reported it, Junkum?” asked her father. “You’re +Chairman of the Committee on School Conditions of the Clyde Household +Protective Association.” + +“We only found out to-day,” said Bobs, “when they told us maybe school +would close.” + +“Three years I’ve been President of the Public Health League,” remarked +Mr. Clyde with a wry face, “and nothing has happened. Now that I’m just +about retiring I hope there isn’t going to be serious trouble. What +does the Health Department say, Strong?” he inquired, turning as the +Health Master entered. + +“Something very wrong there. Merritt won’t talk over the ‘phone. Wants +me to come down.” + +“This evening?” + +“Yes. He’s ill, himself, and badly worried. What do _you_ think?” + +“It looks like some skullduggery,” declared Mr. Clyde, borrowing one of +his mother-in-law’s expressive words. “Is it possible that reports of +diphtheria are being suppressed, and that is why the infected houses +are not placarded?” + +“If it is, we’re in for trouble. As I told you, when I undertook the +Chinese job of keeping this household in health,” continued the Health +Master, addressing the family, “I can’t reliably protect a family in a +community which doesn’t protect itself. There are too many loopholes +through which infection may penetrate. So the Protective Association, +in self-defense, may have to spur up the city to its own defense. +First, though, I’m going over the throats of this family and take +cultures.” + +“You don’t think,” began the mother anxiously, “that the children—” + +“No; I don’t think they’ve got it. But the bacteriological analysis +will show.” + +“I hate to have it done,” said Mrs. Clyde, shuddering. “It seems so—so +inviting of trouble.” + +“Superstition,” said Dr. Strong, smiling. “Aren’t you just as anxious +to find out that they _haven’t_ got the infection as that they have? +Come on, Bettykin; you’re first.” And, having prepared his material, he +swabbed the throats of the whole company, after which he took the +cultures with him to Dr. Merritt. + +It was late when he returned, but he went direct to Mr. Clyde’s room. + +“It’s worse than I thought, Clyde,” said he. “We’re in the first stage +of a bad epidemic. The reports have been suppressed by Mullins, the +Deputy Health Officer.” + +“What did he do that for?” + +“To cover his own inefficiency. He is City Bacteriologist, also, and +the law requires him, in time of epidemic, to make bacteriological +analyses. He doesn’t know how. So he simply pigeonholed the case +reports as they came in.” + +“How did such a rascal ever get the job?” asked Clyde. + +“Political pull. The most destructive of all the causes of death which +never get into the mortality records,” said Dr. Strong bitterly. + +“How many cases?” + +“Three or four hundred, at least. It’s got a good start. And more than +that of measles. While he was in the business of suppressing, Mullins +threw a lot of measles reports aside, too. I don’t like the prospect.” + +“The first thing to do,” decided Mr. Clyde, with customary energy, “is +to get Dr. Mullins out. I’ll call an emergency meeting of the Public +Health League to-morrow. By the way, Julia has some matters to report +from school.” + +“Well, suppose we call an emergency meeting of our own of the Household +Protective Association for to-morrow evening,” suggested Dr. Strong. +“Since we’re facing an epidemic, we may as well fortify the youngsters +as soundly as possible.” + +Directly after dinner on the following evening the Association was +called to order by Mr. Clyde, presiding. It was a full meeting except +for Maynard, who had not returned for dinner. First Dr. Strong reported +that the cultures from the throats of the family had turned out +“negative.” + +“So we don’t have to worry about that,” he remarked. + +Whereupon Mrs. Clyde and her mother drew long breaths of relief. + +“And now for the Committee on School Conditions,” said Mr. Clyde. + +“All I’ve heard of in our school is measles,” announced Julia. “There’s +a lot of the boys and girls away.” + +“No diphtheria?” asked Mr. Clyde. + +“I asked Miss Brown that at recess, and she looked queer and said, +‘None that we know of.’ But I heard of some cases in the Academy; so I +told Manny.” + +“Why Manny?” asked Mrs. Clyde. + +“He’s Chairman of the Committee on Milk, and the Bliss children from +our dairy go to the Academy.” + +“That explains why Maynard isn’t here, then,” said the grandmother. “I +suppose he’s gone out to the farm.” + +“Yes. He took the interurban trolley out, to make sure that they’d be +careful about keeping the children away from the dairy.” + +“Good team-work, Junkum,” approved the presiding officer. + +“And I asked Mary and Jim Bliss to come around to-morrow to see Dr. +Strong and have him look at their throats.” + +“You ought to be drawing a salary from the city, young lady,” said the +Health Master warmly. “You may have stopped a milk-route infection; one +of the hardest kind to trace down.” + +“They’re talking of closing school after to-morrow,” concluded the +girl. + +“The very worst thing they could do,” declared Dr. Strong. + +“The very best, I should think,” controverted Grandma Sharpless, who +never hesitated to take issue with any authority, pending elucidation +of the question under discussion. “If you group a lot of children close +together it stands to reason they’ll catch the disease from each +other.” + +“Not unless you group them too close. Arm’s length is the striking +distance of a contagious disease. _There’s_ a truth for all of us to +remember all the time.” + +“If it _is_ a truth,” challenged Mrs. Sharpless. “One of the surest and +one of the most important,” averred the Health Master. “The only +substance that carries the contagion of diphtheria or measles is the +mucus from the nose or throat of an infected person. As far as that can +be coughed or sneezed is the danger area. Of course, any article +contaminated with it is dangerous also. But a hygienically conducted +schoolroom is as safe a place as could be found. I’d like to run a +school in time of epidemic. I’d make it a distributing agency for +health instead of disease.” + +“How would you manage that?” + +“By controlling and training the pupils hygienically. Don’t you see +that school attendance offers the one best chance of keeping track of +such an epidemic, among the very ones who are most liable to it, the +children? Diphtheria is contagious in the early stages, as soon as the +throat begins to get sore, and before the patient is really ill. Just +now there is an indeterminate number of children in every one of our +schools who have incipient diphtheria. What is the one important thing +to do about them?” + +“Find out who they are,” said Julia quickly. “Exactly. If you close +school to-morrow and scatter the scholars far and wide in their homes, +how are we going to find out this essential fact? In their own homes, +with no one to watch their physical condition, they will go on +developing the illness unsuspected for days, maybe, and spread it about +them in the process of development. Whereas, if we keep them in school +under a system of constant inspection, we shall discover these cases +and surround them with safeguards. Why, if a fireman should throw +dynamite into a burning house and scatter the flaming material over +several blocks, he’d be locked up as insane. Yet here we propose to +scatter the fire of contagion throughout the city. It’s criminal +idiocy!” + +“If we could only be sure of controlling it in the schools,” said +Grandma Sharpless, still doubtful. + +“At least we can do much toward it. As a matter of fact the best +authorities are very doubtful whether diphtheria is a ‘school disease,’ +anyway. There is more evidence, though not conclusive, that measles +is.” + +“Surely we don’t have to consider measles now, in the face of the +greater danger.” + +“Most emphatically we do. For one thing, it will increase the +diphtheria rate. A child weakened by measles is so much the more liable +to catch any other disease which may be rife. Besides, measles spreads +so rapidly that it often kills a greater total than more dangerous +illnesses. We must prepare for a double warfare.” + +“At the Public Health League meeting,” said Mr. Clyde, “the objections +to closing the schools came from those who feared that an official +acknowledgment that the city had an epidemic would hurt business.” + +“A viciously wrong reason for being right,” said the Health Master. “By +the way, I suppose that Dr. Mullins will be Acting Health Officer, now +that Merritt is unfortunately out of it. Merritt went to the hospital +in collapse after the session of the Board of Education at which he +appeared, to argue for keeping the schools open.” + +“No,” said Clyde. “We’ve blocked Mullins off. But it’s the next step +that is troubling me. What would you do, Strong, if you were in +control?” + +“Put a medical inspector in every school,” answered Dr. Strong +instantly. “Send home every child with the snuffles or an inflamed +throat. And send with him full warning and instructions to the parents. +Have daily inspection and instruction of all pupils.” + +“Can you make school children understand?” + +“Why not? It is merely a matter of telling them repeatedly: ‘Keep your +fingers and other objects away from your mouth and nose. Wash your +hands frequently. Brush your teeth and rinse your mouth well. And keep +your distance. Remember, that the striking distance of disease is arm’s +length.’ Then I would break class every hour, throw open every window, +and march the children around for five minutes. This for the sake of +improved general condition. Penalize the pupils for any violation of +hygienic regulations. Hygienic martial law for war-time.” + +“Good!” applauded Mr. Clyde. “So much for the schools. What about the +general public?” + +“Educate them to the necessity of watching for danger signals; the +running nose, the sore throat, the tiny pimples on the inside of the +mouth or cheek which are the first sign of measles. Above all, furnish +free anti-toxin. Make it free to all. This is no time to be higgling +over pennies.” + +“I don’t like the principle of coddling our citizens by giving to those +who can afford to pay.” + +“Better coddled citizens than dead children. Unless you give out free +anti-toxin, physicians to families where every dollar counts will say, +‘Oh, it may not be diphtheria. We’ll wait and see, and maybe save the +extra dollars.’ Diphtheria doesn’t wait. It strikes. Then there is the +vitally important use of anti-toxin as a preventive. To render a whole +family immune, where there is exposure from a known case of diphtheria, +is expensive at the present rates, but is the most valuable expedient +known. It is so much easier to prevent than to cure.” + +“All right; I give in. What else?” + +“Education, education, education; always education of the public, till +the last flame is stamped out. Get the press, first; that is the most +direct and far-reaching agency. Then organize public meetings, +lectures, addresses in churches and Sunday schools, talks wherever you +can get people together to listen. That is what I’d do.” + +“Go ahead and do it, then.” + +“Easily said,” smiled the Health Master. “Who am I, to practice what I +preach?” + +“Provisional Health Officer of Worthington,” came the quick answer. “I +have the Mayor’s assurance that he will appoint you to-morrow if you +will take the job.” + +“I’ll do it,” said the Health Master, blinking a little with the +suddenness of the announcement, but speaking unhesitatingly, “on two +conditions: open schools and free anti-toxin.” + +“I’ll get that arranged with the Mayor. Meantime, you have unlimited +leave of absence as Chinese physician to the Clyde household.” + +“But the Household Protective Association will have to back me,” said +Dr. Strong, as the meeting broke up. “I can’t get along without you.” + +Swiftly and terribly moves an epidemic, once it has gained headway. And +silence and concealment had fostered this onset from the first. Despite +the best efforts of the new Health Officer, within a week the streets +of the city were abloom with the malign flower of the scarlet for +diphtheria and the yellow for measles. + +“First we must find out where we stand,” Dr. Strong told his +subordinates; and, enlisting the services of the great body of +physicians,—there is no other class of men so trained and inspired to +altruistic public service as the medical profession,—he instituted a +house-to-house search for hidden or undiscovered cases. From the best +among his volunteers he chose a body of auxiliary school inspectors, +one for every school, whom he held to their daily régime with military +rigor. + +“But my patients are dying while I am looking after a roomful of +healthy children,” objected one of them. + +“You can save twenty lives by early detection of the disease, in the +time it takes to save one by treatment,” retorted the disciplinarian. +“In war the individual must sometimes be sacrificed. And this is war.” + +The one bright spot in the early days of the battle was Public School +Number Three which the twins and Bettina attended. The medical +inspector who had this assignment was young, intelligent, and an +enthusiast. Backed by Dr. Strong, and effectively aided by the Clyde +children, he enforced a system which brought prompt results. In every +instance where a pupil was sent home under suspicion,—and the first +day’s inspection brought to light three cases of incipient diphtheria, +and fifteen which developed into measles, besides a score of suspicious +symptoms,—Julia, or Robin Clyde, or one of the teachers went along to +deliver printed instructions as to the defense of the household, and to +explain to the family the vital necessity of heeding the regulations +until such time as the physician could come and determine the nature of +the ailment. Within a week, amidst growing panic and peril, Number +Three was standing like an isle of safety. After that time, not a +single new case of either disease developed from exposure within its +limits, and in only two families represented in the school was there +any spread of contagion. + +“It’s the following-up into the house that does it,” said Dr. Strong, +at an early morning meeting of the Household Protective Association (he +still insisted on occasional short sessions, in spite of the +overwhelming demands on his time and energies, on the ground that these +were “the only chances I get to feel the support of full understanding +and sympathy”), “that and the checking-up of the three carriers we +found.” + +“What’s a carrier?” asked Bettina, who had an unquenchable thirst for +finding out things. + +“A carrier, Toodlekins, is a perfectly well person who has the germs of +disease in his throat. Why he doesn’t fall ill himself, we don’t know. +He can give the disease to another person just as well as if he were in +the worst stages of it himself. Every epidemic develops a number of +carriers. One of the greatest arguments for inspection is that it +brings to light these people, who constitute the most difficult and +dangerous phase of infection, because they go on spreading the disease +without being suspected. Now, I’ve got ours from Number Three +quarantined. If I could catch every carrier in town, I’d guarantee to +be in control of the situation in three weeks.” + +“Our reports show over twenty of them discovered and isolated,” said +Mrs. Clyde, who had turned her abounding energies to the organization +of a corps of visiting nurses. + +“Perhaps I’d better say something about carriers in my next talk,” said +Grandma Sharpless, whose natural gift as a ready and convincing +speaker, unsuspected by herself as well as her family until the night +when she had met and routed the itinerating quack on his own platform, +was now being turned to account in the campaign for short talks before +Sunday schools and club gatherings. + +“Develop it as part of the arm’s-length idea,” suggested the Health +Master. “Any person may be a carrier and therefore a peril on too close +contact. Tell ‘em that in words of one syllable.” + +“Never use any other kind when I mean it,” answered Mrs. Sharpless. +“What about that party at Mrs. Ellery’s, Manny?” + +“I’ve got that fixed,” replied Maynard Clyde, who had been acting as +general factotum for the household in its various lines of endeavor. +“Mrs. Ellery gave a party to our crowd Friday night,” he explained to +Dr. Strong, “and Monday one of the Ellery girls came down with +diphtheria.” + +“What have you done about it?” asked the Health Master. + +“Notified all the people who were there. That was easy. The trouble is +that a lot of the fellows have gone back to college since: to Hamilton, +Michigan, Wisconsin, Harvard, Columbia,—I suppose there were a dozen +colleges represented.” + +“And you think that’s too wide a field for the follow-up system?” asked +his father. + +“Why, no,” said the boy thoughtfully. “I figured that starting a new +epidemic would be worse than adding to an old one. So I went to Mrs. +Ellery and got a list of her guests, and I wrote to every college the +fellows have gone back to, and wrote to the fellows themselves. They +probably won’t thank me for it.” + +“They ought to give you a life-saving medal each,” declared Dr. Strong. +“As for the situation here”—his face darkened—“we’re not making any +general headway. The public isn’t aroused, and it won’t be until we can +get the newspapers to take up the fight. The thing that discourages me +is that they won’t help. I don’t understand it.” + +“Don’t you? I do,” said Clyde grimly. “Their advertisers won’t let ‘em +print anything about it. As I told you in the matter of closing the +schools, business is frightened. The department stores, theaters, and +other big advertisers are afraid that the truth about the epidemic +would scare away trade. So they are compelling the papers to keep +quiet.” + +“Idiots!” cried Dr. Strong. “Suppressing news is like suppressing gas. +The longer you do it, the more violent the inevitable explosion. But +when I called on the editors, they didn’t say anything to me about the +advertising pressure. It was, ‘We should be glad to help in any way, +Dr. Strong. But an alarmist policy is not for the best interests of +Worthington; and the good of our community must always be the first +consideration.’—Bah! The variations I’ve heard on that sickening theme +today! The ‘Press,’ the ‘Clarion,’ the ‘Evening News,’ the ‘Telegram, +the ‘Observer’—all of ‘em.” + +“You didn’t mention the ‘Star,’” said Grandma Sharpless. + +“That rag? It’s against everything decent and for everything rotten in +this town,” said Clyde. + +“When I need a danger signal,” observed the old lady with her most +positive air, “I’ll wave any kind of rag. The ‘Star’ has circulation.” + +“Yes,” admitted the Health Master, “and among the very class we want to +reach. But what’s the use?” + +“I don’t know,” said Mrs. Sharpless. “But I’m going to find out.” + +One hour later she walked into the editorial sanctum of Mr. “Bart” +Snyder, editor, proprietor, and controlling mind of as “yellow” a sheet +as ever subsisted on a combination of enterprise, real journalistic +ability, and blackmail. Mr. Snyder sat in a perfect slump of apparent +languor, his body sagging back into his tilted chair, one foot across +his desk, the other trailing like a broken wing along the floor, his +shrewd, lined face uplifted at an acute angle with the cigar he was +chewing, and his green hat achieving the most rakish effect possible to +a third slant. His brilliant gray eyes were narrowed into a hard +twinkle as he surveyed his visitor. + +“Siddown,” he grunted, and shoved a chair toward her with the grounded +foot. + +Grandma Sharpless did not “siddown.” Instead she marched over to a spot +directly in front of him, halted, and looked straight into the hard, +humorous face. + +“Bartholomew Snyder,” said she crisply, “I knew you when you were a +boy. I knew your mother, too. She was a decent woman. Take off that +hat.” + +The Snyder jaw fell so unpremeditatedly that the Snyder cigar dropped +upon the littered floor. One third of a second later, the Snyder foot +descended upon it (and it was a twenty-cent cigar, too) as the Snyder +chair reverted to the perpendicular, and the Snyder hat came off. The +Snyder countenance quivered into articulation and therefrom came a +stunned, “Well, I’ll be—” + +“No, you don’t! Not in _my_ presence,” cut in his visitor. “Now, you +listen.” + +“I’m listening,” he assured her in a strangled murmur. + +She seated herself and threw a quality of rigidity into her backbone +calculated to impress if not actually to appeal. “I want your help,” +she said. + +“Fine, fat way you’ve got of opening up a request for a favor,” he +retorted, recovering himself somewhat, and in a particularly +discouraging voice. But the shrewd old judge of human nature before him +marked the little pursing at the corners of the mouth. “I’ll bet I know +what it is.” + +“I’ll bet all the money I’ve got in the bank and my best gold tooth +thrown in you don’t,” was the prompt retort. + +“There’s a sporting proposition, all right,” cried the editor in great +admiration. “I thought you was going to ask me to let up on the city +administration now you’ve got one of the fat jobs in the family, with +your Dr. Strong.” + +“It’s a good thing you don’t have to make guesses for a living,” +returned his caller scornfully. “Pitch into the administration as hard +as you like. I don’t care. All I want is for you to print the news +about this diphtheria epidemic.” + +“Is that all?” There was a profound sardonicism in the final word. + +“Come to think of it, it isn’t. I want you to print some editorials, +too, telling people how to take care of themselves while the disease is +spreading.” + +“Anything more?” + +“Well, you might do the same thing about the measles epidemic.” + +“Harr-rr-rr!” It was a singular growl, not wholly compounded of wrath +and disgust. “Doc Strong send you here?” + +“No; he didn’t!” + +“Don’t bite me. I believe you.” + +“Will you publish some articles?” + +“Look-a-here, Mrs. Sharpless; the ‘Star’ is a business proposition. Its +business is to make money for me. That’s all it’s here for. People say +some pretty tough things about me and the paper. Well, we’re pretty +tough. We can stand ‘em. Let ‘em talk, so long as I get the circulation +and the advertising and the cash. Now, you want me to print something +for you. Come down to brass tacks; what is there in it for me?” + +“A chance to be of some real use to your city for once in your life,” +answered Grandma Sharpless mildly. “Isn’t that enough?” + +Bart Snyder threw back his head and laughed immoderately. “Say, I like +you,” he gurgled. “You’ve got nerve. Me a good Samaritan! It’s so rich, +I’m half a mind to go you, if it wasn’t for losing the advertising. +Wha’ d’ ye want me to say, anyway, just for curiosity and cussedness?” + +“Just give the people plain talk,” explained the visitor. “Talk to ‘em +in your editorials as if you had ‘em by the buttonhole. Say to them: +‘Do you want to get diphtheria? Well, you don’t need to. It’s just as +easy to avoid it as to have it. Are you anxious to have measles in your +house? It’s for you to decide. All you need is to take reasonable care +against it. Infectious disease only kills foo—careless people.’” + +“Let it go at ‘fools,’” interjected Mr. Snyder, smiting his thigh. “Go +on.” + +“Then I’d give them simple, straight advice; tell them how to recognize +the early symptoms; how and where to get anti-toxin. And I’d scare ‘em, +too. I’d tell ‘em there are five thousand cases of the two diseases in +town, and there will be ten thousand in a week unless something is +done.” + +Up rose the editor-proprietor, kicked over his own chair, whirled Mrs. +Sharpless’s chair with its human burden to the desk, thrust a pencil +into her hand, and slapped down a pad before her. + +“Write it,” he adjured her. + +“Who? Me?” cried Mrs. Sharpless, her astonishment momentarily +overwhelming her grammar. “Bless you, man! I’m no writer.” + +“Talk it, then, and make your pencil take down the talk. I’ll be back +in a minute.” + +That minute stretched to a good half-hour, during which period Grandma +Sharpless talked to her pencil. When Mr. Snyder returned, he had with +him a mournful-looking man who, he explained occultly, “holds down our +city desk.” + +“This is our new Health Editor,” chuckled Snyder, indicating Mrs. +Sharpless. “How many cases did you say there were in town, ma’am?” + +“Five thousand or more.” + +The city editor whistled whisperingly. “Where do you get that?” he +asked. + +“From Dr. Strong.” + +“That’s news,” said the desk man. “I didn’t suppose it was half so bad. +If only we dared print it!” + +“No other paper in town dares,” suggested the visitor insinuatingly. + +“Makes it all the more news,” remarked Snyder. “What if we played it up +for a big feature, eh?” + +“Advertisers,” said the city editor significantly. + +“Let ‘em drop out. They’ll come back quick enough, when we’ve shown up +one or two and told why they quit us. And think of the splash we can +make! Only paper in the city that dares tell the truth. We’ll rub that +into our highly respectable rivals. I’ll make you a proposition,” he +added, turning to his caller. + +“Make it.” + +“You know I’ve hammered at Tom Clyde pretty hard. I don’t cotton to +that saintly, holier-than-thou reform bunch at all. Well, let Clyde +come into the ‘Star’ with a signed statement as President of the Public +Health League, and we’ll make it the basis of a campaign that will rip +this town wide open for a couple of weeks. I’d like to see him in my +paper, after all the roasting we’ve handed him.” And the malicious face +wrinkled into another grin. + +“You’ve bought a bargain,” stated Mrs. Sharpless. “The statement will +be ready to-night. And another from Dr. Strong for good measure.” + +“Fine business!” ejaculated the “Star’s” owner. “Not open to a +reasonable offer in the newspaper game, are you?” he added, laughing. +“No? Well, I’m sorry.” + +“Would there be any use in my seeing the editors of the other papers?” +asked Mrs. Sharpless. + +“Watch them fall in line,” was the grim response. “Before we’ve been +out a day, they’ll be tumbling over each other to make the dear, +deluded public believe that they’re the real pioneers in saving the +city from the deadly germ.” + +“Well, here are my notes, if you can make anything out of them.” + +“Eh? Notes?” said the newspaper man, who had been glancing at the +sheets over Mrs. Sharp-less’s shoulder. “Oh—ah. Yes, of course. All +right. Glad to have metcher,” he added, politely ushering her to the +door. “I’ll send a reporter up for the statements at eight o’clock.” + +“Thank you very much, Bartholomew Snyder,” said Grandma Sharpless, +shaking hands. + +“Not a bit of it! Thanks the other way. You’ve given me a good tip in +my own game. Watch me—us—wake ‘em up to-morrow.” + +Only the combined insistence of Grandma Sharpless and diplomacy of the +Health Master overrode Mr. Clyde’s angry objections to “going into that +filthy sheet” when the matter was broached to him that evening. For the +good of the cause he finally acceded. And next morning the “Star” was a +sight! It blazed in red captions. It squirmed and wriggled with +illustrations of alleged germs. It shrieked in stentorian headlines. If +the city had been beset by all the dogs of war, it couldn’t have blared +more martial defiance against the enemy. It held its competitors up to +infinite scorn and derision as mean-spirited shirks and cowards, and +slathered itself with fulsome praises as the only original prop of +truth and righteousness. And, as the centerpoint and core of all this, +flaunted-the statement and signature of the Honorable Thomas Clyde, +President of the Worthington Public Health League—with photograph. The +face of Mr. Clyde, as he confronted this outrage upon his sensibilities +at the breakfast table, was gloom itself until he turned to the +editorial page. Then he emitted a whoop of glee. For there, +double-leaded and double-headed was a Health Column, by “Our Special +Writer, Grandma Sharpless, the Wisest Woman in Worthington. She will +contribute opinions and advice on the epidemic to the ‘Star’ +exclusively.” (Mr. Snyder had taken a chance with this latter +statement.) + +“Let me see,” gasped the old lady, when her son-in-law made known the +cause of his mirth. Then, “They’ve published that stuff of mine just as +I wrote it. I didn’t dream it was for print.” + +“That’s what makes it so bully,” said the Health Master. “You’ve got +the editorial trick of confidential, convincing, man-to-man talk down +fine. What’s more, you’ll have to keep it up, now. Your friend, Snyder, +has fairly caught you. Well, we need an official organ in the +household.” + +Vowing that she couldn’t and wouldn’t do it, nevertheless the new +“editor” began to think of so many things that she wanted to say that, +each day, when a messenger arrived from the “Star” with a polite +request for “copy,” there was a telling column ready of the Health +Master’s wisdom, simplified and pointed by Grandma Sharpless’s own +pungent, crisp, vigorous, and homely style. Thanks largely to this, the +“Star” became the mouthpiece of an anti-epidemic campaign which +speedily enlisted the whole city. + +But the “yellow” was not to have the field to itself. Once the cat was +out of the bag, the other papers not only recognized it as a cat with +great uproar, but, so to speak, proceeded to tie a can to its tail and +pelt it through the streets of the city. As a matter of fact, no +newspaper wishes to be hampered in the publishing of legitimate news; +and it was only by the sternest threats of withdrawal of patronage that +the large advertisers had hitherto succeeded in coercing the press of +Worthington. Further coercion was useless, now that the facts had found +their way into type. With great unanimity and an enthusiasm none the +less genuine for having been repressed, the papers rushed into the +breach. The “Clarion” organized an Anti-Infection League of School +Children, with officers and banners. The “Press” “attended to” the +recreant Dr. Mullins so fiercely that, notwithstanding his pull, he +resigned his position in the Health Department because of “breakdown +due to overwork in the course of his duties,” and ceased to trouble, in +official circles. Enterprising reporters of the “Observer” caused the +arrest of thirty-five trolley-car conductors for moistening transfers +with a licked thumb, and then got the street-car company to issue a new +form of transfer inscribed across the back, “Keep me away from your +Mouth.” It fell to the “Evening News” to drive the common drinking-cup +out of existence, after which it instituted reforms in soda fountains, +restaurants, and barber shops, while the “Telegram” garnered great +glory by interspersing the inning-by-inning returns of the baseball +championship with bits of counsel as to how to avoid contagion in the +theater, in the street, in travel, in banks, at home, and in various +other walks of life. But the “Star” held foremost place, and clinched +it with a Sunday “cut-out” to be worn as a badge, inscribed “Hands Off, +Please, Until It’s Over.” All of which, while it sometimes verged upon +the absurd, served the fundamentally valuable purpose of keeping the +public in mind of the peril of contact with infected persons or +articles. + +Slowly but decisively the public absorbed the lesson. “Arm’s length” +became a catch-phrase; a motto; a slogan. People came slowly to +comprehend the methods by which disease is spread and the principles of +self-protection. + +And as knowledge widened, the epidemic ebbed, though gradually. Serious +epidemics are not conquered or even perceptibly checked in a day. They +are like floods; dam them in one place and they break through your +defenses in another. Inexplicable outbreaks occur just when the tide +seems to have turned. And when victory does come, it may not be +ascribable to any specific achievement of the hygienic forces. The most +that can be said is that the persevering combination of effort has at +last made itself felt. + +The red placards began to disappear; many of them, alas! only after the +sable symbol of death had appeared beneath them. Dr. Strong and his +worn-out aides found time to draw breath and reckon up their accounts +in human life. The early mortality had been terrific. Of the cases +which had developed in the period of suppression, before antitoxin was +readily obtainable, more than a third had died. + +“Nobody will ever be indicted for those murders,” said Dr. Strong to +Mr. Clyde grimly. “But we have the satisfaction of knowing what can +really be done by prompt work. Look at the figures after the free +anti-toxin was established.” + +There was a drop in the death rate, first to twenty per cent, then to +ten, and, in the ebb stage of the scourge, to well below five. + +“How many infections we’ve prevented by giving anti-toxin to immunize +exposed persons, there’s no telling,” continued Dr. Strong. “That +principle of starting a back-fire in diphtheria,—it’s exactly like +starting a back-fire in a prairie conflagration,—by getting anti-toxin +into the system in time to head off the poison of the disease itself, +is one of the two or three great achievements of medical science. There +isn’t an infected household in the city today, I believe, where this +hasn’t been done. The end is in sight.” + +“Then you can go away and get a few days’ rest,” said Grandma +Sharpless, who constituted herself the Health Master’s own health +guardian and undiplomaed medical adviser, and to whom he habitually +rendered meek obedience; for she had been watching with anxiety the +haggard lines in his face. + +“Not yet,” he returned. “Measles we still have with us.” + +“Decreasing, though,” said Mrs. Clyde. “Our nurses report a heavy drop +in new cases and a big crop of convalescents.” + +“It is those convalescents that we must watch. I don’t want a +generation of deaf citizens growing up from this onset.” + +“But can you prevent it if the disease attacks the ears?” asked Clyde. + +“Almost certainly. We’ve got to inspect every child who has or had +measles in this epidemic, and, where the ear-drum is shiny and concave, +we will puncture it, by a very simple operation, which saves serious +trouble in ninety per cent of the cases, at least. But it means +constant watchfulness, for often the infection progresses without +pain.” + +“At the same time your inspectors will watch for other after-effects, +then,” suggested Mrs. Sharpless. + +“Exactly. It’s my own opinion that nearly all the serious diseases of +the eye, ear, liver, kidney, heart, and so on in early middle age are +the late remote effects of what we carelessly call the lesser diseases +of childhood. It is only a theory as yet; though some day I think it +will be proved. At any rate, we know that a serious and pretty definite +percentage of all deafness follows measles; and we are going to carry +this thing through far enough to prevent that sequel and to turn over a +reasonably cleaned-up situation to Dr. Merritt.” + +“He’s out of danger, by the way,” said Mrs. Clyde, “and will be back at +his desk in a fortnight.” + +“Well; he’ll have an easier job henceforth,” prophesied Mr. Clyde. +“He’s got an enlightened city to watch over. And he can thank you for +that, Strong.” + +“He can thank the Clyde family,” said Dr. Strong with feeling. “I could +have done little without you back of me.” + +“It’s been interesting to extend the principles of our Household +Protective Association to the larger world,” smiled Clyde. “Beyond our +own city, too, in one case. Manny has had a letter from the Professor +of Hygiene at Hamilton College, where he enters next year, thanking him +on behalf of the faculty for his warning about young Hyland who was +exposed to diphtheria at the Ellery party. He went back to Hamilton a +few days after and was starting in to play basketball, which would have +been decidedly dangerous for his team mates; but the authorities, after +getting Manny’s letter, kept him out of the gymnasium, and kept a watch +on him. He developed the disease a week later; but there has been no +infection from him.” + +“There’s direct result,” approved Dr. Strong. “That’s what I call +spreading the gospel.” + +“Grandma’s our real revivalist, at that,” said Julia. “The children at +Number Three pay more attention to her column than they do to what the +teachers tell them. The principal told us that it was the greatest +educational force for health that Worthington had ever known.” + +“Only reflected wisdom from you, young man,” said Grandma Sharpless to +the Health Master. “Thank goodness, I’m through with it. I’m so sick of +it that I can’t look at writing materials without wanting to cut the +ink bottle’s throat with my penholder. Bart Snyder has let me off. +What’s more, he sent me a check for $250. Pretty handsome of him. But +I’m going to send it back.” + +“Why waste good money, grandma?” drawled Mr. Clyde. + +“You wouldn’t have me keep it, would you, for doing that work?” + +“Who said anything about keeping it? But don’t feed it back to Bart +Snyder. Why not contribute it to the Public Health League? It’s always +got a handsome deficit.” + +“In graceful recognition of my having a son-inlaw as president of it, I +suppose.” + +“I’m not president any more. My term was up last night. They didn’t +honor me with a reelection,” said Mr. Clyde, with a rather too obvious +glumness, which, for once, escaped the sharp old lady. + +“The slinkums!” she cried. “After all the time and work you’ve given to +it!” + +“Well,” said the ex-incumbent philosophically, “there’s one comfort. +They’ve put a better man in my place.” + +“No such a thing,” declared his mother-in-law, with vehement +partisanship. “They couldn’t find one. Who was it?” + +“Give you one guess.” + +“Was it you, young man?” queried she, fixing the Health Master with a +baleful eye. + +“Oh, no; a better man than I,” he hastened to assure her. + +“Well, in the name of sakes, who, then?” + +“You,” said Mr. Clyde, grabbing the old lady by both shoulders and +giving her a vigorous kiss. “Unanimously elected amidst an uproar of +enthusiasm, as the ‘Star’ puts it. Here it is, on the first column of +the front page.” + +For the first time in the history of the Clyde household, the senior +member thereof gave way to an unbridled license of speech, in the +presence of the family. + +“Well, I vum!” said Grandma Sharpless. + + + + +XII. +PLAIN TALK + + +“What do you find so interesting in that paper, Strong?” asked Mr. +Thomas Clyde, from his place in the corner of the big living-room. + +Dinner was just finished in the Clyde household, and the elders were +sitting about, enjoying the easy and intermittent talk which had become +a feature of the day since the Health Master had joined the family. +From outside, the play of lively voices, above the harmonized +undertones of a strummed guitar, told how the children were employing +the after-dinner hour. Dr. Strong let the evening paper drop on his +knees. + +“Something that has set me thinking,” he said. + +“Don’t you ever give that restless mind of yours a vacation, young +man?” inquired Grandma Sharpless, looking up from her game of +solitaire. + +“All that is good for it. Perhaps you’d like to share this problem, and +thus relieve me of part of the responsibility.” + +“Do go on, if you’ve found anything exciting,” besought Mrs. Clyde, +glancing up with her swift, interrogating smile. “The paper seemed +unusually dull to me.” + +“Because you didn’t read quite deep enough into it, possibly.” He +raised the journal, folded it neatly to a half-page, and holding it +before his eyes, began smoothly:— + +“Far, far away, as far as your conscience will let you believe, in the +Land of Parables—” + +“Wait a minute,” interrupted Mr. Clyde. “That ‘Land of Parables’ sounds +as if we were going to have some Improving Information.” He regarded +his friend and adviser with a twinkling eye. “Ought the children to +miss this?” + +“That is for you to decide later,” said the Health Master gravely. And +he resumed:— + +“Far, far away, as far as conscience will let you believe, in the Land +of Parables, there once stood a prosperous and self-contented city. Men +lived therein by rule and rote. Only what their fathers before them had +believed and received did they believe and receive. ‘As it hath been, +so it is now and ever must and shall be,’ was the principle whereby +their lives were governed. Therefore they endured, without hope as +without complaint, the depredations of a hideous Monster who preyed +upon them unceasingly. + +“So loathsome was this Monster that the very thought of him was held to +taint the soul. His name was sealed away from the common speech. Only +the boldest men spoke of him, and then in paraphrases and by +circumlocutions. Fouled, indeed, was the fame of the woman who dared so +much as confess to a knowledge of his existence. + +“From time to time the wise and strong men of the city banded together +and sallied forth to drive back other creatures of prey as they pressed +too hard upon the people. Not so with the Monster. Because of the ban +of silence no plan could be mooted, no campaign formulated to check his +inroads. So he grew great and ever greater, and his blood hunger fierce +and ever more fierce, and his scarlet trail wound in and out among the +homes of the people, manifest even to those eyes which most sedulously +sought to blind themselves against it. + +“Seldom did the Monster slay outright. But where his claws clutched or +his fangs pierced, a slow venom crept through the veins, and life was +corroded at its very wellsprings. Nor was this the worst. Once the +blight fell upon one member of a household, it might corrupt, by hidden +and subtle ways, the others and innocent, who knew not of the curse +overhanging them. + +“Upon the foolish, the reckless, and the erring the Monster most +readily fastened himself. But man nor woman nor child was exempt. +Necessity drove young girls, struggling and shuddering, into the +Monster’s very jaws. The purity of a child or of a Galahad could not +always save from the serpent-stroke which sped from out the darkness.” + +“One moment, Strong,” broke in Mr. Clyde. “You’ve read this before?” + +“I know what is in it, if that is what you mean. Why?” + +“Nothing,” hesitated the other, glancing toward his wife and her +mother. “Only, I suspect it isn’t going to be pleasant.” + +“It isn’t pleasant. It’s true.” + +Grandma Sharpless laid down her cards. “Let him go on, Tom,” she said +decisively. “We have no ban of silence in this house.” + +At a nod from Clyde, the Health Master continued:— + +“Always the taboo of silence hedged the Monster about and protected +him; and men secretly revolted against it, yet were restrained from +speech by the fear of public dishonor. So, in time, he came to have a +Scarlet Court of Shame, with his retinue of slaves, whose duty it was +to procure victims for his insatiate appetite. But this service availed +his servitors nothing in forbearance, for, sooner or later, his breath +of fiery venom blasted and withered them, one and all. + +“One refuge only did the people seek against the Monster. At every +doorpost of the city stood a veiled statue of the supposed Goddess and +Protectress of the Household, worshiped under the name of _Modesty_, +and to her the people appealed for succor and protection. Also they +invoked her vengeance against such as spoke the name of the Monster, +and bitter were the penalties wrought upon these in her name. +Nevertheless there arose martyrs whose tongues could not be silenced by +any fear. + +“One was a brave priest who stood in his pulpit unashamed and spoke the +terrible truth of the Monster, bidding his hearers arise and band +themselves together and strike a blow for their homes and their dear +ones. But the people hurried forth in dread, and sought refuge before +the Veiled Idol; and the priest’s words rang hollow in the empty +tabernacle; and his church was deserted and crumbled away in neglect, +so that the fearful said:— + +“‘Behold the righteous wrath which follows the breaking of the +prescribed silence.’ + +“Again, a learned and pious physician and healer gathered the young men +about him in the marketplace to give them solemn warning against the +Monster and his scarlet slaves. But his words returned upon himself, +and he was branded with shame as one who worshiped not the Veiled +Goddess, and was presently driven forth from his own place into the +wilderness. + +“Then there came into the hall of the City Fathers a woman with +disheveled hair and tear-worn cheeks, who beat upon her breast and +cried:—“‘Vengeance, O Wise and Great Ones! My son, my little son went +to the public baths, and the venom of the Monster was upon the waters, +and my son is blind forever. What will ye do, that others may not +suffer my grief?’ + +“And the Wise and Great Ones spoke together and said:— + +“‘Surely this woman is mad, that she thus fouls her lips.’ And they +drove her out of their presence. + +“From among their own number there came a terror and a portent. For +their Leader, who had been stricken in youth, but thought himself to +have thrown off the toils of the Monster, rose in his place and spoke +in a voice that piped and shook:— + +“‘Because no man taught me in my unripe days, I strayed into the paths +of the Scarlet One. For the space of a generation I hoped; but now the +clutch is upon me again, and I die. See to it, O my Fellows, that our +youth no longer perish in their ignorance.’ + +“So he passed out from the place of honor; and the strength of his mind +and his body was loosened until he died. But, rather than violate the +taboo, the Wise and Great Ones gave a false name to his death, and he +was buried under a graven lie. + +“Finally there came to the Council Hall one with the fire of martyrdom +in his eyes. + +“‘Though I perish,’ he said, ‘I and mine, yet will I speak the truth +for once. My daughter I have given in marriage, and the Monster has +entered into the house of her marriage, and from henceforth she must +go, a maimed creature, sexless and childless, to the end of her days. +Shame upon this city, that it endures such shame; for my daughter is +but one of many.’ + +“‘The shame be yours,’ replied the Fathers, ‘that you bring scandal +upon your own. Go forth into exile, in the name of the Veiled Goddess, +_Modesty_, beneath whose statue we meet.’ + +“But the man strode forward, and with a violent hand plucked the veil +from the statue. + +“‘Not the Protectress of Homes,’ he cried, ‘but the ally of the +Monster. Not the Goddess, _Modesty_, but her sham sister, _Prudery_. +Down with false gods!’ + +“So saying, he threw the idol to the ground, where it was shattered +into a thousand pieces. With those pieces the Fathers stoned him to +death. + +“But in many households that night there was a baring of the Veiled +Idol. And ever, behind the folds, was revealed not the pure gaze of the +True Goddess, but the simper and leer of _Prudery_, mute accomplice of +_Shame_. + +“Thus did the city awake. Fearfully it gathered its forces; tremblingly +it prepared its war upon the Monster. But the Monster is intrenched. +Its venom runs through the blood of the people, poisoning it from +generation to generation, so that neither the grandsons nor the +great-grandsons of those who stoned the martyr to the False Goddess +shall escape the curse. The Prophet has said it: ‘Even unto the third +and the fourth generations.’ + +“_De te fabula narratur_; of you is the fable narrated. + +“The Land of Parables is your country. + +“The stricken city is your city. + +“The Monster coils at your doorway, lying in wait for your loved ones; +and no prudence, no precaution, no virtue can guard them safely against +his venom so long as the Silence of Prudery holds sway.” + +Dr. Strong let the newspaper fall on his lap, and looked slowly from +face to face of the silent little group. + +“Need I tell you the name of the destroyer?” he asked. + +“Not me,” said Mrs. Clyde in a low tone. “It is a two-headed monster, +isn’t it?” + +The Health Master nodded. “And because we all fear to utter the words +‘venereal disease,’ our children grow up in the peril of the Monster +whose two allies are Vice and Ignorance.” + +“One editor in this town, at least, has some gumption,” commented +Grandma Sharpless, peering over her spectacles at the sheet which Dr. +Strong had let fall. “Which paper is it?” + +“None, if you must know. The fact is, I read that allegory into the +newspaper, not out of it.” + +“Then it was your own?” asked Mrs. Clyde. “Such as it is, mine own. But +the inspiration came from this headline.” He pointed to a legend in +heavy type:— + +DIVORCE IN THE INSIDE SET + +AFTER SEX MONTHS OF MARRIAGE, MRS. BARTLEY STARR SEEKS FREEDOM—NATURE +OF CHARGES NOT MADE PUBLIC + + +“Do you know what is back of it, Strong?” asked Clyde. + +“The ruin of a life. Bartley Starr has been a ‘rounder.’ With the curse +of his vices upon him he married a young and untaught girl.” He +repeated with slow significance a passage from the allegory. “The +Monster entered into the house of her marriage, and from henceforth she +must go, a maimed creature, sexless and childless, to the end of her +days.” + +“Oh, no, no!” burst out Mrs. Clyde. “Not poor little, lovely, innocent +Margaret Starr!” + +“Too innocent,” retorted the Health Master. “And more than innocent; +ignorant.” + +“But Bartley Starr!” said Mr. Clyde. “Who would have supposed him such +a scoundrel? And with his bringing-up, too!” + +“The explanation lies in his bringing-up.” + +“Nonsense! Henry Starr is as upright a man and as good a father as you +can find in Worthington.” + +“The former, perhaps. Not the latter, certainly. He is a worshiper of +the False Veiled Goddess, I suspect. Hence Bartley’s tragedy.” + +“Do you blame Bartley’s viciousness upon his father?” demanded Mrs. +Clyde. + +“In part, at least. I happen to know a good deal about this case. +Bartley got his sex-education or miseducation from chance talk at +school. He took that to college with him, and there, unguided, fell +into vicious ways. I don’t suppose his father ever had a frank talk +with him in his life. And I judge that little Mrs. Starr’s mother never +had one with her, either. Look at the result!” + +“But boys find out about such things some way,” said Mr. Clyde +uneasily. + +“Some way? What way? And from whom? How much has Manny found out?” + +“I don’t know,” said Manny’s father. + +“Why don’t you know?” persisted the Health Master relentlessly. “You +are his father, and, what is more, his friend.” + +“Why must Manny know?” cried Mrs. Clyde. “Surely my son isn’t going to +wallow in that sort of foulness.” + +“Pray God he is not!” said Grandma Sharpless, turning her old, shrewd, +kind face, the eyes bright and soft with feeling, toward her daughter. +“But, oh, my dear, my dear, the bitterest lesson we mothers have to +learn is that our children are of the common flesh and blood of +humanity.” + +“Manny is clean-minded and high-spirited,” said Strong. “But not all of +his companions are. Not a month ago I heard one of the older boys in +his class assuring some of his fellows, in the terms of the most +damnable lie that ever helped to corrupt youth, ‘Why, it ain’t any +worse than an ordinary cold.’” + +“That was a stock phrase of the young toughs when I was a boy,” said +Mr. Clyde. “So it still persists, does it?” + +“Any worse than an ordinary cold?” repeated Mrs. Clyde, looking +puzzled. “What did he mean?” + +“Gonorrhoea,” said Dr. Strong. + +Mrs. Clyde winced back and half-rose from her chair. + +“Are you going?” asked the Health Master rather ‘grimly. “Must I be +mealy-mouthed on this subject? Here I am, trying to tell you something +of the most deadly import, and am I to choose perfumed words and pick +rose-tinted phrases?” + +“Speak out, Strong,” said the head of the house. “I’ve been rather +expecting this.” + +“First, then: you need not worry about Manny. I talked to him, long +ago.” + +“But he’s only a boy, still,” said Mrs. Sharpless involuntarily. + +“He enters college this fall. And I’ve made sure that he won’t take +with him the ‘no worse than a cold’ superstition about a disease which +has wrecked the lives of thousands of Bartley Starrs.” + +“But I thought that Starr’s was the—the other and worse form,” said Mr. +Clyde. + +“Plain talk,” adjured the Health Master. “You thought it was syphilis?” + +“Yes.” + +“And you thought syphilis worse than gonorrhoea?” + +“Surely!” + +“Well, it isn’t. I’ll explain that in detail presently. Just now—” + +“Do I have to hear all of this,” appealed Mrs. Clyde, with a face of +piteous disgust. + +“Well, _I_ told Manny,” said the Health Master in measured tones. “Must +I be the one to tell Julia, too?” + +“Julia!” cried the mother. “Tell Julia?” + +“Some one must tell her.” + +“That child?” + +“Fourteen years old, and in high school. Last year there were ten known +cases of venereal disease among the high-school girls.”[3] + + [3] These and the following instances are based on actual and + established medical findings. + + +“How horrible!” + +“Bad enough. I have known worse elsewhere. In a certain small city +school, several years ago, it was discovered that there was an epidemic +of vice which involved practically the whole school. And it was +discovered only when venereal disease broke out. Our school authorities +are just beginning to learn that immorality must be combated by +watchfulness and quarantine, just as contagious disease must.” + +“How was the outbreak in our high school found out?” asked Grandma +Sharpless. + +“In a curious and tragic way. One of the boys developed a sudden and +serious inflammation of the eyes. At first the ophthalmologist to whom +he went was puzzled. Then he began to suspect. A bateriological +analysis showed that it was a case of gonorrhoeal infection. It was by +a hair’s breadth that the less infected eye was saved. The sight of the +other is lost. Examination showed that the disease was confined to the +eyes. By a careful bit of medical detective work, the physician and the +principal of the high school determined that the infection came from +the use of a bath-towel in the house of a fellow-pupil where the +patient had spent two or three nights. This pupil was examined and +found to have a fully developed case, which he had concealed, in fear +of disgrace. Consequently, the poison is now so deep-seated in him that +it may be years before he is cured. He made a confession implicating a +girl in the class above him. A rigid investigation followed which +brought the other cases to light.” + +“I shall take Julia out of that school at once,” said Mrs. Clyde, +half-crying. + +“No,” controverted the Health Master gently. “I shouldn’t do that. In +the complex life of a city like this, it is impossible to shelter a +girl completely and permanently. Better armor her with knowledge. +Besides, the danger in the school, being discovered, is practically +over now. In time, and using this experience as a lever with the school +authorities, we hope to get a course of lectures on hygiene +established, including simple sex-instruction. Meantime this must be +carried on by the mothers and fathers.” + +“But what am I to say to Julia?” + +“That is what I am going to tell you,” replied the Health Master, “and +look to you to pass on the truth in terms too plain to admit of any +misunderstanding. First, does she know what womanhood and motherhood +mean?” + +“Not yet, I think. She seems so young. And it’s so hard to speak of +those things. But I thought I would try to explain to her some day.” + +“Some day? At once! How can you think her too young? She has already +undergone the vital change from childhood to womanhood, and without so +much as a word of warning or reassurance or explanation as to what it +means.” + +“Not quite without,” put in Grandma Sharpless quietly. + +“Good!” approved the Health Master. “But be sure that the explanation +is thorough. Tell her the significance of sex and its relation to +reproduction and life. If you don’t, be sure that others will. And +their version may well be in terms which would make a mother shudder to +hear.” + +“Who would tell her?” asked Mrs. Clyde. + +“Her playmates. Do you think that girls don’t talk of the mysteries as +much as boys? If so, you’re sadly in error. The first essential is that +she should understand truly and wisely what it means to be a woman. +That is fundamental. And now for the matter of venereal disease. I am +going to lay certain facts before you all, and you can hand on to the +children such modifications as you deem best. + +“First, gonorrhoea, because it is the worse of the two. That is not the +accepted notion, I know: but the leading specialists one by one have +come around to the view, that, by and large, it does more damage to +humanity than the more greatly dreaded syphilis. For one thing, it is +much more widespread. While there are no accurate statistics covering +the field in general, it is fairly certain that forty per cent of all +men over thirty-five in our larger cities have had the disease at some +time.” + +“That doesn’t seem possible,” broke in Mr. Clyde. + +“Not to you, because you married early, and your associations have been +largely with family, home-loving men. But ask any one of the traveling +salesmen in your factory his view. Your traveling man is the Ulysses of +modern life, ‘knowing cities and the hearts of men.’ I think that +you’ll find that compared with the ‘commercial’ view, my forty per cent +is optimistic.” + +“But it is easily curable, isn’t it?” asked Mrs. Clyde, insensibly +yielding to the Health Master’s matter-of-fact tone, and finding, +almost insensibly, that her interest in the hygienic problem had +overcome her shamed reluctance to speak of it. + +“Often in the early stages. But it is very uncertain. And once firmly +fixed on the victim, it is one of the most obstinate and treacherous of +diseases. It may lie dormant for months or even years, deceiving its +victim into thinking himself wholly cured, only to break out again in +full conflagration, without warning. + +“This is the history of many ruined marriages. Only by the most +searching tests can a physician make certain that the infection is +stamped out. Probably no disease receives, on the average, such harmful +treatment by those who are appealed to to cure it. The reason for this +is that the young man with his first ‘dose’—that loathsome, light term +of description!—is ashamed to go to his family physician, and so takes +worthless patent medicines or falls into the hands of some ‘Men’s +Specialist’ who advertises a ‘sure cure’ in the papers. These +charlatans make their money, not by skillful and scientific treatment, +of which they know nothing, nor by seeking to effect a cure, but by +actually nourishing the flame of the disease, so as to keep the patient +under their care as long as possible, all the time building up fat fees +for themselves. If they were able, as they claim, to stop the infection +in a few days at a small fee, they couldn’t make money enough to pay +for the scoundrelly lies which constitute their advertisements. While +they are collecting their long-extended payments from the victim, the +infection is spreading and extending its roots more and more deeply, +until the unfortunate may be ruined for life, or even actually killed +by the ravages of the malignant germs.” + +“I didn’t suppose that it was ever fatal,” said Clyde. + +“Oh, yes. I’ve seen deaths in hospitals, of the most agonizing’ kind. +But it is by virtue of its byproducts, so to speak, that gonorrhoea is +most injurious and is really more baneful to the race than syphilis. +The organism which causes it is in a high degree destructive to the +eyes. Newborn infants are very frequently infected in this way by +gonorrhoeal mothers. Probably a quarter of all permanent blindness in +this country is caused by gonorrhoea. The effect of the disease upon +women is disastrous. Half of all abdominal operations on married women, +excluding appendicitis, are the results of gonorrhoeal infection from +their husbands. A large proportion of sterility arises from this cause. +A large proportion of the wives of men in whom the infection has not +been wholly eradicated pay the penalty in permanently undermined +health. And yet the superstition endures that ‘it’s no worse than a bad +cold.’” + +“There is no such superstition about syphilis, at least,” remarked +Clyde. + +“No. The very name is a portent of terror, and it is well that it +should be so. The consequence is that the man who finds himself +afflicted takes no chances, as a rule. He goes straight to the best +physician he can find, and obeys orders under terror of his life. Thus +and thus only, he often is cured. Terrible as syphilis is, there is +this redeeming feature: we can tell pretty accurately when the organism +which causes it is eliminated. Years after the disease itself is cured, +however, the victim may be stricken down by the most terrible form of +paralysis, resulting from it.” + +“Isn’t the Ehrlich treatment regarded as a sure cure?” asked Mrs. +Sharpless. + +“No cure is sure. Salvarsan, skillfully administered, is as near a +specific as any known form of treatment. But we don’t know whether it +has any effect at all upon locomotor ataxia or general paralysis, the +after effects, which may destroy the patient fifteen or twenty years +after the actual disease has been cured. All locomotor ataxia and all +general paralysis come from syphilis. And these diseases are not only +incurable, but are as nearly a hell on earth as poor humanity is ever +called upon to endure. Of course, you know that a man who is base +enough to marry with syphilis dooms his children. Fortunately +seventy-five or eighty per cent of the offspring of such marriages die +in infancy or early childhood. The rest grow up deficient in mind or +body or both. Upwards of ten per cent of all insanity is syphilitic in +its origin. + +“Both venereal diseases are terribly contagious. Innocence is no +protection. Syphilis may be contracted from a drinking-cup or +eating-utensil, or from the lips of an infected person having an open +sore on the mouth. Gonorrhoea is spread by towels, by bathtubs, or from +contaminated toilets. No person, however careful, is immune from either +of the ‘red plagues.’ And yet the public is just beginning to be +educated to the peril.” + +“Why wouldn’t that be a good topic for the Woman’s Club to discuss?” +asked Grandma Sharpless. + +“Splendid!” said Dr. Strong. “That is, if they would allow you to talk +about it.” + +“_Allow_ me!” The old lady’s firm chin tilted up sharply. “Who’s going +to put the ban of silence on me?” + +“Nobody, I dare say, if you make up your mind to speak,” replied Dr. +Strong, smiling. “But some will probably try. Would you believe that, +only a short time since, a professor of hygiene in one of our leading +universities had to abandon a course of lectures to the students +because the wives of the faculty and trustees objected to his including +venereal diseases in his course? And a well-known lecturer, who had +been invited to speak on health protection before a list of colleges, +suffered the indignity of having the invitation withdrawn because he +insisted that he could not cover the ground without warning his hearers +against the twin pestilences of vice.” + +“Are the colleges so greatly in need of that sort of warning?” asked +Mrs. Clyde. + +“Subsequent records obtained from some of the protesting institutions +showed that one third of the students had at some time been infected.” + +“I’m glad you’ve told my boy,” said Mrs. Clyde, rising. “I’ll talk to +my girls.” + +“And I to the women,” said Mrs. Sharpless. “Then I’d better make a +list, for both of you, of the literature on the subject which you will +find useful,” said the Health Master. “I’ll give it to you later.”[4] + + [4] The list of publications on the sex problem and venereal disease + recommended by the Health Master to the Clyde family was as follows:— +Published by the California Social Hygiene Society, Room 256, U.S. +Custom House, San Francisco, Calif.: The Four Sex Lies, When and How to +Tell the Children, A Plain Talk with Girls about their Health and +Physical Development. Published by the Detroit Society for Sex Hygiene, +Wayne Co. Medical Society Building, Detroit, Mich.: To the Girl who +does not Know, A Plain Talk with Boys. Published by the Chicago Society +of Social Hygiene, 305 Reliance Building, Chicago, Ill: Self +Protection, Family Protection, Community Protection. Published by the +Maryland Society for Social Hygiene, 15 East Pleasant Street, +Baltimore, Md.: The So- Called Sexual Necessity in Man, The Venereal +Diseases. Published by the American Federation for Sex Hygiene, 105 +West 40th St., N.Y. City: List of Publications of the Constituent +Societies, The Teaching of Sex Hygiene, Sex Instruction as a Phase of +Social Education. Published by the Society of Sanitary and Moral +Prophylaxis: The Sex Problem, Health and the Hygiene of Sex. + + +For a time after the women had left, the two men sat silent. + +“Strong,” said Mr. Clyde presently, “who is Bartley Starr’s physician?” + +“Dr. Emery.” + +“Why didn’t he warn him not to marry?” + +“He did. He positively forbade it.” + +“And Starr married that young girl in the face of that prohibition?” + +“He thought he was cured. Dr. Emery couldn’t say positively that he +wasn’t. He could only beg him to wait another year. Starr hadn’t the +courage—or the principle; he feared scandal if he postponed the +wedding. So he disregarded the warning and now the scandal is upon him +with tenfold weight.” + +“Isn’t there any law for such cases?” + +“Not in this state. Indiana requires that parties to a marriage swear +to their freedom from venereal disease and certain other ailments. +Other states have followed suit. Every state ought to.” + +“Why didn’t Dr. Emery go to the girl’s father, then?” + +“Because of our damnable law,” returned the Health Master with a sudden +and rare access of bitterness. + +“You mean that the law forbids?” + +“It holds the physician liable for any professional confidence +violated.” Dr. Strong rose and paced up and down the room, talking with +repressed energy. “Therein it follows medical ethics in its most +conservative and baneful phase. The code of medical conduct provides +that a physician is bound to keep secret all the private affairs of a +patient, learned in the course of practice. One body, the American +Institute of Homoeopathy, has wisely amended its code to except those +cases where ‘harm to others may result.’ That amendment was passed with +particular reference to venereal disease.” + +“What about contagious disease?” asked Mr. Clyde. “Doesn’t the law +require the physician to report diphtheria, for instance, and thus +violate the patient’s confidence?” + +“Certainly it does. All schools recognize that principle of protection +to the public. Yet, in the case of syphilis or gonorrhoea, when the +harm to the public health is far greater than from any ‘reportable’ +disease except tuberculosis, the physician must hold his peace, though +he sees his patient pass out of his hands bearing fire and sword and +poison to future generations. There’s the Ban of Silence in its most +diabolical form!” + +Mr. Clyde regarded his household physician keenly. “I’ve never before +seen you so stirred,” he observed. + +“I’ve reason to be stirred.” The Health Master whirled suddenly upon +his friend and employer. “Clyde, you’ve never questioned me as to my +past.” + +“No.” + +“Have you never wanted it cleared up?” + +“No.” + +“You’ve always been willing to take me on trust?” + +“Yes.” + +“And I appreciate it. But now I’m going to tell you how I happened to +come to you, a broken and ruined man.” + +“Think it over, Strong,” advised Mr. Clyde. “Don’t speak now. Not that +it would make any difference to me. I know you. If you were to tell me +that you had committed homicide, I’d believe that it was a necessary +and justifiable homicide.” + +“Suicide, rather,” returned the other with a mirthless laugh; +“professional suicide. I’ll speak now, if you don’t object.” + +“Go ahead, then, if it will ease your mind.” + +“I’m a lawbreaker, Clyde. I did, years ago, what you thought Emery +should have done. I deliberately violated the profession’s Ban of +Silence. The man was my patient, in the city where I had built up a +good high-class practice. He had contracted gonorrhoea and I had +treated him for a year. The infection seemed to be rooted out. But I +knew the danger, and when he told me that he was engaged to be married, +to a girl of my own set and a valued friend, I was horror-stricken. I +pleaded, argued, and finally threatened. It was no use. He was the +spoiled child of a wealthy family, impatient of any thwarting. One day +the suspicions of the girl’s mother were aroused. She came to me in +deep distress. I told her the truth. The engagement was broken. The man +did not bring suit against me, but his family used their financial and +social power to persecute and finally drive me out of the city, a +nervous wreck. That’s my history.” + +“You could have protected yourself by telling the true facts,” +suggested Clyde. . + +“Yes: but that would have been an unforgivable breach of confidence. +The public had no right to the facts. The girl’s family had.” + +“Then they should have come to your rescue with the truth.” + +“I bound them to secrecy.” + +Slowly Mr. Clyde rose, walked over, picked up the paper with the +staring headlines, folded it, laid it on the table, and, in passing the +physician, set a hand, as if by chance, upon his shoulder. From so +undemonstrative a man the action meant much. + +“So,” he said with affectionate lightness, “my Chinese physician had +been fighting dragons before he ever came to us; worse monsters than +he’s been called upon to face, since. That was a splendid defeat, +Strong.” + +“A bitter one,” said the Health Master; “and by the same old Monster, +in another manifestation that we’ve been fighting here. We’ve downed +him now and again, you and I, Clyde. But he’s never killed: only +scotched. He’s the universal ally of every ill that man hands on to +man, and we’ve only to recognize him under the thousand and one +different forms he assumes to call him out to battle under his real +name.” + +“And that is?” inquired Clyde. + +“Ignorance,” said the Health Master. + +THE END + + + + +*** END OF THE PROJECT GUTENBERG EBOOK THE HEALTH MASTER *** + +***** This file should be named 57543-0.txt or 57543-0.zip ***** +This and all associated files of various formats will be found in: + https://www.gutenberg.org/5/7/5/4/57543/ + +Updated editions will replace the previous one--the old editions will +be renamed. + +Creating the works from print editions not protected by U.S. copyright +law means that no one owns a United States copyright in these works, +so the Foundation (and you!) can copy and distribute it in the +United States without permission and without paying copyright +royalties. 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-Title: The Health Master
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-Author: Samuel Hopkins Adams
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-Release Date: August 2, 2018 [EBook #57543]
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-Language: English
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-*** START OF THIS PROJECT GUTENBERG EBOOK THE HEALTH MASTER ***
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-</pre>
-
- <div style="height: 8em;">
- <br /><br /><br /><br /><br /><br /><br /><br />
- </div>
- <h1>
- THE HEALTH MASTER
- </h1>
- <h2>
- By Samuel Hopkins Adams
- </h2>
- <h3>
- Associate Fellow of the American Medical Association
- </h3>
- <h4>
- Boston And New York Houghton Mifflin Company
- </h4>
- <h3>
- 1913
- </h3>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <p>
- <i>To George W. Goler, M.D., a type of the courageous, unselfish, and
- far-sighted health official, whom the enlightened and progressive city of
- Rochester, N. Y., hires to keep it well, on the “Chinese plan,”
- this book is inscribed, with the hope that it may, by exercising some
- influence in the hygienic education of the public, aid the work which he
- and his fellow guardians of the public health are so laboriously and
- devotedly performing throughout the nation.</i>
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0001" id="link2H_4_0001"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- INTRODUCTORY NOTE
- </h2>
- <p>
- To dogmatise on questions of medical practice is to invite controversy and
- tempt disaster. The highest wisdom of to-day may be completely refuted by
- to-morrow’s discovery. Therefore, for the simple principles of
- disease prevention and health protection which I have put into the mouth
- of my Health Master, I make no claim of finality. In support of them I
- maintain only that they represent the progressive specialized thought of
- modern medical science. So far as is practicable I have avoided questions
- upon which there is serious difference of belief among the authorities.
- Where it has been necessary to touch upon these, as, for example, in the
- chapter on methods of isolation in contagious diseases, a question which
- arises sooner or later in every household, I have advocated those measures
- which have the support of the best rational probability and statistical
- support.
- </p>
- <p>
- Not only has the book been prepared in consultation with the recognized
- authorities on public health and preventive medicine, but every chapter
- has been submitted to the expert criticism of specialists upon the
- particular subject treated. My own ideas and theories I have advanced only
- in such passages as deal with the relation of the physician and of the
- citizen to the social and ethical phases of public health. To the large
- number of medical scientists, both public and private, whose generous aid
- and counsel have made my work possible, I gratefully acknowledge my debt.
- My thanks are due also for permission to reprint, to the <i>Delineator</i>,
- in which most of the chapters have appeared serially; to <i>Collier’s
- Weekly</i>, and to the <i>Ladies’ Home Journal</i>.
- </p>
- <p>
- The Author.
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <br /><br />
- </p>
- <h2>
- CONTENTS
- </h2>
- <p class="toc">
- <a href="#link2H_4_0001"> INTRODUCTORY NOTE </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0002"> I.—THE CHINESE PLAN PHYSICIAN </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0003"> II.—IN TIME OF PEACE </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0004"> III.—REPAIRING BETTINA </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0005"> IV.—THE CORNER DRUG-STORE </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0006"> V.—THE MAGIC LENS </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0007"> VI.—THE RE-MADE LADY </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0008"> VII.—THE RED PLACARD </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0009"> VIII.—HOPE FOR THE HOPELESS </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0010"> IX.—THE GOOD GRAY DOCTOR </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0011"> X.—THE HOUSE THAT CAUGHT COLD </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0012"> XI. THE BESIEGED CITY </a>
- </p>
- <p class="toc">
- <a href="#link2H_4_0013"> XII. PLAIN TALK </a>
- </p>
- <div style="height: 4em;">
- <br /><br />
- <hr />
- <br /><br />
- </div>
- <h1>
- THE HEALTH MASTER
- </h1>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0002" id="link2H_4_0002"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- I.—THE CHINESE PLAN PHYSICIAN
- </h2>
- <p class="pfirst">
- <span class="dropcap" style="font-size: 4.00em">T</span>HE eleven-o’clock
- car was just leaving Monument Square when Mr. Thomas Clyde swung aboard
- with an ease and agility worthy of a younger and less portly man. Fortune
- favored him with an unoccupied seat, into which he dropped gratefully.
- Just in front of him sprawled a heavy-shouldered young man, apparently
- asleep. Mr. Clyde was unfavorably impressed both by his appearance and by
- the manner of his breathing, which was as excessive as it was unusual. As
- the car swung sharply around a curve the young man’s body sagged at
- the waist, and lopped over toward the aisle. Before Mr. Clyde’s
- restraining hand could close upon his shoulder, he had tumbled outward to
- the floor, and lay quiet, with upturned face. There was a stir through the
- car.
- </p>
- <p>
- “The horrid drunken creature!” exclaimed a black-clad woman
- opposite Mr. Clyde. “Why do they allow such people on the cars?”
- </p>
- <p>
- The conductor hurried forward, only to find his way blocked by a very
- tall, slender man who had quietly stepped, from a seat next the window,
- over an intervening messenger boy and the box he was carrying. The new
- arrival on the scene of action stooped over the prostrate figure. One
- glance apparently satisfied him. With a swift, sharp motion he slapped the
- inert man forcefully across the cheek. The sound of the impact was
- startlingly loud. The senseless head rolled over upon the left shoulder,
- only to be straightened out by another quick blow. A murmur of indignation
- and disgust hummed and passed, and the woman in black called upon the
- conductor to stop the assault. But Mr. Thomas Clyde, being a person of
- decision and action, was before the official. He caught the assailant’s
- arm as it swung back again.
- </p>
- <p>
- “Let him alone! What do you mean by beating a helpless man that way!”
- </p>
- <p>
- “Do you know more about this affair than I do?” The crisp
- query was accompanied by a backward thrust of the tall man’s elbow
- which broke Mr. Clyde’s hold, and—smack! smack!—the
- swift double blow rocked the victim’s head again. This time the man
- groaned. The car was in an uproar. Mr. Clyde instantly and effectively
- pinned the tall man’s elbows from behind. Some one pulled the bell,
- and the brakes ground, throwing those forward who had pressed into the
- aisle. Against this pressure, Mr. Clyde, aided by the conductor, began
- dragging his man backward. The stranger was helpless to resist this grip;
- but as he was forced away he perpetrated a final atrocity. Shooting out
- one long leg, he caught the toe of his boot under the outstretched man’s
- jawbone and jerked the chin back. This time, the object of the violence
- not only groaned, but opened his eyes.
- </p>
- <p>
- “I’ll have you in jail for that!” panted Mr. Clyde, his
- usually placid temper surging up.
- </p>
- <p>
- Other passengers began to lift the victim.
- </p>
- <p>
- “Drop him!” snapped the tall man, with such imperative
- decisiveness, that the helping hands involuntarily retracted. “Let
- him lie, you fools! Do you want to kill him?”
- </p>
- <p>
- Misgivings beset and cooled Mr. Thomas Clyde. He had now reached the rear
- platform, still holding in his powerful and disabling grasp the unknown
- man, when he heard a voice from an automobile which had been halted by the
- abrupt stop of the car.
- </p>
- <p>
- “Can I be of any help?”
- </p>
- <p>
- “Dr. Magruder!” exclaimed Mr. Clyde, “come in here, will
- you, and look at a sick man?”
- </p>
- <p>
- As the doctor stepped aboard, the captive with a violent wrench freed
- himself from Mr. Clyde’s relaxing hold and dropped from the platform
- into the darkness. Dr. Magruder forced his way through the crowd, took one
- look at the patient, and, right and left, struck him powerfully across the
- cheeks time and again, until the leaden-lidded eyes opened again. There
- was a quick recourse to the physician’s little satchel; then—
- </p>
- <p>
- “All right,” said the doctor cheerfully. “He’ll do
- now. But, my friend, with that heart of yours, you want to sign the pledge
- or make your will. It was touch and go with you that time.”
- </p>
- <p>
- Waiting to hear no more, Mr. Thomas Clyde jumped from the rear step and
- set off at a rapid pace, looking about him as he ran. He had not gone a
- block when he saw, by the radiance of an electric light, a tall figure
- leaning against a tree in an attitude of nerveless dejection. The figure
- straightened up.
- </p>
- <p>
- “Don’t try to man-handle me again,” advised the man,
- “or you may meet with a disappointment.”
- </p>
- <p>
- “I’ve come to apologize.”
- </p>
- <p>
- “Very well,” returned the other coolly; “I appreciate
- it. Many a fool wouldn’t go even so far.” Mr. Clyde smiled.
- “I own to the soft impeachment. From what Dr. Magruder said I judge
- you saved that fellow from the hospital.”
- </p>
- <p>
- “I judge I did—no thanks to you! You’ve a grip like a
- vise.”
- </p>
- <p>
- “Yes; I keep in good training,” said the other pleasantly.
- “A man of my age has to, if he is to hold up his work.” He
- looked concernedly at the stranger who had involuntarily lapsed against
- the tree again. “See here,” he added, “I don’t
- believe you’re well.”
- </p>
- <p>
- “No; I don’t believe I am,” answered the tall man in
- uncompromising tones; “but I do believe that it is peculiarly my own
- affair whether I am or not.”
- </p>
- <p>
- “Nonsense! Man, your nerves are on the jump. You used yourself up on
- that chap in the street car. Come across to my club and take something to
- brace you up.”
- </p>
- <p>
- People usually found it hard to resist Mr. Clyde’s quiet
- persuasiveness. The stranger, after a moment of consideration, smiled.
- </p>
- <p>
- “Begin with a fight and end with a drink?” he asked. “That’s
- a reversal of the usual process. If your cuisine runs to a cup of hot milk
- as late as this, I’d be glad to have it.”
- </p>
- <p>
- As they entered the club, Mr. Clyde turned to his guest.
- </p>
- <p>
- “What name shall I register?”
- </p>
- <p>
- The stranger hesitated. “Strong,” he said finally.
- </p>
- <p>
- “Dr. Strong?”
- </p>
- <p>
- “Well—yes—Dr. Strong if you will.”
- </p>
- <p>
- “Of what place?”
- </p>
- <p>
- “Any place—Calcutta, Paris, Mexico City, Philadelphia, Rio. I’ve
- tried ‘em all. I’m a man without a country, as I am without a
- profession.” He spoke with the unguarded bitterness of shaken
- nerves.
- </p>
- <p>
- “Without a profession! But you said ‘Doctor.’”
- </p>
- <p>
- “A title isn’t a profession,” returned the guest
- shortly.
- </p>
- <p>
- Turning that over in his mind, Mr. Clyde led the way to a quiet table in
- the corner of the diningroom, where he gave his order. Observing that his
- new acquaintance was <i>distrait</i>, he swung into the easy
- conversational flow of a cultured man of the world, at the same time
- setting his keen judgment of men to work upon the other. There was much
- there to interest a close observer. The face indicated not much over
- thirty years; but there were harsh lines in the broad and thoughtful
- forehead, and the hair that waved away from it was irregularly blotched
- with gray. The eyes, very clear and liquid, were marred by an expression
- of restlessness and stress. The mouth was clear-cut, with an expression of
- rather sardonic humor. Altogether it was a face to remark and remember;
- keen, intellectual, humorous, and worn. Mr. Thomas Clyde decided that he
- liked the man.
- </p>
- <p>
- “You’ve been a traveler, Doctor?” he asked.
- </p>
- <p>
- “Yes. I’ve seen life in many countries—and death.”
- </p>
- <p>
- “And traced the relations between them, I suppose?”
- </p>
- <p>
- “Oh, I’ve flashed my little pin-point lantern at the Great
- Darkness in the fond hope of discovering something,” returned the
- other cynically.
- </p>
- <p>
- “In a way, I’m interested in those matters,” continued
- Mr. Clyde. “They’ve organized a Public Health League here, and
- made me president of it. More from finance than fitness,” he added,
- humorously.
- </p>
- <p>
- “Finance has its part, too,” said the other. “Give me
- millions enough and I’ll rid any city of its worst scourge,
- tuberculosis.”
- </p>
- <p>
- “Then I wish to Heaven you had the millions to spend here in
- Worthington! We’re in a bad way. Two years ago we elected a reform
- administration. The Mayor put in a new Health Officer and we looked for
- results. We’ve had them—the wrong kind. The death rate from
- tuberculosis has gone up twenty-five per cent, and the number of cases
- nearly fifty per cent since he took office.”
- </p>
- <p>
- “You don’t say so!” said the stranger, showing his first
- evidence of animation. “That’s good.” Mr. Clyde stared.
- “You think so? Then you’ll undoubtedly be pleased to learn
- that other diseases are increasing almost at the same rate: measles,
- scarlet fever, and so on.”
- </p>
- <p>
- “Fine!” said Dr. Strong.
- </p>
- <p>
- “And finally, our general mortality rate has gone up a full point.
- We propose to take some action regarding it.”
- </p>
- <p>
- “Quite right. You certainly ought to.” Something in his guest’s
- tone made Mr. Clyde suspicious. “What action would you suggest,
- then? he asked.
- </p>
- <p>
- “A vote of confidence in your Health Officer.”
- </p>
- <p>
- “You propose that we indorse the man who is responsible for a marked
- rise in our mortality figures?”
- </p>
- <p>
- “Certainly.”
- </p>
- <p>
- “In the name of all that’s absurd, why?”
- </p>
- <p>
- “Let me answer that by another question. If disease appears in your
- household, do you want your doctor to conceal it or check it?”
- </p>
- <p>
- Mr. Clyde took that under advisement. “You mean that this city has
- been concealing its diseases, and that Dr. Merritt, our new Health
- Officer, is only making known a condition which has always existed?”
- he asked presently.
- </p>
- <p>
- “Haven’t you just told me so?”
- </p>
- <p>
- “When did I tell you anything of the sort?” The younger man
- smiled. “That’s five questions in a row,” said he.
- “Time for an answer. You said that deaths from tuberculosis had
- increased twenty-five per cent since the new man came in.”
- </p>
- <p>
- “Well?”
- </p>
- <p>
- “You’re wrong. Tuberculosis doesn’t increase in sudden
- leaps. It isn’t an epidemic disease, rising and receding in waves.
- It’s endemic, a steady current.”
- </p>
- <p>
- “But look at the figures. Figures don’t lie, do they?”
- </p>
- <p>
- “Usually, in vital statistics,” was the imperturbable reply.
- “In this case, probably not. That is, they don’t lie to me. I’m
- afraid they do to you.” Mr. Clyde looked dubiously at the propounder
- of this curious suggestion and shook his head.
- </p>
- <p>
- “Don’t get it?” queried Dr. Strong. “Perhaps you
- recall the saying of Thoreau—I think it the profoundest
- philosophical thought of the New World—that it takes two to tell the
- truth, one to speak and one to hear it.”
- </p>
- <p>
- “You mean that we’ve misinterpreted the figures? Why, they’re
- as plain as two and two.”
- </p>
- <p>
- “Truth lies behind figures, not in them,” said Dr. Strong.
- “Now, you’re worried because of a startling apparent swelling
- of the tuberculosis rate. When you find that sort of a sudden increase, it
- doesn’t signify that there’s more tuberculosis. It signifies
- only that there’s more knowledge of tuberculosis. You’re
- getting the disease more honestly reported; that’s all. Dr. Merritt—did
- you say his name is?—has stirred up your physicians to obey the law
- which requires that all deaths be promptly and properly reported, and all
- new cases of certain communicable diseases, as well. Speaking as a doctor,
- I should say that, with the exception of lawyers, there is no profession
- which considers itself above the law so widely as the medical profession.
- Therefore, your Health Officer has done something rather unusual in
- bringing the doctors to a sense of their duty. As for reporting, you can’t
- combat a disease until you know where it is established and whither it is
- spreading. So, I say, any health officer who succeeds in spurring up the
- medical profession, and in dragging the Great White Plague out of its
- lurking-places into the light of day ought to have a medal.”
- </p>
- <p>
- “What about the other diseases? Is the same true of them?”
- </p>
- <p>
- “Not to the same extent. No man can tell when or why the epidemic
- diseases—scarlet fever, measles, whooping-cough, and diphtheria—come
- and go. By the way, what about your diphtheria death rate here?”
- </p>
- <p>
- “That is the exception to the rule. The rate is decreasing.”
- </p>
- <p>
- Dr. Strong brought his hand down flat on the table with a force which made
- his cup jump in its saucer. “And your misnamed Public Health League
- proposes to take some action against the man who is shown, by every
- evidence you’ve suggested thus far, to be the right man in the right
- place!”
- </p>
- <p>
- “How does the diphtheria rate show in his favor any more than the
- other death rates against him?”
- </p>
- <p>
- “Because diphtheria is the one important disease which your medical
- officer can definitely control, and he seems to be doing it.”
- </p>
- <p>
- “The only important one? Surely smallpox is controllable?”
- </p>
- <p>
- “Smallpox is the poisoned arrow of the fool-killer. It is
- controllable; but it isn’t important, except to fools and
- anti-vaccination bigots.”
- </p>
- <p>
- Mr. Thomas Clyde softly rubbed his cleanshaven chin, a sign and token with
- him that his mind was hard at work.
- </p>
- <p>
- “You’re giving me a new view of a city in which I’ve
- lived for the first and last forty-five years of my life,” he said
- presently. “Are you familiar with conditions here?”
- </p>
- <p>
- “Never have been here before, and have no reason to suppose that I
- shall ever return. Traveling at night is too much for me, so I stopped
- over to have a look at a town which has been rather notorious among public
- health officials for years.”
- </p>
- <p>
- “Notorious!” repeated Mr. Clyde, his local pride up in arms.
- </p>
- <p>
- “For falsifying its vital statistics. Your low mortality figures are
- a joke. Worthington has been more jeered at, criticized, and roasted by
- various medical conventions than any other city in the United States.”
- </p>
- <p>
- “Why, I’ve never seen anything of that sort in the papers.”
- </p>
- <p>
- Dr. Strong laughed. “Your newspapers print what you want to read;
- not what you don’t want to read. They follow the old adage, ‘What
- you don’t know won’t hurt you.’ It’s a poor
- principle in matters of hygiene.”
- </p>
- <p>
- “So one might suppose,” returned the host dryly. “Still
- you can scarcely expect a newspaper to run down its own city. I’ve
- known business to suffer for a year from sensational reports of an
- epidemic.”
- </p>
- <p>
- The other grunted. “If a pest of poisonous spiders suddenly bred and
- spread in Worthington, the newspapers would be full of it, and everybody
- would commend the printing of the facts as a necessary warning and
- safeguard. But when a pest of poisonous germs breeds and spreads, Business
- sets its finger to its lips and says, ‘Hush!’ and the
- newspapers obey. You’re a business man, I assume, Mr. Clyde?
- Frankly, I haven’t very much sympathy with the business point of
- view.”
- </p>
- <p>
- He rose and pushed his chair back.
- </p>
- <p>
- “Wait a moment,” said the other. “Sit down. I have
- something that may be of importance to suggest to you. It occurs to me
- that Worthington would be the better for having a man with your ideas as a
- citizen. Now, supposing the Public Health League should offer you—”
- </p>
- <p>
- “I am not at present in medical practice,” broke in the other.
- </p>
- <p>
- “Even at that, I was thinking that you would be of use as an
- advisory physician and scientific lookout.”
- </p>
- <p>
- For a moment, the other’s face brightened, an indication which Mr.
- Clyde was quick to note. But instantly the expression of eagerness died
- out.
- </p>
- <p>
- “Ten hours a day?” said Dr. Strong. “It couldn’t
- be done properly in less time. And I’m a mere nervous wreck, bound
- for the scrap-heap.”
- </p>
- <p>
- “Would you mind,” said Mr. Clyde very gently, “telling
- me what’s wrong? I’m not asking without a purpose.”
- </p>
- <p>
- Dr. Strong held out his long arms before him. “I’m a surgeon
- without a right hand, and a bacteriologist without a left.” The
- sinewy and pale hands shook a little. “Neuritis,” he
- continued. “One of the diseases of which we doctors have the most
- fear and the least knowledge.”
- </p>
- <p>
- “And with the loss of your occupation, general nervous collapse?”
- asked Mr. Clyde. Being himself a worker who put his heart into his work,
- he could guess the sterile hopelessness of spirit of the man banned from a
- chosen activity.
- </p>
- <p>
- Dr. Strong nodded. “I may still be fit for the lecture platform as a
- dispenser of other men’s knowledge. Or perhaps I’ll end up as
- medical watchdog to some rich man who can afford that kind of pet.
- Pleasing prospect, isn’t it, for a man who once thought himself of
- use in the world?”
- </p>
- <p>
- “Good idea,” said Mr. Clyde quietly. “Will you try the
- position with my family?”
- </p>
- <p>
- The other stared in silence at his questioner.
- </p>
- <p>
- “Just consider my situation for a moment. As you know, I’m a
- layman, interested in, but rather ignorant of, medical subjects. As wealth
- goes in a city of one hundred and fifty thousand population, I’m a
- rich man. At any rate, I can afford a considerable outlay to guard against
- sickness. In the last five years I suppose disease has cost my household
- ten thousand dollars in money, and has cost me, in worry and consequent
- incapacity for work, ten times that amount. Even at a large salary you
- would doubtless prove an economy. Come, what do you say?”
- </p>
- <p>
- “You know absolutely nothing of me,” suggested the other.
- </p>
- <p>
- “I know that you are a man of quick and correct judgment, for I saw
- you in action.” The other smiled. “You are, for reasons which
- are your own, not very expansive, as to your past professional career. I’m
- content with that attitude of yours, and I’m quite satisfied to base
- my offer on what I have been able to judge from your manner and talk.
- Without boasting, I may say that I have built up a great manufacturing
- plant largely on my judgment of men. I think I need you in my business of
- raising a family.”
- </p>
- <p>
- “How much of a family?”
- </p>
- <p>
- “Five children, their mother and their grandmother. I may warn you
- at once that you’ll have a jealous rival in Grandma. She’s the
- household guardian, and pretty ‘sot’ in her ideas. But the
- principal thing is for you to judge me as I’ve judged you, and
- determine whether we could work out the plan together.”
- </p>
- <p>
- Dr. Strong set his chin in one thin, cupped hand and gazed consideringly
- upon the profferer of this strange suggestion. He saw a strong-built,
- clear-skinned man, whose physical aspect did not suggest the forty-five
- years to which he had owned. Mr. Clyde recommended himself at first sight
- by a smooth-voiced ease of manner, and that unostentatious but careful
- fitness of apparel which is, despite wise apothegms to the contrary, so
- often an index of character. Under the easy charm of address, there was
- unobtrusively evident a quick intelligence, a stalwart self-respect, and a
- powerful will.
- </p>
- <p>
- Yet, the doctor noted, this man had been both ready and fair in yielding
- his judgment, under the suggestion of a new point of view. Evidently he
- could take orders as well as give them.
- </p>
- <p>
- “Well,” said Mr. Clyde, “have you appraised me?”
- </p>
- <p>
- The weary eyes of the other twinkled a little. “Physically you
- disclose some matters plainly enough, if one wishes to show off in the
- Sherlock Holmes manner. For instance, you’ve recently been in the
- tropics; your eyesight is better than your hearing, you drink lightly if
- at all, and don’t use tobacco in any form; you’ve taken up
- athletics—handball principally—in recent years, as the result
- of a bad scare you got from a threatened paralytic attack; and your only
- serious illness since then has been typhoid fever.”
- </p>
- <p>
- Mr. Clyde laughed outright. “If you had started our acquaintance
- that way,” he said, “I’d have thought you a
- fortune-teller. Part of it I can follow. You noticed that I kept my left
- ear turned, of course; and the fact that my nose shows no eyeglass marks
- would vouch for my eyesight. Did you judge me a non-smoker because I
- forgot to offer you a cigar—which deficiency I’ll gladly make
- up now, if it isn’t too late.”
- </p>
- <p>
- “Partly that—no, thank you. I’m not allowed to smoke—but
- principally because I noticed you disliked the odor of my hot milk. It is
- offensive, but so faint that no man without a very keen sense of smell
- would perceive it across a table; no tobacco-user preserves his sense of
- smell to any such degree of delicacy. As for the drink, I judged that from
- your eyes and general fitness.”
- </p>
- <p>
- “And the handball, of course, from my ‘cushioned’ palms.”
- </p>
- <p>
- “Obviously. A man at the heart of a great business doesn’t
- take up violent indoor exercise without some special reason. Such a reason
- I saw on the middle finger of your left hand.”
- </p>
- <p>
- Holding up the telltale member, Mr. Clyde disclosed a small dark area at
- the side of the first joint.
- </p>
- <p>
- “Leaky fountain-pen,” he remarked.
- </p>
- <p>
- “As you are right-handed naturally, but write with your left hand,
- it’s clear that you’ve had an attack of writer’s
- paralysis—”
- </p>
- <p>
- “Five years ago,” put in Mr. Clyde.
- </p>
- <p>
- “And that your doctor made good use of the salutary scare it gave
- you, to get you to take up regular exercise.”
- </p>
- <p>
- “And, incidentally, to cut out my moderate, occasional cocktail.
- Now, as to the tropics and the typhoid?”
- </p>
- <p>
- “The latter is a guess; the former a certainty. Under your somewhat
- sparse long hair in front there is an outcropping of very fine hairs. Some
- special cause exists for that new growth. The most likely cause, at your
- age, is typhoid. As you’ve kept in good training, it isn’t
- likely that you’d have had any other serious ailment recently. On
- that I took a chance. The small scars at the back of your ears could be
- nothing but the marks of that little pest of the tropics, the <i>bête
- rouge</i>. I’ve had him dug out of my skin and I know something of
- him.”
- </p>
- <p>
- “Right on every count,” declared Mr. Clyde. “You’ve
- given me cumulative proof of your value to me. I’ll tell you. Forget
- formalities. Let me ‘phone for a cab; we’ll go to your hotel, get
- your things, and you come back with me for the night. In the morning you
- can look the ground over, and decide, with the human documents before you,
- whether you’ll undertake the campaign.”
- </p>
- <p>
- The younger man smiled a very pleasant and winning smile. “You go
- fast,” said he. “And as in all fast motion, you create a
- current in your direction. Certainly, if I’m to consider your
- remarkable plan I’d best see the whole family. But there’s one
- probable and perhaps insurmountable obstacle. Who is your physician?”
- </p>
- <p>
- “Haven’t such a thing in the house, at present,” said
- Mr. Clyde lightly. Then, in a graver tone, “Our old family physician
- died six months ago. He knew us all inside and out as a man knows a
- familiar book.”
- </p>
- <p>
- “A difficult loss to replace. Knowledge of your patient is half the
- battle in medicine. You’ve had no one since?”
- </p>
- <p>
- “Yes. Six weeks ago, my third boy, Charley, showed signs of fever
- and we called a distant cousin of mine who has a large practice. He felt
- quite sure from the first that it was diphtheria; but he so managed
- matters that we had no trouble with the officials. In fact, he didn’t
- report it at all, though I believe it was a very light case of the
- disease.”
- </p>
- <p>
- Dr. Strong’s eyes narrowed. “At the outset, I’ll give
- you two bits of advice, gratis, Mr. Clyde. First, don’t ever call
- your doctor-cousin again. He’s an anarchist.”
- </p>
- <p>
- “Just what do you mean by that?”
- </p>
- <p>
- “It’s plain enough, isn’t it? Anarchist, I said: a man
- who doesn’t believe in law when it contravenes his convenience.”
- </p>
- <p>
- Mr. Clyde rubbed his chin again. “Hum,” he remarked. “Well!
- the second gift of advice?”
- </p>
- <p>
- “That you either respect the law yourself or resign the presidency
- of the Public Health League.” A distinct spot of red appeared on
- each of the elder man’s smooth cheeks. “Are you trying to
- provoke me to a quarrel?” he asked brusquely.
- </p>
- <p>
- Then his expression mollified. “Or are you testing me?”
- </p>
- <p>
- “Neither. I’m giving you my best and most honest advice. If
- you expect me to do as your substitute physician did, to guard your
- household in violation of the law which tries to protect the whole public
- equally, you’ve got the wrong man, and your boasted judgment has
- gone askew,” was the steady reply.
- </p>
- <p>
- Mr. Clyde turned and left the room. When he returned his hand was
- outstretched.
- </p>
- <p>
- “I’ve taken three swallows of cold air, and sent for a cab,”
- he said. “Shake hands. I think you and I will be friends. Only—train
- me a little gently at the outset. You’ll come with me?”
- </p>
- <p>
- “Yes,” said Dr. Strong, and the two men shook hands.
- </p>
- <p>
- During the drive Mr. Clyde expounded the virtues and characteristics of
- his native city to his new acquaintance, who was an excellent listener.
- Long afterward he found Dr. Strong acting on remembered and shrewdly
- analyzed information given in that first long talk. When they reached the
- big, rambling, many-windowed house which afforded the growing Clyde family
- opportunity to grow, the head of the household took his guest to an
- apartment in one of the wings.
- </p>
- <p>
- “These two rooms are yours,” he said. “I hope you’ll
- be like Coleridge who came to visit with one satchel and stayed five
- years.”
- </p>
- <p>
- “That remains to be seen to-morrow,” said Dr. Strong. “By
- the way, as I usually read myself to sleep, you might leave me some of
- your local health reports. Thus I can be looking the ground over.”
- </p>
- <p>
- “All I’ve got you’ll find on the shelf over the desk.
- Good-night!”
- </p>
- <p>
- Being of that type of man who does his thinking before and not after a
- decision, Mr. Thomas Clyde arose in the morning with an untroubled mind as
- to his new venture in household economics. Voices from the library
- attracted him thither, as he came downstairs, and, entering, he beheld his
- guest hedged in a corner by the grandmother of the Clyde household.
- </p>
- <p>
- “Don’t tell me, young man,” the old lady was saying, in
- her clear, determined voice. “You’ve not slept well for ages!
- I know that kind of an eye.”
- </p>
- <p>
- “Mrs. Sharpless has been diagnosing my case, Mr. Clyde,”
- called the guest, with a rather wry smile.
- </p>
- <p>
- “You stay here for a while,” said she vigorously, “and I’ll
- cocker you up. I don’t believe you even eat properly. Do you?”
- </p>
- <p>
- “Maybe not,” admitted the young man. “We doctors are
- sometimes less wise for ourselves than for others.”
- </p>
- <p>
- “Oh! So you’re a doctor?” asked the grandmother with a
- shrewd, estimating glance.
- </p>
- <p>
- “Dr. Strong is, I hope, going to stay with us awhile,”
- explained her son-in-law.
- </p>
- <p>
- “Good!” said Mrs. Sharpless. “And I’ll take care
- of him.”
- </p>
- <p>
- “It’s a strong inducement,” said Dr. Strong gracefully.
- “But I want a little more material on which to base a decision.”
- </p>
- <p>
- “Between us Grandma and I ought to be able to answer any questions,”
- said Mr. Clyde.
- </p>
- <p>
- “About sickness, then, in the family. I’ve already introduced
- myself to Mrs. Clyde and questioned her; but her information isn’t
- definite.”
- </p>
- <p>
- “Myra seldom is,” observed Mr. Clyde. “It’s part
- of her charm. But Grandma Sharpless has been keeping a daybook for years.
- Everything that’s ever happened, from the cat’s fits to the
- dressmaker’s misfits, is in that series. I’ve always thought
- it might come in handy sometime.”
- </p>
- <p>
- “Just the thing!” said Dr. Strong heartily. “Will you
- bring it, Mrs. Sharpless? I hope you’ve included your comment on
- events as well as the events themselves.”
- </p>
- <p>
- “My opinions are generally pronounced enough so that I can remember
- ‘em, young man,” returned Mrs. Sharpless, as she departed for
- the desired volumes.
- </p>
- <p>
- “That last remark of yours sounded a little like making fun of
- Grandma,” suggested Mr. Clyde, as the door closed after her.
- </p>
- <p>
- “Far from it,” retorted Dr. Strong quickly. “Can’t
- you see that she’s a born diagnostician? She’s got the sixth
- sense sticking out all over her. Women more often have it than men. When a
- doctor has it, and sometimes when he’s only able to counterfeit it,
- he becomes great and famous.”
- </p>
- <p>
- “Now that you speak of it, I remember my wife’s saying that
- when she was a girl and lived in the country, her mother was always being
- sent for in cases of illness.”
- </p>
- <p>
- Dr. Strong nodded. “Heretical though it is to say so, I would rather
- have the diagnosis of such a woman, in an obscure case, than of many a
- doctor. She learns in the school of experience.”
- </p>
- <p>
- Here, Mrs. Sharpless returned, carrying several diaries.
- </p>
- <p>
- “These go five years back,” said she. “You’ll find
- ‘em pretty complete. We’ve had our fair share of trouble;
- measles, whooping-cough,—I thought Betsy was going to bark her poor
- little head off,—mumps, and chicken-pox. I nursed ‘em through,
- myself.”
- </p>
- <p>
- “All of them?”
- </p>
- <p>
- “All of ‘em didn’t have all the things because Tom Clyde
- sent the rest away when one of ‘em came down. All nonsense, I say.
- Better let ‘em get it while they’re young, and have done with
- it.”
- </p>
- <p>
- “One of the worst of the old superstitions,” said Dr. Strong
- quietly.
- </p>
- <p>
- “Don’t tell me, young man! Doctor or no doctor, you can’t
- teach me about children’s diseases. There isn’t any of those
- measly and mumpy ones that I’m afraid of. Bobs <i>did</i> scare me,
- though, with that queer attack of his.”
- </p>
- <p>
- “Bobs,” explained Mr. Clyde, “is Robin, one of the
- eight-year-old twins.”
- </p>
- <p>
- “Tell me about the attack.”
- </p>
- <p>
- “When <i>was</i> it?” said the grandmother, running over the
- leaves of a selected diary. “Oh, here it is. Last March. It was
- short and sharp. Only lasted three days; but the child had a dreadful
- fever and pretty bad cramps.”
- </p>
- <p>
- “Anything else?”
- </p>
- <p>
- “Why, yes; though that idiot of a cousin of Tom’s snubbed me
- when I told him about it. The boy seemed kind of numb and slow with his
- hands for some time after.”
- </p>
- <p>
- “And now?” So sharp came the question that Mr. Clyde glanced
- at the speaker, not without apprehension.
- </p>
- <p>
- “Nothing left of it that I can see.”
- </p>
- <p>
- “What had you in mind?” asked Mr. Clyde of the doctor,
- curiously.
- </p>
- <p>
- “Speaking technically, anterior poliomyelitis.” Grandma
- Sharpless laughed comfortably. “I’ve noticed that a very long
- name like that usually means a sore toe or a pimple behind your ear. It’s
- the short names that bring the undertaker.”
- </p>
- <p>
- “Shrewdly said, but exception noted,” said Dr. Strong.
- </p>
- <p>
- “As for Bobs, I remember two cases I saw at Clinton years ago, like
- that attack of his. One of ‘em never walked afterward, and the other
- has a shriveled hand to this day.”
- </p>
- <p>
- Dr. Strong nodded. “To come down nearer to English, that’s
- infantile paralysis, one of the mysteries of medicine. I’ll tell you
- some things about it some day. Your Bobs had a narrow escape.”
- </p>
- <p>
- “You’re sure it is an escape?” asked the father
- anxiously.
- </p>
- <p>
- “If Mrs. Sharpless is satisfied that there’s no trace left, I
- am.”
- </p>
- <p>
- “Come in to breakfast,” said Mrs. Clyde, entering the room
- with a child attached to either hand. She was a tall, fair woman with the
- charm of fresh coloring and regular features, large, intelligent eyes, and
- a somewhat restless vigor and vitality. That her husband and children
- adored her was obvious. One had to look twice to perceive that she was
- over thirty; and even a careful estimate did not suggest her real age of
- thirty-seven.
- </p>
- <p>
- During the introductory meal, Dr. Strong talked mostly to her, but he kept
- watching the children. And when it was over, he went to his study and made
- an inventory, in the order of age.
- </p>
- <p>
- <a name="linkimage-0001" id="linkimage-0001"></a>
- </p>
-
- <p>
- This catalogue Dr. Strong put away, with Grandma Sharpless’s day
- books, for further notation and amplification. Then he made three visits:
- one to the Health Bureau, one to the Water Department, and one to the City
- Engineer’s office, where he spent much time over sundry maps. It was
- close upon dinner-time when he returned, and immediately looked up Mr.
- Clyde.
- </p>
- <p>
- “Well?” said that gentleman.
- </p>
- <p>
- “Assuming that I accept your offer it should be understood that I’m
- only a guardian, not, a physician.”
- </p>
- <p>
- “Meaning—”
- </p>
- <p>
- “That I shall expect, in emergency, to call in such physicians or
- others as I consider best equipped for the particular task.”
- </p>
- <p>
- “Very well. But why that phrase ‘or others’?”
- </p>
- <p>
- “I’ve suggested before that I am a heretic. In certain
- instances I might want an osteopath, or, if I were dealing with a sick
- soul causing a sick body, I might even send for a Christian Scientist.”
- </p>
- <p>
- “You have a refreshingly catholic breadth of view.”
- </p>
- <p>
- “I’m trying to map out for you, a rich man, as good treatment
- as a very poor man would have in a hospital—that is, the best
- technical advice for every hygienic emergency that may arise—plus
- some few extensions of my own. Now we come to what is likely to prove the
- stumbling-block.”
- </p>
- <p>
- “Set it up.”
- </p>
- <p>
- “If I’m to take this job, I must be the autocrat, in so far as
- my own department is concerned. As you know, a city health official’s
- powers are arbitrary. He can burn your house down; he can imprison you; he
- can establish a military régime; he can override or undo the laws which
- control the ordinary procedure of life. Hygienic law, like martial law,
- supersedes rights in crises. You are asking me to act as health officer of
- your house. If I’m to do my work, I must have full sway, and I shall
- expect you to see that every member of your household obeys my orders—except,”
- he added, with a twinkle, “Grandma Sharpless. I expect she’s
- too old to take orders from any one. Diplomacy must be my agent with her.”
- </p>
- <p>
- Mr. Clyde pondered. “That’s a pretty wide authority you’re
- asking.”
- </p>
- <p>
- “Yes, but I shall use it only in extreme cases. I shall deal
- extensively in advice and suggestion, which you may take or leave as you
- choose. But an order will mean a life or death matter.”
- </p>
- <p>
- “Agreed. Now, as to terms—”
- </p>
- <p>
- “Let the terms go, until we see how much I can save you. Meantime,
- don’t overestimate what I undertake to do. Suppose you just run
- through the roster of what you consider the danger points, and I’ll
- tell you how far I can promise anything.”
- </p>
- <p>
- “First, then, tuberculosis, of course.”
- </p>
- <p>
- “Practical immunity from that, as long as you maintain your present
- standards of life.”
- </p>
- <p>
- “Typhoid fever. As I told you, we’ve had one visitation.”
- </p>
- <p>
- “There’s no reason why you should ever have another if the
- children will take ordinary precautions.”
- </p>
- <p>
- “Diphtheria?”
- </p>
- <p>
- “We can’t guarantee the youngsters against getting it, though
- we can do something to protect them. And if they do get it, we can be
- pretty certain of pulling them through.”
- </p>
- <p>
- “Scarlet fever and measles?”
- </p>
- <p>
- “Why not add whooping-cough and influenza? The former kills as many
- people as either scarlet fever or measles, and the latter twice as many.
- They’re all in the same category; medical science is pretty near
- helpless against their onset. You and your family may be as rigidly
- careful as they will; if the family next door, or a family at the
- farthermost end of the town, is careless, we’re as likely as not to
- suffer for their sins. All that I can promise, then, is hope against the
- occurrence of these diseases, and the constant watchfulness, when they
- come, which they call for but don’t always get.”
- </p>
- <p>
- “Cancer?”
- </p>
- <p>
- “Eternal vigilance, again; so that, if it does come, we may discover
- it in time.”
- </p>
- <p>
- “Let me see,” mused Mr. Clyde; “what else is there? Oh—nervous
- and functional disorders.”
- </p>
- <p>
- “Functional disorders mean, usually, either a bad start, or the
- heritage of some disease like scarlet fever or grippe, or excess or
- carelessness in living. I think your household is free from them; and it
- should remain free. As for nervous ailments, they commonly mean lack of
- self-discipline. It may be overindulgence in work”—he glanced
- down at his right hand—“or it may be overindulgence in play.”
- His glance wandered significantly to the doorway, through which the voice
- of Mrs. Clyde could be heard. “By the way, you’ve left out the
- greatest destroyer of all—perhaps because you’re beyond the
- danger point.”
- </p>
- <p>
- “Tuberculosis is the greatest destroyer, isn’t it?”
- </p>
- <p>
- “Not numerically. It is beaten out by the death record of intestinal
- poisoning in the very young. Your flock has run the gamut and come through
- with undiminished vitality. Two of them, however, are running life’s
- race under a handicap”—the father’s eyelids went up—“which
- I’ll take up shortly, when I’ve fully determined the causes.
- They can be repaired, one readily, the other in time. Finally, I hope to
- be able to teach them the gospel of the sound, clean mind in the sound,
- clean body. In a desert I might guarantee immunity from most of the ills
- that flesh is heir to. Amid the complexities of our civilization, disease
- and death are largely social; there is no telling from what friend the
- poison may come. No man can safeguard his house. The most he can hope for
- is a measure of protection. I can offer you nothing more than that, under
- our compact.”
- </p>
- <p>
- “That is enough,” returned Mr. Clyde. He took from his inner
- pocket a folded paper, which he handed over to the young man. “There’s
- the contract, duly signed. Come in, Grandma.”
- </p>
- <p>
- Mrs. Sharpless, entering the door, stopped on seeing the two men.
- </p>
- <p>
- “Business, Tom?” she asked.
- </p>
- <p>
- “Business that you’re interested in,” said her
- son-in-law, and briefly outlined his plan.
- </p>
- <p>
- Grandma Sharpless shook a wise gray head. “I’m glad you’re
- going to stay, young man,” said she. “You need looking after.
- But as for the scheme, I don’t hold much with these new-fangled
- notions.”
- </p>
- <p>
- “Perhaps it isn’t as new-fangled as you suppose,”
- returned the head of the household. “I’ve just given Dr.
- Strong a contract, and where do you suppose I got it?”
- </p>
- <p>
- “That lawyer man of yours, probably,” said Mrs. Sharpless.
- </p>
- <p>
- “Well, he looked it over and made sure it was sound in American law.
- But essentially it’s a copy of a medical contract in force before
- Hippocrates ever rolled a pill. It’s the old logical Chinese form,
- whereby the doctor’s duty is prescribed as warding off sickness, not
- curing it. Is that old-fashioned enough for you, grandma?”
- </p>
- <p>
- “Chinese! My land!” said the old lady. “What do they
- know about sickness?”
- </p>
- <p>
- “They know the one most important fact in all medical practice, ma’am,”
- said Dr. Strong, “that the time for locking the stable door is
- before the horse is stolen, and that an ounce of prevention is worth a
- pound of cure.”
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0003" id="link2H_4_0003"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- II.—IN TIME OF PEACE
- </h2>
- <p class="pfirst">
- <span class="dropcap" style="font-size: 4.00em">“H</span>ow is the
- Chinese plan working?” asked Mr. Thomas Clyde, stretching himself on
- the lounge in Dr. Strong’s study.
- </p>
- <p>
- One week before, the doctor had been officially installed, on the Oriental
- principle of guarding the Clyde household against intruding sickness. In
- that time he had asked few questions. But Mr. Clyde, himself a close
- observer, noted the newcomer’s quietly keen observation of the
- children, and sometimes of Mrs. Clyde, as they met at mealtime. He had
- remarked, too, that the nervous tension of the man was relaxing; and
- guessed that he had found, in his new and unique employment, something of
- that panacea of the troubled soul, congenial work. Now, having come to Dr.
- Strong’s wing of the house by request, he smilingly put his
- question, and was as smilingly answered.
- </p>
- <p>
- “Your Chinese physician has been making what the Chinese call a
- ‘go-look-see.’ In other but less English terms, a reconnaissance.”
- </p>
- <p>
- “In what department?”
- </p>
- <p>
- “Earth, air, and water.” The other waved an inclusive hand.
- </p>
- <p>
- “Any results?”
- </p>
- <p>
- “Oh, all kinds. Preliminary report now ready. I’d like to make
- it a sort of family conference.”
- </p>
- <p>
- “Good idea! I’ll send for Mrs. Clyde and Grandma Sharpless.”
- </p>
- <p>
- “Children out of town?” inquired Dr. Strong suggestively.
- </p>
- <p>
- “Of course not. Oh, I see. You want us all. Servants, too?”
- </p>
- <p>
- “The cook certainly. She should be very important to our council of
- war. Perhaps we might leave the rest till later.”
- </p>
- <p>
- They gathered in the spacious study; and Grandma Sharpless glanced round
- approvingly.
- </p>
- <p>
- “It’s like family prayers,” she commented.
- </p>
- <p>
- “Concerted effort <i>is</i> a sort of prayer, if it’s honest,”
- said Dr. Strong gravely. “I’ve never had much of an opinion of
- the man who gets up in meeting to beg the Lord for sound health for
- himself and family and then goes home and sleeps with all his windows
- closed.”
- </p>
- <p>
- “There are no closed windows in this house,” said Grandma
- Sharpless emphatically. “I see to that, having been brought up on
- fresh air myself.”
- </p>
- <p>
- “You show it,” returned the doctor pleasantly.
- </p>
- <p>
- “And I’ve noticed that this house breathes deep at night,
- through plenty of open windows. So I can save my own breath on that topic.
- Just now I want to talk milk.”
- </p>
- <p>
- “All our milk comes from my farm,” said the head of the
- family. “Cows are my hobby. You ought to see the place, Strong; it’s
- only ten miles out.”
- </p>
- <p>
- “I have seen the place.”
- </p>
- <p>
- “What do you think of it?”
- </p>
- <p>
- “I think you’d better get your milk somewhere else for a
- while.”
- </p>
- <p>
- “Why, Dr. Strong!” protested Mrs. Clyde. “There isn’t
- a woman among my friends who doesn’t envy me our cream. And the milk
- keeps sweet—oh, for days, doesn’t it, Katie?”
- </p>
- <p>
- “Yes’m,” replied the cook. “Three days, or even
- four, in the ice-box.”
- </p>
- <p>
- “Doesn’t that show it’s pure?” asked Mrs. Clyde
- triumphantly.
- </p>
- <p>
- Dr. Strong shook his head. “Hardly proof,” he said. “Really
- clean milk will keep much longer. I have drunk milk from the Rochester
- municipal supply that was thirteen days old, and as sweet as possible. And
- that was in a hot August.”
- </p>
- <p>
- “Thirteen days old! I’d be ashamed to tell it!” declared
- Grandma Sharpless, with so much asperity that there was a general laugh,
- in which the doctor joined.
- </p>
- <p>
- “I shouldn’t care to try it with your milk. It is rich, but it
- isn’t by any means pure. Eternal vigilance is the price of good
- milk. I don’t suppose you inspect your farm once a month, do you,
- Mr. Clyde?”
- </p>
- <p>
- “No; I leave that to the farmer. He’s an intelligent fellow.
- What’s wrong?”
- </p>
- <p>
- “Scientifically speaking, from 300,000 to 500,000 bacteria per cubic
- centimeter.”
- </p>
- <p>
- “Do we drink all those things when we have a glass of milk, Dr.
- Strong?” inquired “Manny” Clyde, the oldest boy.
- </p>
- <p>
- “Four or five times that many for every teaspoonful,” said the
- doctor. “But it isn’t as bad as it sounds, Manny. One hundred
- thousand is considered a fairly safe allowance, though <i>very</i> good
- milk—the kind I drank when it was thirteen days old—may
- contain only two or three thousand. When the count runs up to half a
- million or so, it shows that some kind of impurity is getting in. The
- bacteria in your milk may not be disease germs at all; they may all be
- quite harmless varieties. But sooner or later, if dirt gets into milk,
- dangerous germs will get in with it. The high count is a good danger
- signal.”
- </p>
- <p>
- “If Bliss, the farmer, has been allowing dirt to get into the milk,
- he’ll find himself out of a place,” said Mr. Clyde decisively.
- </p>
- <p>
- “Don’t be too hard on him,” advised the doctor. “His
- principal fault is that he’s getting the milk dirty trying to keep
- it clean. He is washing his cans with water from an open well near the
- barnyard. The water in the well is badly contaminated from surface
- drainage. That would account for the high number of bacteria; that and
- careless milking.”
- </p>
- <p>
- “And on that account you advise me to give up the milk?” asked
- Mr. Clyde.
- </p>
- <p>
- “Only temporarily. There are other more immediate considerations.
- For one thing, there are both diphtheria and typhoid near by, and the
- people on the farm are in contact with them. That’s dangerous. You
- see, milk under favorable conditions is one of the best cultures for germs
- that is known. They flourish and multiply in it past belief. The merest
- touch of contamination may spread through a whole supply, like fire
- through flax. One more thing: one of your cows, I fear, is tuberculous.”
- </p>
- <p>
- “We might pasteurize, I suppose,” suggested Mrs. Clyde
- anxiously.
- </p>
- <p>
- Dr. Strong returned a decisive negative. “Pasteurized milk is better
- than poisoned milk,” he said; “but it’s a lot worse than
- good raw milk. Pasteurizing simply means the semi-cooking of all the
- varieties of germs, good and bad. In the process of cooking, some of the
- nutritive quality is lost. To be sure, it kills the bad germs, but it also
- kills the good ones.”
- </p>
- <p>
- “Do you mean that some of the germs are actually useful?”
- asked Mrs. Clyde.
- </p>
- <p>
- “Very useful, in certain rôles. For example, the lactic acid
- bacteria would be unpopular with you, Mrs. Clyde, because they are
- responsible for the souring of milk. But they also perform a protective
- work. They do their best to destroy any bacilli of disease which may
- invade their liquid home. Now, when you pasteurize, you kill all these
- millions of defenders; and any hostile germs that come along afterward and
- get into the milk, through dust or other mediums, can take possession and
- multiply without hindrance. Therefore pasteurized milk ought to be guarded
- with extra care after the process, which it seldom is. I once visited a
- large pasteurizing plant which made great boasts of its purity of product,
- and saw flies coming in from garbage pail and manure heap to contaminate
- the milk in the vats; milk helpless to protect itself, because all its
- army of defense had been boiled to death.”
- </p>
- <p>
- “If we are allowed neither to use our farm milk raw nor to
- pasteurize it, what shall we do with it?” inquired Mr. Clyde.
- </p>
- <p>
- “Full directions are in there,” answered Dr. Strong, pointing
- to an envelope on his desk. “If you’ll look over what I’ve
- written, and instruct your farmer to follow it out, you’ll have milk
- that is reasonably good. I’ll go further than that; it will be even
- good enough to give to the babies of the tenements, if you should have any
- left over.”
- </p>
- <p>
- Mr. Thomas Clyde proceeded to rub his chin, with some degree of
- concentration, whereby Dr. Strong knew that his hint had struck in.
- </p>
- <p>
- “Meantime,” said Mrs. Clyde, with a trace of sarcasm, “do
- you expect us to live on condensed milk?”
- </p>
- <p>
- “Not at all; on certified milk.”
- </p>
- <p>
- “What’s that mean?” asked Miss Julia, who had a thirst
- for information.
- </p>
- <p>
- “What’s a certificate, Junkum?” retorted the doctor.
- </p>
- <p>
- “That’s what I get when I pass my examinations.”
- </p>
- <p>
- “Right! Well, milk coming from a farm that passes all its
- examinations gets a certificate from the Medical Society, which keeps a
- pretty constant watch over it. The society sees that all the cattle are
- tested for tuberculosis once in so often; that the cows are brushed off
- before milking; that the milking is done through a cloth, through which no
- dirt or dust can pass, into a can that has been cleaned by steam—not
- by contaminated water—so that no germs will remain alive in it; then
- cooled and sealed up and delivered. From the time the milk leaves the cow
- until it comes on your table, it hasn’t touched anything that isn’t
- germ-proof. That is the system I have outlined in the paper for your
- farmer.”
- </p>
- <p>
- “It sounds expensive,” commented Mrs. Clyde.
- </p>
- <p>
- “Yes; that is the drawback. Certified milk costs from fifteen to
- twenty cents a quart. But when you consider that nearly half the dead
- babies were poisoned by bad milk it doesn’t seem so expensive, does
- it?”
- </p>
- <p>
- “All very well for us,” said Mr. Clyde thoughtfully. “We
- can afford it. But how about the thousands who can’t?”
- </p>
- <p>
- “There’s the pity of it. Theoretically every city should
- maintain a milk standard up to the requirements of the medical
- certification, and allow no milk to be sold which falls short of that. It’s
- feasible, and it could be done at a moderate price if we could educate the
- farmer to it. Copenhagen’s milk supply is as good as the best
- certified milk in this country, because the great Danish Milk Company
- cooperates with the farmer, and doesn’t try to make huge profits;
- and its product sells under five cents a quart. But, to answer your
- question, Mr. Clyde: even a family of very moderate means could afford to
- take enough certified milk for the baby, and it would pay in doctor’s
- bills saved. Older children and grown-ups aren’t so much affected by
- milk.”
- </p>
- <p>
- “I’ll go out to the farm to-morrow,” said Mr. Clyde.
- “What’s next?”
- </p>
- <p>
- “Water, Mr. Clyde. I’ve found out where you got your typhoid,
- last summer.”
- </p>
- <p>
- “Pooh! I could have told you that,” said Mrs. Sharpless.
- “There was sewer-gas in the house. It smelled to heaven the day
- before he was taken down.”
- </p>
- <p>
- “Isn’t it curious how our belief in ghosts sticks to us!”
- commented the doctor, chuckling,—“malaria rising from swamps;
- typhoid and diphtheria rising in sewer-gas; sheeted specters rising from
- country graveyards—all in the same category.” Grandma
- Sharpless pushed her spectacles up on her forehead, a signal of battle
- with her. “Do you mean to tell me, young man, that there’s no
- harm in sewer-gas?”
- </p>
- <p>
- “Far from it! There’s harm enough in sewer-gas, but no germs.
- The harm is that the gas reduces vitality, and makes one more liable to
- disease attack. It’s just as true of coal-gas as of sewer-gas, and
- more true of ordinary illuminating gas than either. I’d much rather
- have bad plumbing in the house than even a small leak in a gas-pipe. No,
- Mrs. Sharpless, if you waited all day at the mouth of a sewer, you’d
- never catch a germ from the gas. Moreover, typhoid doesn’t develop
- under ten days, so your odorous outbreak of the day before could have had
- nothing to do with Mr. Clyde’s illness.”
- </p>
- <p>
- “Perhaps you’ll give us <i>your</i> theory,” said the
- old lady, with an elaboration of politeness which plainly meant, “And
- whatever it is, I don’t propose to believe it.”
- </p>
- <p>
- “Not mine, but the City Water Commissioner’s. Mr. Clyde’s
- case was one of about eighty, all within a few weeks of each other. They
- were all due to the criminal negligence of a city official who permitted
- the river supply, which isn’t fit to drink and is used only for fire
- pressure, to flood into the mains carrying the drinking supply.”
- </p>
- <p>
- “Then why didn’t the whole city get typhoid?” asked Mr.
- Clyde.
- </p>
- <p>
- “Because only a part of the system was flooded by the river water.
- The problem of the city’s experts was to find out what part was
- being contaminated with this dilute sewage. When the typhoid began to
- appear, the Health Department, knowing the Cypress supply to be pure,
- suspected milk. Not until a score of cases, showing a distribution
- distinct from any milk supply, had appeared, was suspicion directed to the
- water supply. Then the officials of the Water Department and Health
- Department tried a very simple but highly ingenious test. They dumped a
- lot of salt into the intake of the river supply, and tested hydrant after
- hydrant of the reservoir supply, until they had a complete outline of the
- mixed waters. From that it was easy to ascertain the point of mixture, and
- stop it.”
- </p>
- <p>
- “Our river water is always bad, isn’t it?” said Mr.
- Clyde. “Last summer I had to keep Charley away from swimming-school
- because the tank is filled from the river, and two children got typhoid
- from swallowing some of it.”
- </p>
- <p>
- “All foolishness, I say,” announced the grandmother. “Better
- let ‘em learn to swim.”
- </p>
- <p>
- “Can’t you swim at all?” asked Dr. Strong, turning to
- the seven-year-old.
- </p>
- <p>
- “I went five strokes once,” said Charley. “Hum-m-m! Any
- other swimming-school near by?”
- </p>
- <p>
- “No.”
- </p>
- <p>
- “And are the children about water at all?” Dr. Strong asked
- the mother.
- </p>
- <p>
- “Well; there are the canal and the river both near us, you know.”
- </p>
- <p>
- “Then it comes down to this,” said the doctor. “The
- liability of typhoid from what water Charley would swallow in the tank isn’t
- very great. And if he should get it, the chances are we could pull him
- through. With the best care, there should be only one chance in fifty of a
- fatal result. But if Charley falls in the canal and, not knowing how to
- swim, is drowned, why, that’s the end of it. Medical science is no
- good there. Of two dangers choose the lesser. Better let him go on with
- the swimming, Mrs. Clyde.”
- </p>
- <p>
- “Well!” said Grandma Sharpless, “I—I—I—swanny!”
- This was extreme profanity for her. “Young man, I’m glad to
- see for once that you’ve got sense as well as science!”
- </p>
- <p>
- “Do you consider the Cypress supply always safe to drink? Several
- times it has occurred to me to outfit the house with filters,” said
- Mr. Clyde.
- </p>
- <p>
- “No need, so long as the present Water Department is in office,”
- returned Dr. Strong. “I might almost add, no use anyway.”
- </p>
- <p>
- “Isn’t filtered water good?” asked Manny. “They
- have it at the gymnasium.”
- </p>
- <p>
- “No house filter is absolutely sure. There’s just one way to
- get a guaranteeable water: distill it. But I think you can safely use the
- city supply.”
- </p>
- <p>
- “What next, the water problem being cleared up?” asked Mr.
- Clyde.
- </p>
- <p>
- “By no means cleared up. Assuming that you are reasonably
- safeguarded at home, you’re just as likely—yes, even more
- likely—to pick up typhoid somewhere else.”
- </p>
- <p>
- “Why more likely?”
- </p>
- <p>
- “For some mysterious reason a man accustomed to a good water supply
- is the easiest victim to a bad. Pittsburg, for many years the most
- notorious of American cities for filthy drinking, is a case in point. Some
- one pointed out that when Pittsburg was prosperous, and wages high, the
- typhoid rate went up; and when times were hard, it went down. Dr. Matson,
- of the Health Bureau, cleared up that point, by showing that the increase
- in Pittsburg’s favorite disease was mainly among the newcomers who
- flocked to the city when the mills were running full time, to fill the
- demand for labor. An old resident might escape, a new one might hardly
- hope to. Dr. Matson made the interesting suggestion that perhaps those who
- drank the diluted sewage—for that is what the river water was—right
- along, came, in time, to develop a sort of immunity; whereas the newcomer
- was defenseless before the bacilli.”
- </p>
- <p>
- “Then a man, in traveling, ought to know the water supply of every
- city he goes to. How is he to find out?”
- </p>
- <p>
- “In your case, Mr. Clyde, he’s to find out from his Chinese
- doctor,” said the other smiling. “I’m collecting data
- from state and city health boards, on that and other points. Air will now
- come in for its share of attention.”
- </p>
- <p>
- Young Manny Clyde grinned. “What’s the use, Dr. Strong?”
- he said. “Nothing to breathe but air, you know.”
- </p>
- <p>
- “True enough, youngster; but you can pick your air to some extent,
- so it’s worth while to know where it’s good and where it’s
- bad. Take Chicago, for instance. It has a very high pneumonia rate, and no
- wonder! The air there is a whirling mass of soot. After breathing that
- stuff a while, the lungs lose something of their power to resist, and the
- pneumococcus bacillus—that’s the little fellow that brings
- pneumonia and is always hanging about, looking for an opening in
- unprotected breathing apparatus—gets in his deadly work. Somewhere I’ve
- seen it stated that one railroad alone which runs through Chicago deposits
- more than a ton of cinders per year on every acre of ground bordering on
- its track. Now, no man can breathe that kind of an atmosphere and not feel
- the evil effects. Pittsburg is as bad, and Cincinnati and Cleveland aren’t
- much better. We save on hard coal and smoke-consumers, and lose in disease
- and human life, in our soft-coal cities. When I go to any of them I pick
- the topmost room in the highest hotel I can find, and thus get above the
- worst of it.”
- </p>
- <p>
- “Don’t tell me that New York is unfit to breathe in!”
- said Mrs. Clyde, with a woman’s love for the metropolis.
- </p>
- <p>
- “Thus far it’s pretty clean. The worst thing about New York is
- that they dry-sweep their streets and throw all the dust there is right in
- your face. The next worst is the subway. When analysis was made of the
- tube’s air, the experimenters were surprised to find very few germs.
- But they were shocked to find the atmosphere full of tiny splinters of
- steel. It’s even worse to breathe steel than to breathe coal.”
- </p>
- <p>
- “Any railroad track must be bad, then,” said Mr. Clyde.
- </p>
- <p>
- “Not necessarily. A steam railroad track runs mostly in the open,
- and that great cleaner, the wind, takes care of most of the trouble it
- stirs up. By the way, the cheaper you travel, the better you travel.”
- </p>
- <p>
- “That sounds like one of those maxims of the many that only the few
- believe,” remarked Mrs. Clyde.
- </p>
- <p>
- “You won’t practice it, but you can safely believe it,”
- retorted the doctor. “The atmosphere in a day coach is always better
- than in a parlor car, because there’s an occasional direct draft
- through. As for a sleeping-car,—well, I never get into one without
- thinking of the definition in ‘Life’s’ dictionary:
- ‘Sleeping-Car—An invention for the purpose of transporting bad
- air from one city to another.’”
- </p>
- <p>
- “The poor railroads!” chuckled Mr. Clyde. “They get
- blamed for everything, nowadays.”
- </p>
- <p>
- “It may not be the Pullman Company’s fault that I don’t
- sleep well in traveling, but they are certainly to blame for clinging to a
- type of conveyance specially constructed for the encouragement of dirt and
- disease. Look at the modern sleeping-car: heavy plush seats; soft
- hangings; thick carpets; fripperies and fopperies all as gorgeous, vulgar,
- expensive, tawdry, and filthy as the mind of man can devise. Add to that,
- windows hermetically sealed in the winter months and you’ve got an
- ideal contrivance for the encouragement of mortality. Never do I board a
- sleeper without a stout hickory stick in my suit-case. No matter how low
- the temperature is, I pry the window of my lower berth open, and push the
- stick under.”
- </p>
- <p>
- “And sleep in that cold draft!” cried Mrs Clyde.
- </p>
- <p>
- “My dear Mrs. Clyde,” replied the doctor suavely, “will
- you tell me the difference between a draft and a wind?”
- </p>
- <p>
- “Is it a conundrum?”
- </p>
- <p>
- “No; but I’ll answer it for you. A draft is inside a house; a
- wind outside. You’re not afraid of wind, are you?”
- </p>
- <p>
- “Of course not.”
- </p>
- <p>
- “Then to you an air-current is like a burglar. It’s harmless
- enough outside the room, but as soon as it comes through a window and gets
- into the room, it’s dangerous.”
- </p>
- <p>
- “Sound common sense!” put in Granny Sharpless. “Young
- man, I believe you’re older than you look.”
- </p>
- <p>
- “I’m old enough to know that pure air is better than foul warm
- air, anyway. Here; I want you youngsters to understand this,” he
- added, turning to the children. “When the blood has circulated
- through the system, doing all the work, it gets tired out and weak. Then
- the lungs bring air to it to freshen it up, and the oxygen in the air
- makes it strong to fight against disease and cold. But if the air is bad,
- the blood becomes half starved. So the man who breathes stuffy, close air
- all night hasn’t given his blood the right supply. His whole system
- is weakened, and he ‘catches cold,’ not from too much air, but
- too little.”
- </p>
- <p>
- “It’s often struck me,” said Mr. Clyde, “that I
- feel better traveling in Europe than in America. Yet our Pullmans are
- supposed to be the best in the world.”
- </p>
- <p>
- “The worst!” declared Dr. Strong forcefully. “The best
- in luxuries, the worst in necessities. The only real good and fairly
- sanitary cars operated by the Pullman Company, outside of the high-priced
- stateroom variety, are the second class transcontinentals, the tourist
- cars. They have straw seats instead of plush; light hangings, and, as a
- rule, good ventilation. If I go to the Pacific Coast again, it will be
- that way.”
- </p>
- <p>
- There was a pause, in which rose the clear whisper of Bobs, appealing to
- his mentor, Julia, for information.
- </p>
- <p>
- “Say, Junkum, how did we get so far away from home?”
- </p>
- <p>
- “High time we came back, isn’t it, Bobs?” approved the
- doctor. “Well, suppose we return by way of the school-house. All of
- you go to Number Three but Betsey, don’t you?”
- </p>
- <p>
- “And I’m go-un next year,” announced that young lady.
- </p>
- <p>
- “Perhaps not,” said Mrs. Clyde. “Don’t you think,
- Doctor, that children are liable to catch all sorts of things in the
- public schools?”
- </p>
- <p>
- “Unquestionably.”
- </p>
- <p>
- “More so than in private schools, aren’t they?”
- </p>
- <p>
- “Hum! Well, yes; since they’re brought into contact with a
- more miscellaneous lot of comrades.”
- </p>
- <p>
- “Which is exactly why I have insisted on our sticking to the regular
- schools,” put in Mr. Clyde, with the air of quiet decisiveness.
- “I want our children to be brought up like other children!”
- The mother shook her head dubiously. “I wish I were sure it is the
- right place for them.”
- </p>
- <p>
- “You ought to be sure. I might even say—if you will forgive
- the implied criticism—that you ought to be surer than you are.”
- </p>
- <p>
- Alarmed at his tone, the mother leaned forward. “Is there anything
- the matter at Number Three?”
- </p>
- <p>
- “Several things. Nothing that you need worry about immediately,
- however. I’ve been talking with some of the teachers, and found out
- a few points. Charley’s teacher, for instance, tells me that she has
- a much harder time keeping the children up to their work in the winter
- term than at other times.”
- </p>
- <p>
- “I remember Charley’s tantrums over his arithmetic, last
- winter,” said Grandma Sharpless.
- </p>
- <p>
- “My head felt funny. Kinder thick,” defended Charley.
- </p>
- <p>
- “That is bad,” said Dr. Strong, “very bad. I’ve
- reported the teacher in that grade to Dr. Merritt, the Health Officer.”
- </p>
- <p>
- “Reported teacher?” said Charley, his eyes assuming a
- prominence quite startling. “What for?”
- </p>
- <p>
- “Starving her grade.”
- </p>
- <p>
- Mrs. Clyde fairly bounced in her chair. “Our children are not
- supposed to eat at school, Dr. Strong.”
- </p>
- <p>
- “Starving her grade,” continued the doctor, “in the most
- important need of the human organism, air.”
- </p>
- <p>
- “How do you reach that conclusion?”
- </p>
- <p>
- “Evidence and experience. I remember in my college days that the
- winter term was considered to be the most difficult in every year. The
- curriculum didn’t seem to show it, but every professor and every
- undergraduate knew it. Bad air, that’s all. The recitation rooms
- were kept tightly closed. The human brain can’t burn carbon and get
- a bright flame of intelligence without a good draft, and the breathing is
- the draft. Now, on the evidence of Charley’s teacher, when winter
- comes percentages go down, although the lessons are the same. So I asked
- her about the ventilation and found that she had a superstitious dread of
- cold.”
- </p>
- <p>
- “I remember Miss Benn’s room,” said Julia thoughtfully.
- “It used to get awful hot there. I never liked that grade anyway,
- and Bobs got such bad deportment marks.”
- </p>
- <p>
- “Both of the twins had colds all the winter they were in that room,”
- contributed Grandma Sharpless.
- </p>
- <p>
- Up went Dr. Strong’s hands, the long fingers doubled in, in a
- curious gesture which only stress of feeling ever drove him to use.
- </p>
- <p>
- “‘When will the substitute mothers and fathers who run our
- schools learn about air!” he cried. “Air! It’s the first
- cry of the newly born baby. Air! It’s the last plea of the man with
- the death-rattle in his throat. It’s the one free boon, and we shut
- it out. If I’m here next winter, I think I’ll load up with
- stones and break some windows!”
- </p>
- <p>
- “Lemme go with you!” cried Charley, with the eagerness of
- destruction proper to seven years. “On the whole, Charley,”
- replied the other, chuckling a little, “perhaps it’s better to
- smash traditions. Not easier, but better.”
- </p>
- <p>
- “But you wouldn’t have them study with all the windows open on
- a zero day!” protested Mrs. Clyde.
- </p>
- <p>
- “Wouldn’t I! Far rather than choke them in a close room! Why,
- in Chicago, the sickly children have special classes on the roof, or in
- the yards, all through the cold weather. They study in overcoats and
- mittens. And they <i>learn</i>. Not only that, but they thrive on it.”
- </p>
- <p>
- Mr. Clyde was rubbing his chin hard. “Perhaps our school system isn’t
- all I bragged,” he observed.
- </p>
- <p>
- “Not in all respects. You still stick to that relic of barbarism,
- the common drinking-cup, after filtering your water. That’s a joke!”
- </p>
- <p>
- “I don’t see the point,” confessed Mr. Clyde. “Whom
- is the joke on?”
- </p>
- <p>
- “All of you who pay for the useless filters and then settle doctors’
- bills for the disease spread by the drinking-cups. Don’t you
- understand that in the common contagious diseases, the mouth is the danger
- point? Now, you may filter water till it’s dry, but if in drinking
- it you put your lips to a cup soiled by the touch of diseased lips, you’re
- in danger. We think too much of the water and too little of what contains
- it. I’ve seen a school in Auburn, New York, and I’ve seen a
- golf course at the Country Club in Seattle, where there isn’t a
- glass or cup to be found; and they have two of the best water supplies I
- know. A tiny fountain spouts up to meet your lips, and your mouth touches
- nothing but the running water. The water itself being pure, you can’t
- possibly get any infection from it.”
- </p>
- <p>
- “Can you get me a report on that for the Board of Education?”
- asked Mr. Clyde.
- </p>
- <p>
- “It’s already here,” said Dr. Strong quietly. “That
- is part of my Chinese job of watch-dog. One other matter. A teacher in
- another grade, at Number Three, with whom I talked, stood with a pencil,
- which she had taken from one of her scholars, pressed to her lips. While
- we talked she gave it back to the child.”
- </p>
- <p>
- “Well, land sakes!” said Grandma Sharpless, “where’s
- the harm? I suppose the poor girl was clean, wasn’t she?”
- </p>
- <p>
- “How do I know? How does anybody know? There is a case on record
- where a teacher carried the virulent bacilli of diphtheria in her throat
- for three months. Suppose she had been careless about putting her lips to
- the various belongings of the children. How many of them do you suppose
- she would have killed with the deadly poison?”
- </p>
- <p>
- “Didn’t she know she had diphtheria?” asked Junkum,
- wide-eyed.
- </p>
- <p>
- “She hadn’t, dear. She was what we call a ‘carrier’
- of disease. For some reason which we can’t find out, a ‘carrier’
- doesn’t fall ill, but will give the disease to any one else as
- surely as a very sick person, if the germs from the throat reach the
- throat or lips of others.”
- </p>
- <p>
- “Some lectures on hygiene might not be amiss in Number Three,”
- said Mr. Clyde.
- </p>
- <p>
- “That’s what medical school inspectors are for—to teach
- the teachers. The Board of Education should be getting it started.”
- </p>
- <p>
- “What are you doing over there, Twinkles?” said Mr. Clyde to
- Bettina, who had slipped from his knee and was sliding her chubby fist
- along the window-pane.
- </p>
- <p>
- The child looked around. “Thwat that fly,” she explained with
- perfect seriousness.
- </p>
- <p>
- “She has heard the other children talking about the fly-leaflets
- that have been scattered around. Where’s the fly, Toodles?”
- </p>
- <p>
- “Up they-arr,” replied Bettina, pointing to a far corner of
- the pane where a big “green-bottle” bumped its head against
- the glass. “Come down, buzzy fly.”
- </p>
- <p>
- “Now, where,” cried Mrs. Clyde, in despair, “do you
- suppose that wretched creature came from? I’m so particular always
- to keep the rooms screened and darkened.”
- </p>
- <p>
- “Please’m, it might have come from the kitchen,”
- suggested Katie. “There’s a plenty of ‘em there.”
- </p>
- <p>
- “And before that it came from your next-door neighbor’s
- manure-heap,” added Dr. Strong. “That particular kind of fly
- breeds only in manure. The fact is that the fly is about the nastiest
- thing alive. Compared to it, a hog is a gentleman, and a vulture an
- epicure. It loves filth, and unhappily, it also loves clean, household
- foods. Therefore the path of its feet is direct between the two—from
- your neighbor’s stable-yard to your dinner-table.”
- </p>
- <p>
- “Disgusting!” cried Mrs. Clyde.
- </p>
- <p>
- “Worse than disgusting: dangerous,” returned Dr. Strong,
- unmoved by her distaste. “A fly’s feet are more than likely to
- be covered with disease-bearing matter, which he leaves behind him.”
- </p>
- <p>
- “Something ought to be done about Freeman’s manure-heap, next
- door. I’ll see to it,” announced Mr. Clyde.
- </p>
- <p>
- “Doubtless you could report him for maintaining a nuisance,”
- admitted Dr. Strong; “in which case he might—er—conceivably
- retort upon you with your unscreened garbage-pails, which are hatcheries
- for another variety of fly.”
- </p>
- <p>
- “That’s a beam in the eye for you, Tom,” said Grandma
- Sharpless.
- </p>
- <p>
- “Meantime I’ll have the kitchen windows and doors screened at
- once,” declared Mrs. Clyde.
- </p>
- <p>
- “That will help,” said Dr. Strong, “though it won’t
- cure. You can gain some idea, from this matter of the flies, how intricate
- a social problem health really is. No man sins to himself alone, in
- hygiene, and no man can thoroughly protect himself against the misdeeds of
- his neighbor. It’s true that there is such a thing as individual
- self-defense by a sort of personal fortifying of the body—I’ll
- take that up some other time—but it’s very limited. You can
- carry the fight into the enemy’s country and eradicate the evil
- conditions that threaten all, only by identifying yourself with your
- environment, and waging war on that basis. Mr. Clyde, do you know anything
- about the row of wooden tenements in the adjoining alley?”
- </p>
- <p>
- “Saddler’s Shacks? Not much, except that a lot of Italians
- live there.”
- </p>
- <p>
- “Some live; some die. The whole settlement is a scandal of
- overcrowding, dirt, and disease. I’ve made out a little local health
- report of the place, for the year. Of course, it’s incomplete; but
- it’s significant. Look it over.”
- </p>
- <p>
- Mr. Clyde read aloud as follows:—
- </p>
- <p>
- <a name="linkimage-0002" id="linkimage-0002"></a>
- </p>
-
- <p>
- “What do you think of it?” asked Dr. Strong.
- </p>
- <p>
- “It’s a bad showing.”
- </p>
- <p>
- “It’s a bad showing and a bad property. Why don’t you
- buy it?”
- </p>
- <p>
- “Who? I? Are you advising me to buy a job-lot of diseases?”
- queried Mr. Clyde.
- </p>
- <p>
- “Well—as a protective investment. We’d be safe here if
- those tenements were run differently.”
- </p>
- <p>
- “But we aren’t in touch with them at all. They are around the
- corner on another block.”
- </p>
- <p>
- “Nevertheless, visitors pass daily between your house and Saddler’s
- Shacks. One of the young men from there delivers bread, often with his
- bare and probably filthy hands. Two of the women peddle fruit about the
- neighborhood. What Saddler’s Shacks get in the way of disease, you
- may easily get by transmission from them. Further, the sanitary
- arrangements of the shacks are primitive, not to say prehistoric, and,
- incidentally, illegal. They are within the area of fly-travel from here,
- so both the human and the winged disease-bearers have the best possible
- opportunity to pick up infection in its worst form.”
- </p>
- <p>
- “Ugh!” said Mrs. Sharpless. “I’ll never eat with a
- fly again as long as I live!”
- </p>
- <p>
- “Wouldn’t it be a simple matter to have the Bureau of Health
- condemn the property?” asked Mr. Clyde.
- </p>
- <p>
- “It would not.” Dr. Strong spoke with curt emphasis.
- </p>
- <p>
- “Certain features, you said, are illegal.”
- </p>
- <p>
- “But pull is still stronger than law in this city.”
- </p>
- <p>
- “Who owns Saddler’s Shacks?” asked Grandma Sharpless,
- going with characteristic directness to the point.
- </p>
- <p>
- “Mrs. Carson Searle.”
- </p>
- <p>
- “Why, then, it’s all right,” asserted Mrs. Clyde.
- “I know Mrs. Searle very well. She’s a leader in church and
- charitable work. Of course, she doesn’t know about the condition of
- the property.”
- </p>
- <p>
- “She knows enough about it,” retorted Dr. Strong grimly,
- “to go to the Mayor over the Health Officer’s head, and put a
- stop to Dr. Merritt’s order for the premises to be cleaned up at the
- owner’s expense. She wants her profits undisturbed. And now, before
- the conference breaks up, I propose that we organize the Household
- Protective Association.”
- </p>
- <p>
- “Oh, can we children belong?” cried Julia.
- </p>
- <p>
- “Of course. There are offices and honors enough for all. Mr. Clyde
- shall be president; Mrs. Sharpless, vice-president and secretary; Mrs.
- Clyde, treasurer, and each one of the rest of you shall have a committee.
- Katie, I appoint you chairman of the Committee on Food, and if any more
- flies get into your kitchen, you can report ‘em to the Committee on
- Flies, Miss Bettina Clyde, chairman; motto, ‘Thwat that fly!’
- Manny, you like to go to the farm; you get the Committee on Milk Supply.
- Junkum, your committee shall be that of school conditions. Bobs, water is
- your element. As Water Commissioner you must keep watch on the city
- reports. I’ll see that they are sent you regularly; and the typhoid
- records.”
- </p>
- <p>
- “You haven’t left anything for me,” protested Charley.
- </p>
- <p>
- “Haven’t I! You’ve got one of the biggest of all jobs,
- air. If the windows aren’t properly wide when the house is asleep, I
- want to know it from you, and you’ll have to get up early to find
- out. If the Street Cleaning Department sweeps the air full of dust because
- it’s too lazy to wash down the roadway first, we’ll make a
- committee report to the Mayor.”
- </p>
- <p>
- Bettina, <i>alias</i> Toots, <i>alias</i> Twinkles, <i>alias</i> the
- Cherub, trotted oyer and laid two plump hands on the doctor’s knee.
- </p>
- <p>
- “Ain’t you goin’ to be anyfing in the play?” she
- asked.
- </p>
- <p>
- “I?” said Dr. Strong. “Of course, Toots. Every real
- association has to have officers and membership, you know. I’m the
- Member.”
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0004" id="link2H_4_0004"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- III.—REPAIRING BETTINA
- </h2>
- <p class="pfirst">
- <span class="dropcap" style="font-size: 4.00em">“M</span>edicine
- would be the ideal profession if it did not involve giving pain,”
- said Dr. Strong, setting a paper-weight upon some school reports which had
- just come in.
- </p>
- <p>
- “You’ve been here three months and you haven’t hurt any
- one yet,” said Mr. Clyde easily.
- </p>
- <p>
- “No. I’ve been cautious, and perhaps a little cowardly. My
- place as Chinese doctor has been such a sinecure that I’ve let
- things go. Moreover, I’ve wanted to gain Mrs. Clyde’s
- confidence as much as possible, before coming to the point.”
- </p>
- <p>
- The expression of Mr. Clyde’s keen, good-humored face altered and
- focused sharply. He scrutinized the doctor in silence. “Well, let’s
- have it,” he said at length. “Is it my wife?”
- </p>
- <p>
- “No. It’s Bettina.”
- </p>
- <p>
- The father winced. “That baby!” he said. “Serious?”
- </p>
- <p>
- “On the contrary, quite simple. <i>If</i> it is handled wisely. But
- it means—pain. Not a great deal; but still, pain.”
- </p>
- <p>
- “An operation?”
- </p>
- <p>
- Dr. Strong nodded. “Merely a minor one. I’ve sounded Mrs.
- Clyde, without her knowing it, and she will oppose it. Mrs. Sharpless,
- too, I fear. You know how women dread suffering for the children they
- love.”
- </p>
- <p>
- Again Mr. Clyde winced. “It’s—it’s necessary, of
- course,” he said.
- </p>
- <p>
- “Not to do it would be both stupid and cruel. Shall we call in the
- women and have it out with them?”
- </p>
- <p>
- For reply, Mr. Clyde pressed a button and sent the servant who responded,
- for Mrs. Clyde and her mother. Grandma Sharpless arrived first, took stock
- of the men’s grave faces, and sat down silently, folding her strong,
- competent hands in her lap. But no sooner had Mrs. Clyde caught sight of
- her husband’s face than her hand went to her throat.
- </p>
- <p>
- “What is it?” she said. “The children—”
- </p>
- <p>
- “Nothing to be alarmed about, Mrs. Clyde,” said Dr. Strong
- quickly. He pushed a chair toward her. “Sit down. It’s a
- question of—of what I might call carpenter-work”—the
- mother laughed a nervous relief—“on Betty.”
- </p>
- <p>
- “Betty?” Her fears fluttered in her voice. “What about
- Betty?”
- </p>
- <p>
- “She needs repairing; that’s all.”
- </p>
- <p>
- “I don’t know what you mean! Is she hurt?”
- </p>
- <p>
- “Not at all. She is breathing wrong. She breathes through her mouth.”
- </p>
- <p>
- “Oh!” There was reassurance and a measure even of contempt in
- Mrs. Clyde’s voice. “Lots of children do that. Perhaps she’s
- got a little cold.”
- </p>
- <p>
- “It isn’t that. This is no new thing with her. She is a
- mouth-breather.”
- </p>
- <p>
- “I’ll see that it’s corrected,” promised the
- mother.
- </p>
- <p>
- “Only one thing can correct it,” said Dr. Strong gravely.
- “There’s a difficulty that must be removed.”
- </p>
- <p>
- “You mean an operation? On that baby? Do you know that she isn’t
- five yet? And you want to cut her with a knife—”
- </p>
- <p>
- “Steady, Myra,” came Mr. Clyde’s full, even speech.
- “Dr. Strong doesn’t <i>want</i> to do anything except what he
- considers necessary.”
- </p>
- <p>
- “Necessary! Supposing she does breathe through her mouth! What
- excuse is that for torturing her—my baby!”
- </p>
- <p>
- “I’ll answer that, Mrs. Clyde,” said the doctor, with
- patient politeness. Walking over to the window he threw it up and called,
- “Oh, Tootles! Twinkles! Honorable Miss Cherub, come up here. I’ve
- got something to show you.” And presently in came the child,
- dragging a huge and dilapidated doll.
- </p>
- <p>
- She was a picture of rosy health, but, for the first time, the mother
- noted the drooping of the lower jaw, and the slight lift of the upper lip,
- revealing the edges of two pearly teeth. Dr. Strong took from a drawer a
- little wooden box, adjusted a lever and, placing the ear pieces in Betty’s
- ears, bade her listen. But the child shook her head. Again he adjusted the
- indicator. This time, too, she said that she heard nothing. Not until the
- fourth change did she announce delightedly that she heard a pretty bell,
- but that it sounded very far away.
- </p>
- <p>
- “Now we’ll try it on mother,” said the experimenter, and
- added in a low tone as he handed it to Mrs. Clyde, “I’ve set
- it two points less loud than Betty’s mark. Can you hear it?”
- </p>
- <p>
- Mrs. Clyde nodded. A look of dread came into her eyes.
- </p>
- <p>
- “Now, Tootles, open your mouth,” directed the doctor,
- producing a little oblong metal contrivance.
- </p>
- <p>
- “I haven’t got any sore froat,” objected the young lady.
- </p>
- <p>
- “No, but I want to look at the thoughts inside your head,” he
- explained mysteriously.
- </p>
- <p>
- With entire confidence the child opened her mouth as wide as possible, and
- Dr. Strong, setting the instrument far back against her tongue, applied
- his eye to the other end.
- </p>
- <p>
- “All right, Toots,” he said, after a moment. “Get your
- breath, and then let mother look.”
- </p>
- <p>
- He showed Mrs. Clyde how to press the tiny button setting aglow an
- electric lamp and lighting up the nasal passages above the throat, which
- were reflected on a mirror within the contrivance and thus made clear to
- the eye. Following his instructions, she set her eye to the miniature
- telescope as the physician pressed it against the little tongue.
- </p>
- <p>
- “Well, Betty,” said Dr. Strong, as the implement was again
- withdrawn, “you’ve got very nice thoughts inside that wise
- little head of yours. Now you can continue bringing up your doll in the
- way she should go.”
- </p>
- <p>
- As the door closed behind her the mother turned to Dr. Strong.
- </p>
- <p>
- “Is she going to be deaf?” she asked breathlessly.
- </p>
- <p>
- “Of course not,” he reassured her. “That will be taken
- care of. What did you see above the back of the throat?”
- </p>
- <p>
- “Little things like tiny stalactites hanging down.”
- </p>
- <p>
- “Adenoids.”
- </p>
- <p>
- “Where could she have gotten adenoids?” cried Mrs. Clyde.
- </p>
- <p>
- “From her remotest imaginable ancestor, probably.”
- </p>
- <p>
- “Why, aren’t they a disease?”
- </p>
- <p>
- “No. An inheritance. The race has always had them. Probably they’re
- vestigial salivary glands, the use of which we’ve outgrown.
- Unfortunately they may overdevelop and block up the air-passages. Then
- they have to come out.”
- </p>
- <p>
- For the first time in the conference Grandma Sharpless gathered force and
- speech.
- </p>
- <p>
- “Young man,” she said solemnly—rather accusingly, in
- fact—“if the Lord put adenoids in the human nose he put
- ‘em there for some purpose.”
- </p>
- <p>
- “Doubtless. But that purpose, whatever it may have been, no longer
- exists.”
- </p>
- <p>
- “Everything in the human body has some use,” she persisted.
- </p>
- <p>
- “Had,” corrected Dr. Strong. “Not has. How about your
- appendix?”
- </p>
- <p>
- Mrs. Sharpless’s appendix, like the wicked, had long since ceased
- from troubling, and was now at rest in alcohol in a doctor’s office,
- having, previous to the change of location, given its original
- proprietress the one bad scare of her life. Therefore, she blinked, not
- being provided with a ready answer.
- </p>
- <p>
- “The ancestors of man,” said Dr. Strong, “were endowed
- with sundry organs, like the appendix and the adenoids, which civilized
- man is better off without. And, as civilized man possesses a God-given
- intelligence to tell him how to get rid of them, he wisely does so when it’s
- necessary.”
- </p>
- <p>
- “What have the adenoids to do with Betty’s deafness?”
- asked Mr. Clyde.
- </p>
- <p>
- “Everything. They divert the air-currents, thicken the tubes
- connecting throat and ear, and interfere with the hearing. Don’t let
- that little deficiency in keenness of ear bother you, though. Most likely
- it will pass with the removal of the adenoids. Even if it shouldn’t,
- it is too slight to be a handicap. But I want the child to be repaired
- before any of the familiar and more serious adenoid difficulties are fixed
- on her for life.”
- </p>
- <p>
- “Are there others?” asked Mrs. Clyde apprehensively.
- </p>
- <p>
- “Oh, every imaginable kind. How could it be otherwise? Here’s
- the very first principle of life, the breath, being diverted from its
- proper course, in the mouth-breather; isn’t a general derangement of
- functions the inevitable result? The hearing is affected, as I’ve
- shown you already. The body doesn’t get its proper amount of oxygen,
- and the digestion suffers. The lungs draw their air-supply in the wrong
- way, and the lung capacity is diminished. The open mouth admits all kinds
- of dust particles which inflame the throat and make it hospitable to
- infection. By incorrect breathing the facial aspect of the mouth-breather
- is variously modified and always for the worse; since the soft facial
- bones of youth are altered by the continual striking of an air-current on
- the roof of the mouth, which is pushed upward, distorting the whole face.”
- </p>
- <p>
- “None of <i>our</i> children are distorted. You won’t find a
- better-looking lot anywhere,” challenged Mrs. Sharpless, the
- grandmother’s pride up in arms.
- </p>
- <p>
- “True. None of them has had overdeveloped adenoids, except Betty.
- The others all breathe through their noses. See how different their mouths
- are from Betty’s lifting upper lip—very fascinating now, but
- later—Well, I’ve gone so far as to prepare an object-lesson
- for you. Three extreme types of the mouth-breathers are here from school
- by my invitation to have some lemonade and cakes. They are outside now.
- When they come in, I want each of you to make an analysis of one of them,
- without their seeing it, of course. Talk with them about their work in
- school. You may get ideas from that. Mrs. Sharpless, you take the taller
- of the girls; Mrs. Clyde, you study the shorter. The boy goes to you, Mr.
- Clyde.”
- </p>
- <p>
- The trio of visitors entered, somewhat mystified, but delighted to be the
- guests of their friend, Dr. Strong, who had a faculty of interesting
- children. So shrewdly did he divert and hold their attention that they
- concluded their visit and left without having suspected the scrutiny which
- they had undergone.
- </p>
- <p>
- “Now, Mrs. Clyde,” said Dr. Strong, after the good-byes were
- said, “what about your girl?”
- </p>
- <p>
- “Nothing in particular except that she’s mortally homely and
- doesn’t seem very bright.”
- </p>
- <p>
- “Homely in what respect?”
- </p>
- <p>
- “Well, hatchet-faced, to use a slang term.”
- </p>
- <p>
- “It’s not a slang term any more; it’s a medical term to
- describe a typical result of mouth-breathing. The diversion of the breath
- destroys the even arch of the teeth, pushes the central teeth up, giving
- that squirrel-like expression that is so unpleasantly familiar, lengthens
- the mouth from the lower jaw’s hanging down, and sharpens the whole
- profile to an edge, and an ugly one. Adenoids!”
- </p>
- <p>
- “My tall girl I thought at first was dull, but I found the poor
- thing was a little deaf,” said Grandma Sharpless. “She’s
- got a horrid skin; so sallow and rough and pimply. I don’t think her
- digestion is good. In fact, she said she had trouble with her stomach.”
- </p>
- <p>
- “Naturally. Her teeth are all out of place from facial malformation
- caused by mouth-breathing. That means that she can’t properly chew
- her food. That means in turn that her digestion must suffer. That, again,
- means a bad complexion and a debilitated constitution. Adenoids! What’s
- your analysis, Mr. Clyde?”
- </p>
- <p>
- “That boy? He’s two grades behind where he should be in
- school. It takes him some time to get the drift of anything that’s
- said to him. I should judge his brain is weak. Anyway, I don’t see
- where he keeps it, for the upper part of his face is all wrong, the roof
- of the mouth is so pushed up. The poor little chap’s brain-pan must
- be contracted.”
- </p>
- <p>
- “Perfectly correct, and all the result of adenoids again. The boy is
- the worst example I’ve been able to find. But all three of the
- children are terribly handicapped; one by a painful homeliness, one by a
- ruined digestion, and the boy by a mental deficiency—and all simply
- and solely because they were neglected by ignorant parents and still more
- ignorant school authorities.”
- </p>
- <p>
- “Would you have the public schools deal with such details?”
- asked Mr. Clyde.
- </p>
- <p>
- “Certainly. Have you ever heard what Goler, the Health Officer of
- Rochester, asked that city? ‘Oughtn’t we to close the schools
- and repair the children?’ he asked, and he kept on asking, until now
- Rochester has a regular system of looking after the noses, mouths, and
- eyes of its young. They want their children, in that city, to start the
- battle of life in fighting trim.”
- </p>
- <p>
- “But you don’t see many misshapen children about,”
- objected Mrs. Sharpless.
- </p>
- <p>
- “Then it’s because you don’t look. Call to your mind
- Hogarth’s caricatures. Do you remember that in his crowds there are
- always clubfooted, or humpbacked, or deformed people? In those days such
- deformities were very common because medical science didn’t know how
- to correct them in the young. To-day facial deformities, to the scientific
- eye, are quite as common, though not as obvious. We’re just learning
- how to correct them, and to know that the hatchet-face is a far more
- serious clog on a human being’s career than is the clubfoot.”
- </p>
- <p>
- “If Betty had a clubfoot, of course—” began Mrs. Clyde.
- </p>
- <p>
- “Of course, you’d have it repaired at whatever cost of
- suffering. You’d submit her to a long and serious operation; and
- probably to the constant pain of a rigid iron frame upon her leg for
- months, perhaps years. To obviate the deformity you’d consider that
- not too high a price to pay, and rightly. Well, here is the case of a more
- far-reaching malformation, curable by a minor operation, without danger,
- mercifully quick, with only the briefest after-effects of pain, and you
- draw back from it. Why?”
- </p>
- <p>
- “The thought of the knife on that little face. Is—is that all
- there is to be done?”
- </p>
- <p>
- “No, there are the teeth. They should be looked to.”
- </p>
- <p>
- “Nonsense! They’re only first teeth,” said
- </p>
- <p>
- Grandma Sharpless vigorously. “What does a doctor know about teeth?”
- </p>
- <p>
- “Lots, if he knows his business. There would be fewer dyspeptics if
- physicians in general sent their patients to the dentist more promptly,
- and kept them in condition to chew their food.”
- </p>
- <p>
- “That’s all very well, when people have their real, lasting
- teeth,” returned the grandmother. “But Betty’s first set
- will be gone in a few years. Then it will be time enough to bother the
- poor child.”
- </p>
- <p>
- “Apparently, Mrs. Sharpless,” said Dr. Strong mildly, “you
- consider that teeth come in crops, like berries; one crop now, a second
- and distinct crop later. That isn’t the way growth takes place in
- the human mouth. The first teeth are to the second almost what the blossom
- is to the fruit. I shall want immediately to take Betty to the dentist,
- and have him keep watch over her mouth with the understanding that he may
- charge a bonus on every tooth he keeps in after its time. The longer the
- first lot lasts, the better the second lot are. But there is no use making
- the minor repairs unless the main structure is put right first.”
- </p>
- <p>
- “I must see Betty,” said Mrs. Clyde abruptly, and left the
- room. Mrs. Sharpless followed. “Now comes the first real split.”
- Dr. Strong turned to Mr. Clyde. “They’re going to vote me
- down.”
- </p>
- <p>
- “If it comes to a pinch,” said Mr. Clyde quietly, “my
- wife will accept my decision.”
- </p>
- <p>
- “That is what I want to avoid. Where would my influence with her be,
- if I were obliged to appeal to you on the very first test of professional
- authority? No, I shall try to carry this through myself, even at the risk
- of having to seem a little brutal.”
- </p>
- <p>
- Mr. Clyde lifted his eyebrows, but he only nodded, as the door opened and
- the two women reentered.
- </p>
- <p>
- “Doctor,” said Mrs. Clyde, “if, in a year from now,
- Betty hasn’t outgrown the mouth-breathing, I—I—you may
- take what measures you think best.”
- </p>
- <p>
- “In a year from now, the danger will be more advanced. There is not
- the faintest chance of correction of the fault without an operation.”
- </p>
- <p>
- “I can’t help it! I can’t stand the thought of it, now,”
- said Mrs. Clyde brokenly. “You should see her, poor baby, as she
- looks now, asleep on the lounge in the library, and even you, Doctor”
- (the doctor smiled a little awry at that), “couldn’t bear to
- think of the blood and the pain.” She was silent, shuddering.
- </p>
- <p>
- “My dear Mrs. Clyde, the blood will be no more than a nosebleed, and
- the pain won’t amount to much, thanks to anaesthesia. Let me see.”
- He stepped to the door and, opening it softly, looked in, then beckoned to
- the others to join him.
- </p>
- <p>
- The child lay asleep on her side, one cupped pink hand hanging, the other
- back of her head. Her jaw had dropped and the corner of the mouth had
- slackened down in an unnatural droop. The breath hissed a little between
- the soft lips. Dr. Strong closed the door again.
- </p>
- <p>
- “Well?” he said, and there was a suggestion of the sternness
- of judgment in the monosyllable.
- </p>
- <p>
- “I am her mother.” Mrs. Clyde faced him, a spot of color in
- each cheek. “A mother is a better judge of her children than any
- doctor can be!”
- </p>
- <p>
- “You think so?” said Dr. Strong deliberately. “Then I
- must set you right. Do you recall sending Charley away from the table for
- clumsiness, two days ago?”
- </p>
- <p>
- “Why, yes.” Mrs. Clyde’s expressive eyes widened.
- “He overturned his glass, after my warning him.”
- </p>
- <p>
- “And once last week for the same thing?”
- </p>
- <p>
- “Yes, but what—”
- </p>
- <p>
- “Pardon me, do you think your mother-judgment was wise then?”
- </p>
- <p>
- “Well, really, Dr. Strong,” said Mrs. Clyde, flushing, “you
- will hardly assume the right of control of the children’s manners—”
- </p>
- <p>
- “This is not a question of manners. There is where your error lies,”
- interrupted the doctor. “Against your mother-judgment I set my
- doctor-judgment, and I tell you now”—his voice rose a little
- from its accustomed polished smoothness, and took on authority—“I
- tell you that the boy is no more responsible for his clumsiness than Betty
- is for bad breathing. It’s a disease, very faint but unmistakable.”
- </p>
- <p>
- “Not Charley!” said his father incredulously, “Why, he’s
- as husky as a colt.”
- </p>
- <p>
- “He will be, please God, in a few years, but just now he has—don’t
- be alarmed; it’s nothing like so important as it sounds—he has
- a slight heart trouble, probably the sequel to that light and perhaps
- mismanaged diphtheria attack. It’s quite a common result and is
- nearly always outgrown, and it shows in almost unnoticeable lack of
- control of hands and feet. I observed Charley’s clumsiness long ago;
- listened at his heart, and heard the murmur there.”
- </p>
- <p>
- “And you never told us!” reproached the grandmother.
- </p>
- <p>
- “What was the use? There’s nothing to be done; nothing that
- needs to be done, except watch, and that I’ve been doing. And I didn’t
- want to worry you.”
- </p>
- <p>
- “Then I’ve been punishing him for what wasn’t his fault,”
- said Mrs. Clyde in a choked voice.
- </p>
- <p>
- “You have. Don’t punish Betty for what isn’t hers,”
- countered the physician, swiftly taking advantage of the opening. “Give
- her her chance. Mrs. Clyde, if Betty were my own, she could hardly have
- wound herself more closely around my heartstrings. I want to see her grow
- from a strong and beautiful child to a strong and beautiful girl, and
- finally to a strong and beautiful woman. It rests with you. Watch her
- breathing to-night, as she sleeps—and tell me to-morrow.”
- </p>
- <p>
- He rose and left the room. Mr. Clyde walked over and put a hand softly on
- his wife’s soft hair; then brushed her cheek with his lips.
- </p>
- <p>
- “It’s up to you, dearest,” he said gently.
- </p>
- <p>
- Three days later, Betty, overhanging the side fence, was heard, by her
- shamelessly eavesdropping father, imparting information to her next-door
- neighbor and friend.
- </p>
- <p>
- “You’d ought to get a new nothe, Thally. It don’t hurt
- much, an’ breathin’ ith heapth more fun!”
- </p>
- <p>
- Pondering a chain of suggestions induced by this advice, Mr. Clyde walked
- slowly to the house. As was his habit in thought, he proceeded to rub the
- idea into his chin, which was quite pink from friction by the time he
- reached the library. There he found Dr. Strong and Mrs. Sharpless in
- consultation.
- </p>
- <p>
- “What are you two conspiring about?” he asked, ceasing to rub
- the troubled spot.
- </p>
- <p>
- “Matter of school reports,” answered the doctor. He glanced at
- the other’s chin and smiled. “And what is worrying you?”
- he asked.
- </p>
- <p>
- “I’m wondering whether I haven’t made a mistake.”
- </p>
- <p>
- “Quite possibly. It’s done by some of our best people,”
- remarked the physician dryly.
- </p>
- <p>
- “Not a pleasant possibility in this case. You remember quoting
- Rochester as to closing the schools and repairing the children. To-day, as
- I heard Betty commenting on her new nose, it suddenly came to me that I
- was obstructing that very system of repairs by which she is benefiting,
- for less fortunate youngsters in our schools.”
- </p>
- <p>
- “You!” said Dr. Strong in surprise.
- </p>
- <p>
- “As president of the Public Health League. The Superintendent of
- Schools came to me with a complaint against Dr. Merritt, the Health
- Officer, who, he claimed, was usurping authority in his scheme for a
- special inspection system to examine all schoolchildren at regular
- intervals.”
- </p>
- <p>
- “Ought to have been established long ago,” declared Dr.
- Strong.
- </p>
- <p>
- “The Superintendent thinks otherwise. He claims that it would
- interfere with school routine. It’s the duty of the health
- officials, he says, to control epidemics from without, to keep sickness
- out of the schools, not to hunt around among the children, scaring them to
- death about diseases that probably aren’t there.”
- </p>
- <p>
- Dr. Strong muttered something which Grandma Sharpless pretended not to
- hear. “And you’ve agreed to support him in that attitude?”
- he queried.
- </p>
- <p>
- “Well, I’m afraid I’ve half committed myself.”
- </p>
- <p>
- “Heaven forgive you! Why, see here, Clyde, your dodo of a
- superintendent talks of keeping sickness out of the schools. Doesn’t
- that mean keeping sickness out of the pupils? There’s just one way
- to do that: get every child into the best possible condition of repair—eyes,
- ears, nose, throat, teeth, stomach, everything, and maintain them in that
- state. Then disease will have a hard time breaking down the natural
- resistance of the system. Damaged organs in a child are like flaws in a
- ship’s armor-plate; a vital weakening of the defenses. And remember,
- the child is always battling against one besieging germ or another.”
- </p>
- <p>
- “Why can’t medical science wipe out the germs?” demanded
- Mrs. Sharpless. “It’s always claiming to do such wonders.”
- </p>
- <p>
- “In a few instances it can. In typhoid we fight and win the battle
- from the outside by doing that very thing. In smallpox, and to a lesser
- extent in diphtheria, we can build up an effective artificial barrier by
- inoculation. But, as medical men are now coming to realize, in the other
- important contagions of childhood, measles, whooping-cough, and scarlet
- fever, we must fight the disease from inside the individual; that is, make
- as nearly impregnable as possible the natural fortifications of the body
- to resist and repel the invasion. That is what school medical inspection
- aims at.”
- </p>
- <p>
- “You wouldn’t rank whooping-cough and measles with scarlet
- fever, would you?” said Mrs. Sharpless incredulously.
- </p>
- <p>
- “Why not? Although scarlet fever has the worst after-effects,—though
- not much more serious than those of measles,—the three are almost
- equal so far as the death-rate is concerned.”
- </p>
- <p>
- “Surely not!” protested the old lady. “Why, I’d
- rather have measles in the house ten times, or whooping-cough either, than
- scarlet fever once.”
- </p>
- <p>
- “You’re about ten times as likely to have.”
- </p>
- <p>
- She looked puzzled. “But what did you mean by saying that one of
- ‘em is as bad as the other?”
- </p>
- <p>
- “That it’s as dangerous to the community, though not to the
- individual.”
- </p>
- <p>
- “Just a little deep for me, too,” confessed Mr. Clyde.
- </p>
- <p>
- “Yet it’s perfectly simple. Here, take an example. Would you
- rather be bitten by a rattlesnake or a mosquito?”
- </p>
- <p>
- “A mosquito, of course.”
- </p>
- <p>
- “Naturally. Yet a rattlesnake country is a good deal safer than a
- mosquito country. You wouldn’t hesitate, on account of your health,
- to move to Arizona, where rattlesnakes live?”
- </p>
- <p>
- “I suppose not.”
- </p>
- <p>
- “But you <i>would</i> be afraid to establish your family in the
- malarious swamps of the South?”
- </p>
- <p>
- “Certainly.”
- </p>
- <p>
- “Well, people who die of malaria die of mosquito bite, since the
- mosquito is the only agency of infection. Thus, it reduces to this: that
- while the individual rattler is more dangerous than the individual
- mosquito, the mosquito, in general, kills her thousands where the snake
- kills one. Now—with considerable modification of the ratio—scarlet
- fever is the rattlesnake; whooping-cough and measles are the mosquitoes.
- It is just as important to keep measles out of a community as it is to
- shut out scarlet fever. In fact, if you will study the records of this
- city, you will find that in two out of the last three years, measles has
- killed more people than scarlet fever, and whooping-cough more than either
- of them.”
- </p>
- <p>
- “What are we going to do about it?” asked the practical-minded
- Mr. Clyde.
- </p>
- <p>
- “Ah, if some one would only tell us that! In measles the worst of
- the harm is done before the disease announces itself definitely. The most
- contagious stage is previous to the appearance of the telltale rash. There’s
- nothing but a snuffling nose, and perhaps a very little fever to give
- advance notice that the sufferer is a firebrand.”
- </p>
- <p>
- “Well, you can’t shut a child out of school for every little
- sore throat,” observed Mrs. Sharpless.
- </p>
- <p>
- “As to that I’m not so sure,” replied the physician
- slowly and thoughtfully. “A recent writer on school epidemics has
- suggested educating the public to believe that every sore throat is
- contagious.”
- </p>
- <p>
- “That isn’t true, is it?” asked Mr. Clyde.
- </p>
- <p>
- “No. Personally I believe that, while a physician is often justified
- in deceiving his patient, he is never justified in fooling the public. In
- the long run they find him out and his influence for good is lessened. Yet
- that sore-throat theory is near enough true to be a strong temptation.
- Every sore throat is suspicious; that isn’t too much to say. And,
- with a thorough school-inspection system, it is quite possible that
- epidemics could be headed off by isolating the early-discovered cases of
- sore throat. But, an epidemic of the common contagions, once well under
- way, seems to be quite beyond any certainty of control.”
- </p>
- <p>
- “Do you mean to say that quarantine and disinfection and isolation
- are all useless?” asked Mr. Clyde.
- </p>
- <p>
- “No. I won’t go as far as that. They may exercise a check in
- some cases. But I will say this: that all our cumbersome and expensive and
- often harassing hygienic measures in the contagious diseases haven’t
- made good. Obviously, if they had, we should see a diminution of the ills
- which they are supposed to limit. There is no diminution. No, we’re
- on the wrong tack. Until we know what the right tack is, we perhaps ought
- to keep on doing what we can in the present line. It’s a big,
- complicated subject, and one that won’t be settled until we find out
- what scarlet fever, measles, and whooping-cough really are, and what
- causes them. While we’re waiting for the bacteriologist to tell us
- that, the soundest principle of defense that we have is to keep the body
- up to its highest pitch of resistance. That is why I support medical
- inspection for schools as an essential measure.”
- </p>
- <p>
- “To repair the children without closing the schools, if I may modify
- Dr. Goler’s epigram,” suggested Mr. Clyde.
- </p>
- <p>
- “Exactly. Eventually we shall have to build as well as repair. A
- very curious thing is happening to Young America in the Eastern States.
- The growing generation is shrinking in weight and height.”
- </p>
- <p>
- “Which is almost contradictory enough for a paradox,” remarked
- Mr. Clyde.
- </p>
- <p>
- “It’s a melancholy and literal fact. You know, there’s a
- height and weight basis for age upon which our school grading system
- rests. The authorities have been obliged to reconstruct it because the
- children are continuously growing smaller for their years. <i>There’s</i>
- work for the inspection force!”
- </p>
- <p>
- “You’d put the children on pulleys and stretch ‘em out,
- I suppose!” gibed Grandma Sharpless.
- </p>
- <p>
- “That might work, too,” replied the doctor, unruffled. “The
- Procrustean system isn’t so bad, if old Procrustes had only sent his
- victims to the gymnasium instead of putting them to bed. Yes, a quarter of
- an hour with the weight-pulleys every day would help undersized kiddies a
- good deal. But principally I should want the school-inspectors to keep the
- youngsters playing.”
- </p>
- <p>
- “You don’t have to teach a child to play,” sniffed
- Grandma Sharpless, with womanly scorn of mere man’s views concerning
- children.
- </p>
- <p>
- “Pardon me, Mrs. Sharpless, you taught your children to play.”
- </p>
- <p>
- “I! Whatever makes you think that?”
- </p>
- <p>
- “The simple fact that they didn’t die in babyhood.”
- </p>
- <p>
- Mrs. Sharpless looked at him with a severity not unmingled with suspicion.
- “Sometimes, young man,” she observed, “you talk like a—a—a
- gump!”
- </p>
- <p>
- “Take that, Strong!” said Mr. Clyde, joining in the doctor’s
- laugh against himself.
- </p>
- <p>
- “Facts may sometimes sound foolish,” admitted Dr. Strong.
- “If they do, that’s the fault of the speaker. And it <i>is</i>
- a fact that every mother teaches her baby to play. Watch the cat if you
- don’t believe me. The wisest woman in America points out in her
- recent book that it is the mother’s playing with her baby which
- rouses in it the will to live. Without that will to live none of us would
- survive.”
- </p>
- <p>
- “I don’t know who your wisest woman in America may be, but I
- don’t believe she knows what she is talking about,” declared
- Grandma Sharpless flatly.
- </p>
- <p>
- “I’ve never known her when she didn’t,” retorted
- the doctor. “If Jane Addams of Hull House isn’t an expert in
- life, mental, moral, and physical, then there’s no such person! Why,
- see here, Mrs. Sharpless; do you know why a baby’s chance of
- survival is less in the very best possible institution without its mother,
- than in the very worst imaginable tenement with its mother, even though
- the mother is unable to nurse it?”
- </p>
- <p>
- “It isn’t as well tended, I expect.”
- </p>
- <p>
- “All its physical surroundings are a thousand times more
- advantageous: better air, better food, better temperature, better
- safeguarding against disease; yet babies in these surroundings just pine
- away and die. It’s almost impossible to bring up an infant on an
- institutional system. The infant death-rate of these well-meaning places
- is so appalling that nobody dares tell it publicly. And it is so, simply
- because there is no one to play with the babies. The nurses haven’t
- the time, though they have the instinct. I tell you, the most wonderful,
- mystic, profound thing in all the world, to me, is the sight of a young
- girl’s intuitive yearning to dandle every baby she may see. That’s
- the universal world-old, world-wide, deep-rooted genius of motherhood,
- which antedates the humankind, stirring within her and impelling her to
- help keep the race alive—by playing with the baby.”
- </p>
- <p>
- “H’m! I hadn’t thought of it in that way,”
- confessed Grandma Sharpless. “There may be something in what you
- say, young man. But by the time children reach school age I guess they’ve
- learned that lesson.”
- </p>
- <p>
- “Not always. At least, not properly, always. Let’s consult the
- Committee on School of our household organization.”
- </p>
- <p>
- He sent for eight-year-old Julia.
- </p>
- <p>
- “Question to lay before you, Miss Chairwoman,” said Dr.
- Strong. “How many of the girls in your grade hang around the hall or
- doorways during recess?”
- </p>
- <p>
- “Oh, lots!” said Julia promptly.
- </p>
- <p>
- “Are they the bigger girls? or the smaller ones?” The
- Committee on School considered the matter gravely. “Mary Hinks, she’s
- tall, but she’s awful thin and sickly,” she pronounced.
- “Dot Griswold and Cora Smith and Tiny Warley—why, I guess they’re
- most all the littlest girls in the class.”
- </p>
- <p>
- Dr. Strong nodded. “Sure to be the undernourished, anaemic,
- lethargic ones,” said he. “They’re forgetting the
- lessons of their babyhood. Insensibly they are losing the will to live.
- But there’s nobody to tell them so. A thorough medical inspection
- service would correct that. It would include school-nurses who would go to
- the homes of the children and tell the parents what was the matter. Such a
- system might not be warranted to keep epidemics out of our schools, but it
- would stretch out and fill out those meager youngsters’ brains as
- well as bodies, and fit them to combat illness if it did come. The whole
- theory of the school’s attitude toward the child seems to me
- misconceived by those who have charge of the system. It assumes too much
- in authority and avoids too much in responsibility.
- </p>
- <p>
- “Take the case of John Smith, who has two children to bring up under
- our enlightened system of government. Government says to John Smith,
- ‘Send your children to school!’ ‘Suppose I don’t
- wish to?’ says John Smith. ‘You’ve got to,’ says
- Government. ‘It isn’t safe for me to have them left
- uneducated.’ ‘Will you take care of them while they’re
- at school?’ says John Smith. ‘I’ll train their minds,’
- says Government. ‘What about their bodies?’ says John Smith.
- ‘Hm!’ says Government; ‘that’s a horse of another
- color.’ ‘Then I’ll come with them and see that they’re
- looked after physically,’ says John Smith. ‘You <i>will</i>
- not!’ says Government. ‘I’m <i>in loco ‘parentis</i>,
- while they’re in school.’ ‘Then you take the entire <i>loco</i>
- of the <i>parentis</i>,’ says John Smith. ‘If you take my
- children away on the ground that you’re better fitted to care for
- their minds than I am, you ought to be at least as ready to look after
- their health. Otherwise,’ says John Smith, ‘go and teach
- yourself to stand on your head. You can’t teach <i>my</i> children.’
- Now,” concluded Dr. Strong, “do you see any flaws in the Smith
- point of view?”
- </p>
- <p>
- “Just plain common sense,” approved Grandma Sharpless.
- </p>
- <p>
- “Clyde,” said Dr. Strong, with a twinkle, “if you don’t
- stop rubbing a hole in your chin, I’ll have to repair <i>you</i>.
- What’s preying on your mind?”
- </p>
- <p>
- “I am trying,” replied Mr. Clyde deliberately, “to
- figure out, with reference to the School Superintendent and myself, just
- how a man who has made a fool of himself can write a letter to another man
- who has helped the first man make a fool of himself, admitting that he’s
- made a fool of himself, and yet avoid embarrassment, either to the man who
- has made a fool of himself or to the other man who aided the man in making
- a fool of himself. Do you get that?”
- </p>
- <p>
- Dr. Strong rose. “I’m a Chinese doctor,” he observed,
- “not a Chinese puzzle-solver. That’s a matter between you and
- your ink-well. Meantime, having attained the point for which I’ve
- been climbing, I now declare this session adjourned.”
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0005" id="link2H_4_0005"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- IV.—THE CORNER DRUG-STORE
- </h2>
- <p class="pfirst">
- <span class="dropcap" style="font-size: 4.00em">“N</span>o, it won’t
- add to the attractiveness of the neighborhood, perhaps,” said Mrs.
- Clyde thoughtfully. “But how convenient it will be!”
- </p>
- <p>
- Mr. Clyde had come home with the news that a drug-store was to be opened
- shortly on the adjacent corner. Shifting his position to dodge a
- foliage-piercing shaft of sunlight—they were all sitting out on the
- shady lawn, in the cool of a September afternoon—Dr. Strong shook
- his head.
- </p>
- <p>
- “Too convenient, altogether,” he observed.
- </p>
- <p>
- “How’s that?” queried Mr. Clyde. “A drugstore is
- like a gun in Texas: you may not need it often, but when you do need it,
- you need it like blazes.”
- </p>
- <p>
- “True enough. But most people over-patronize the drug-store.”
- </p>
- <p>
- “Not this family; at least, since our house-doctor came to keep us
- well on the Chinese plan,” said Mrs. Clyde gracefully.
- </p>
- <p>
- But Dr. Strong only looked rueful. “Your Chinese doctor has to plead
- guilty to negligence of what has been going on under his very nose.”
- </p>
- <p>
- “Oh, not more trouble!” pleaded Mrs. Clyde. She had come
- through the dreaded ordeal of little Betty’s operation for adenoids—which
- had proved to be, after all, so slight and comparatively painless—with
- a greatly augmented respect for and trust in Dr. Strong; but her nerves
- still quivered.
- </p>
- <p>
- “Nothing to trouble you,” the doctor assured her, “but
- enough to make me feel guilty—and stupid. Have you noticed any
- change in Manny, lately?”
- </p>
- <p>
- “Manny” was fourteen-year-old Maynard Clyde, the oldest of the
- children; a high school lad, tall, lathy, athletic, and good-tempered.
- </p>
- <p>
- “The boy is as nervous as a witch,” put in Grandma Sharpless.
- “I’ve noticed it since early summer.”
- </p>
- <p>
- “Then I wish you had taught me my trade,” said Dr. Strong.
- “Manny is so husky and active that I’ve hardly given him a
- thought.”
- </p>
- <p>
- “Well, what’s wrong with him?” asked the father
- anxiously.
- </p>
- <p>
- “Too much drug-store,” was the prompt reply. “Not drugs!”
- cried Mrs. Clyde, horrified. “That child!”
- </p>
- <p>
- “Well, no; not in the sense you mean it. Wait; there he is now.
- Manny!” he called, raising his voice. “Come over here a
- minute, will you?” The boy ambled over, and dropped down on the
- grass. He was brown, thin, and hard-trained; but there was a nervous
- pucker between his eyes, which his father noted for the first time.
- “What’s this? A meeting of the Board? Anything for the
- Committee on Milk Supply to do?” he asked.
- </p>
- <p>
- “Not at present,” answered Dr. Strong, “except to answer
- a question or two. You don’t drink coffee, do you?”
- </p>
- <p>
- “Of course not. I’m trying for shortstop on the junior nine,
- you know.”
- </p>
- <p>
- “How are you making out?”
- </p>
- <p>
- “Rotten!” said the boy despondently. “I don’t seem
- to have any grip on myself this year. Sort o’ get the rattles.”
- </p>
- <p>
- “Hm-m-m. Feel pretty thirsty after the practice, and usually stop in
- at the soda-fountain for some of those patent soft drinks advertised to be
- harmless but stimulating, don’t you?”
- </p>
- <p>
- “Yes,” said the boy, surprised.
- </p>
- <p>
- “Ah,” said the doctor carelessly; “three or four glasses
- a day, I suppose?”
- </p>
- <p>
- Manny thought a moment. “All of that,” he said.
- </p>
- <p>
- “Well, you quit it,” advised the doctor, “if you want to
- make the ball team. It will put you off your game worse than tea or
- coffee. Tell the athletic instructor I said so, will you?”
- </p>
- <p>
- “Sure!” said the boy. “I didn’t know there was any
- harm in it.”
- </p>
- <p>
- As Manny walked away, Dr. Strong turned to
- </p>
- <p>
- Mr. Clyde. “I found out about Manny by accident. No wonder the boy
- is nervous. He’s been drinking that stuff like water, with no
- thought of what’s in it.”
- </p>
- <p>
- “What <i>is</i> in it?” said Mrs. Clyde.
- </p>
- <p>
- “Caffeine, generally. The most widely used of the lot is a mixture
- of fruit syrups doctored up with that drug. There’s as much
- nerve-excitation in a glass of it—yes, and more—than in a cup
- of strong coffee. What would you think of a fourteen-year-old boy who
- drank five cups of strong coffee every day?”
- </p>
- <p>
- “I’d think his parents were fools,” declared Grandma
- Sharpless bluntly.
- </p>
- <p>
- “Or his physician,” suggested Dr. Strong. “I’ve
- seen cases of people drinking twenty to twenty-five glasses of that
- ‘harmless’ stuff every day. Of course, they were on the road
- to nervous smash-up. But the craving for it was established and they hadn’t
- the nerve to stop.”
- </p>
- <p>
- “The soda-fountain as a public peril,” said Mr. Clyde, with a
- smile.
- </p>
- <p>
- “There’s more in that than can be smiled away,” retorted
- the doctor vigorously. “What between nerve-foods that are simply
- disguised ‘bracers,’ and dangerous, heart-depressing dopes, like
- bromo-seltzer, the soda-fountain does its share of damage in the
- community.”
- </p>
- <p>
- “What about soda-water; that is innocent, isn’t it?”
- asked Mrs. Clyde.
- </p>
- <p>
- “Yes. If the syrups are pure, soda-water is a good thing in
- moderation. So are the mineral waters. But there is this to be said about
- soda-water and candy, particularly the latter—”
- </p>
- <p>
- “I’ve always said,” broke in Grandma Sharpless, “that
- candy-eating would ruin any digestion.”, “Then you’ve
- always been wrong, ma’am,” said Dr. Strong. “Candy, well
- and honestly made, is excellent food at the proper time. The trouble is,
- both with candy and with the heavy, rich soda-waters, that people are
- continually filling up with them between meals. Now the stomach is a
- machine with a great amount of work to do, and is entitled to some
- consideration. Clyde, what would happen to the machines in your factory,
- if you didn’t give them proper intervals of rest?”
- </p>
- <p>
- “They’d be very short-lived,” said Mr. Clyde. “There’s
- a curious thing about machinery which everybody knows but nobody
- understands: running a machine twenty-four hours a day for one week gives
- it harder wear than running it twelve hours a day for a month. It needs a
- regular rest.”
- </p>
- <p>
- “So with the machinery of digestion,” said the doctor. “The
- stomach and intestines have their hard work after meals. How are they to
- rest up, if an odd lot of candy or a slab of rich ice-cream soda come
- sliding down between whiles to be attended to? Eat your candy at the end
- of a meal, if you want it. It’s a good desert. But whatever you eat,
- give your digestion a fair chance.”
- </p>
- <p>
- “You can digest anything if you use Thingumbob Pills,”
- observed Mr. Clyde sardonically. “The newspapers say so.”
- </p>
- <p>
- “That’s the kind of doctrine that makes dyspeptics,”
- returned Dr. Strong. “The American stomach is the worst-abused organ
- in creation. Saliva is the true digestive. If people would take time to
- chew properly, half the dyspepsia-pill fakers would go out of business. If
- they’d take time to exercise properly, the other half would
- disappear.”
- </p>
- <p>
- “Liver pills were my regular dependence a few years ago,”
- remarked Mr. Clyde. “Since I took up hand-ball I haven’t
- needed them. But I suppose that half the business men in town think they
- couldn’t live without drugging themselves two or three times a week.”
- </p>
- <p>
- “Undoubtedly. Tell the average American any sort of a lie in print,
- about his digestion, and he’ll swallow it whole, together with the
- drug which the lie is intended to sell. Look at the Cascaret advertising.
- Its tendency is to induce, not an occasional recourse to Cascarets, but a
- steady use of them. Any man foolish enough to follow the advice of the
- advertisements would form a Cascaret habit and bring his digestion into a
- state of slavery. That sort of appeal has probably ruined more digestions
- and spoiled more tempers than any devil-dogma ever put into type.”
- </p>
- <p>
- “Castor-oil is good enough for me,” said Grandma Sharpless
- emphatically.
- </p>
- <p>
- “It’s good enough for anybody—that is to say, bad enough
- and nasty enough so that there isn’t much danger of its being
- abused. But these infernal sugar-coated candy cathartics get a hold on a
- man’s intestinal organization so that it can’t do its work
- without ‘em, and, Lord knows, it can’t stand their stimulus
- indefinitely. Then along comes appendicitis.”
- </p>
- <p>
- “But some of the laxative medicines advertise to prevent
- appendicitis,” said Mrs. Clyde.
- </p>
- <p>
- Dr. Strong’s face was very grim. “Yes, they advertise.
- Commercial travelers, because of their irregular habits, are great
- pill-guzzlers as a class. Appendicitis is a very common complaint among
- them. A Pittsburgh surgeon with a large practice among traveling men has
- kept records, and he believes that more than fifty per cent of the
- appendicitis cases he treats are caused by the ‘liver-pill’
- and ‘steady-cathartic’ habit. He explains his theory in this way.
- The man begins taking the laxative to correct his bad habits of life.
- Little by little he increases his dose, as the digestive mechanism grows
- less responsive to the stimulus, until presently an overdose sets his
- intestines churning around with a violence never intended by nature. Then,
- under this abnormal peristalsis, as it is called, the appendix becomes
- infected, and there’s nothing for it but the surgeon’s knife.”
- </p>
- <p>
- “Would you have people run to the doctor and pay two dollars every
- time their stomach got a little out of kilter?” asked Mrs. Sharpless
- shrewdly.
- </p>
- <p>
- “Run to the doctor; run to the minister; run to the plumber; run
- anywhere so long as you run far enough and fast enough,” answered
- Dr. Strong with a smile. “A mile a day at a good clip, or three
- miles of brisk walking would be the beginning of a readjustment. Less food
- more slowly eaten and no strong liquors would complete the cure in nine
- cases out of ten. The tenth case needs the doctor; not the
- newspaper-and-drug-store pill.”
- </p>
- <p>
- “But all patent medicines aren’t bad, are they?” asked
- Mrs. Clyde. “Some have very good testimonials.”
- </p>
- <p>
- “Bought or wheedled. Any medicine which claims to <i>cure</i> is a
- fraud and a swindle.”
- </p>
- <p>
- “Don’t tell me, young man!” said Grandma Sharpless.
- “You doctors are prejudiced against patent medicines, but we old
- folks have used ‘em long enough to know which are good and which are
- bad. Now I don’t claim but what the Indian herb remedies and the
- ‘ready reliefs’ and that lot are frauds. But my family was
- brought up on teething powders and soothing syrups.”
- </p>
- <p>
- “Then you’re fortunate,” said Dr. Strong sternly,
- “that none of them has turned out to be an opium fiend.”
- </p>
- <p>
- The instant he said it, he saw, with sharp regret, that his shaft had sped
- true to the mark. The clear, dark red of a hale old age faded from Grandma
- Sharpless’s cheeks. Mr. Clyde shot a quick glance of warning at him.
- </p>
- <p>
- “And speaking of Indian remedies,” went on the doctor glibly,
- “I remember as a boy—”
- </p>
- <p>
- “Stop a minute,” said Grandma Sharpless steadily. “The
- truth isn’t going to hurt me. Or, if it does hurt, maybe it’s
- right it should. I had a younger brother who died in a sanitarium for
- drug-habit when he was twenty-four. As a child he pretty nearly lived on
- soothing syrups; had to have them all the time, because he was such a
- nervous little fellow; always having earache and stomach-ache, until he
- was eight or nine years old. Then he got better and became a strong,
- active boy, and a robust man. After his college course he went to
- Philadelphia, and was doing well when he contracted the morphine habit—how
- or why, we never knew. It killed him in three years. Do you think—is
- it possible that the soothing syrups—I’ve heard they have
- morphine in them—had anything to do with his ruin?”
- </p>
- <p>
- “Why, Mrs. Sharpless,” said the other, very gently, “I
- can only put it before you in this way. Here is one of the most subtle and
- enslaving of all drugs, morphine. It is fed to a child, in the plastic and
- formative years of life, regularly. What surer way could there be of
- planting the seeds of drug-habit? Suppose, for illustration, we substitute
- alcohol, which is far less dangerous. If you gave a child, from the time
- of his second year to his eighth, let us say, two or three drinks of
- whiskey every day, and that child, when grown up, developed into a
- drunkard, would you think it strange?”
- </p>
- <p>
- “I’d think it strange if he didn’t.”
- </p>
- <p>
- “Apply the same logic to opium, or its derivative, morphine. There
- are a dozen preparations regularly used for children, containing opium, or
- morphine, such as Mrs. Winslow’s ‘Soothing Syrup,’ and
- Kopp’s ‘Baby Friend.’ This is well known, and it is also
- a recognized fact that the morphine and opium habit is steadily increasing
- in this country. Isn’t it reasonable to infer a connection between
- the two? Further, some of the highest authorities believe that the use of
- these drugs in childhood predisposes to the drink habit also, later in
- life. The nerves are unsettled; they are habituated to a morbid craving,
- and, at a later period, that craving is liable to return in a changed
- manifestation.”
- </p>
- <p>
- “But a drug-store can’t sell opium or morphine except on
- prescription, can it?” asked Mr. Clyde.
- </p>
- <p>
- “It can <i>in a patent medicine</i>,” replied the doctor.
- “That’s one of the ugly phases of the drug business. Yet it’s
- possible to find honest people who believe in these dopes and even give
- testimonials to them.”
- </p>
- <p>
- “Some testimonials are hard to believe,” said Mrs. Clyde,
- thankfully accepting the chance to shift the conversation to a less
- painful phase of the topic. “Old Mrs. Dibble in our church is
- convinced that she owes her health to Hall’s Catarrh Cure.”
- Dr. Strong smiled sardonically. “That’s the nostrum which
- offers one hundred dollars reward for any case it can’t cure; and
- when a disgusted dupe tried to get the one hundred dollars, they said he
- hadn’t given their remedy a sufficient trial: he’d taken only
- twenty-odd bottles. So your friend thinks that a useless mixture of
- alcohol and iodide of potassium fixed her, does she?”
- </p>
- <p>
- “Why shouldn’t she? She had a case of catarrh. She took three
- bottles of the medicine, and her catarrh is all gone.”
- </p>
- <p>
- “All right. Let’s extend her line of reasoning to some other
- cases. While old Mr. Barker, around on Halsey Street, was very ill with
- pneumonia last month, he fell out of bed and broke his arm.”
- </p>
- <p>
- “In two places,” said Mrs. Sharpless. “I saw him walking
- up the street yesterday, all trussed up like a chicken.”
- </p>
- <p>
- “Quite recovered from pneumonia, however. Then there was little Mrs.
- Bowles: she had typhoid, you remember, and at the height of the fever a
- strange cat got into the room and frightened her into hysterics.”
- </p>
- <p>
- “But she got well,” said Mrs. Clyde. “They’re up
- in the woods now.”
- </p>
- <p>
- “Exactly. Moral (according to Mrs. Dibble’s experience with
- Hall’s Catarrh Cure): for pneumonia, try a broken arm; in case of
- typhoid, set a cat on the patient.”
- </p>
- <p>
- Mr. Clyde laughed. “I see,” he said. “People get well in
- spite of these patent medicines, rather than by virtue of them. <i>Post
- hoc, non propter hoc</i>, as our lawyer friends say.”
- </p>
- <p>
- “You’ve got it. The human body keeps up a sort of drug-store
- of its own. As soon as disease fastens on it, it goes to work in a subtle
- and mysterious way, manufacturing a cure for that disease. If it’s
- diphtheria, the body produces antitoxin, and we give it more to help it
- on. If it’s jaundice, it produces a special quality of gastric
- juices to correct the evil conditions. In the vast majority of attacks,
- the body drives out the disease by its own efforts; yet, if the patient
- chances to have been idiot enough to take some quack ‘cure’
- the credit goes to that medicine.”
- </p>
- <p>
- “Or to the doctor, if it’s a doctor’s case,”
- suggested Grandma Sharpless, with a twinkle of malice.
- </p>
- <p>
- “Show me a doctor who boasts ‘I can cure you,’ whether
- by word of mouth or in print, and I’ll show you a quack,”
- returned the other warmly.
- </p>
- <p>
- “But what is a doctor for in a sick-room, if not to cure?”
- asked Mrs. Clyde.
- </p>
- <p>
- “What is a captain for on a ship?” countered Dr. Strong.
- “He can’t cure a storm, can he? But he can guide the vessel so
- that she can weather it. Well, our medical captains lose a good many
- commands; the storm is often too severe for human skill. But they save a
- good many, too, by skillful handling.”
- </p>
- <p>
- “Then there is no such thing as an actual cure, in medicine?”
- </p>
- <p>
- “Why, yes. In a sense there are several. Antitoxin may be called a
- cure for diphtheria. Quinine is, to some extent, a specific in malaria.
- And Ehrlich’s famous ‘606’ has been remarkably, though
- not unfailingly, successful in that terrible blood-plague, born of
- debauchery, which strikes the innocent through the guilty. All these
- remedies, however, come, not through the quack and the drug-store, but
- through the physician and the laboratory.”
- </p>
- <p>
- “May not the patent medicines, also, help to guide the physical ship
- through the storm?” asked Mrs. Clyde, adopting the doctor’s
- simile.
- </p>
- <p>
- “On to the rocks,” he replied quickly. “Look at the
- consumption cures. To many consumptives, alcohol is deadly. Yet a wretched
- concoction like Duffy’s Malt Whiskey, advertised to cure
- tuberculosis, flaunts its lies everywhere. And the law is powerless to
- check the suicidal course of the poor fools who believe and take it.”
- </p>
- <p>
- “Why, I thought the Pure Food Law stopped all that,” said Mrs.
- Clyde innocently.
- </p>
- <p>
- “The Pure Food Law! The life has been almost crushed out of it.
- Roosevelt whacked it over the head with his Referee Board, which granted
- immunity to the food poisoners, and afterward the Supreme Court and
- Wickersham treated it to a course of ‘legal interpretations,’
- which generally signify a way to get around a good law.”
- </p>
- <p>
- “But the patent medicines aren’t allowed to make false claims
- any more, as I understand it,” said Mr. Clyde.
- </p>
- <p>
- “That applies only to the label on the bottle. So you’ll find
- that the words ‘alcohol,’ ‘opium,’ ‘acetanilid,’
- ‘chloral,’ and other terms of poison, have sprouted forth
- there, in very small and inconspicuous type. But there’s a free
- field for the false promises on sign-boards, in the street-cars, in the
- newspapers, everywhere. Look in the next drug-store window you pass and
- you’ll see ‘sure cures’ exploited in terms that would
- make Ananias feel like an amateur.”
- </p>
- <p>
- “You make out a pretty poor character for the druggists, as a class,”
- observed Mr. Clyde.
- </p>
- <p>
- “Not at all. As a class, they’re a decent, self-respecting,
- honorable lot of men.”
- </p>
- <p>
- “Then why do they stick to a bad trade?” asked Mrs. Clyde.
- </p>
- <p>
- Dr. Strong got to his feet. “Let one of them answer,” he said.
- “Mr. Gormley, who runs the big store in the Arcade, usually passes
- here about this time, and I think I see him coming now.”
- </p>
- <p>
- “They can talk all they like,” said Grandma Sharpless
- emphatically, as the doctor walked across to the front fence, “but I
- wouldn’t be without a bottle of cough syrup in the house.”
- </p>
- <p>
- “Nor I without my headache tablets,” added Mrs. Clyde. “I’d
- have had to give up the bridge party yesterday but for them.”
- </p>
- <p>
- Mr. Clyde shot a sharp glance, first, at his wife, then at her mother.
- “Well, I’d like to see the labels on your particular brands of
- medicine,” he remarked.
- </p>
- <p>
- “There’s nothing bad in mine,” asserted Mrs. Clyde.
- “Mrs. Martin recommended them to me; she’s been taking them
- for years.”
- </p>
- <p>
- At this point Dr. Strong returned, bringing with him a slim, elderly man,
- whose shrewd, wide eyes peered through a pair of gold-rimmed glasses.
- </p>
- <p>
- “So you want me to give away the secrets of my trade,” he
- remarked good-humoredly, after the greetings. “Well, I don’t
- object to relieving my mind, once in a while. So shoot, and if I can’t
- dodge, I’ll yell.”
- </p>
- <p>
- “Why do you deal in patent medicines if they’re so bad?”
- asked Grandma Sharpless bluntly. “Is there such a big profit in
- them?”
- </p>
- <p>
- “No profit, worth speaking of,” replied Mr. Gormley. “Though
- you’ll note that I haven’t admitted they are bad—as yet.”
- </p>
- <p>
- “The bulk of your trade is in that class of goods, isn’t it?”
- queried Mr. Clyde.
- </p>
- <p>
- “Worse luck, it is. They’ve got us through their hold on the
- public. And they not only force us to be their agents, but they grind us
- down to the very smallest profit; sometimes less than the cost of doing
- business.”
- </p>
- <p>
- “But you aren’t compelled to deal in their medicines,”
- objected Mr. Clyde.
- </p>
- <p>
- “Practically I am. My really profitable trade is in filling
- prescriptions. There I can legitimately charge, not only for the drugs,
- but also for my special technical skill and knowledge. But in order to
- maintain my prescription trade I must keep people coming to my store. And
- they won’t come unless I carry what they demand in the way of patent
- medicines.”
- </p>
- <p>
- “Then there is a legitimate demand for patent medicines?” said
- Mr. Clyde quickly.
- </p>
- <p>
- “Legitimate? Hardly. It’s purely an inspired demand.”
- </p>
- <p>
- “What makes it persist, then?”
- </p>
- <p>
- “The newspapers. The patent-medicine advertisers fill the daily
- columns with their claims, and create a demand by the force of repeated
- falsehood. Do you know the universal formula for the cost of patent cures?
- Here it is: Drugs, 3 per cent; manufacturing plant, 7 per cent; printing
- ink, 90 per cent. It’s a sickening business. If I could afford it, I’d
- break loose like that fellow McConnell in Chicago and put a placard of
- warning in my show window. Here’s a copy of the one he displays in
- his drug-store.”
- </p>
- <p>
- Taking a card from his pocket, Mr. Gormley held it up for the circle to
- read. The inscription was:—
- </p>
- <p>
- <i>“Please do not ask us what </i>any old patent, medicine<i> is
- worth, for you embarrass us, as our honest answer must be that </i>it is
- worthless<i>. </i>
- </p>
- <p>
- “If you mean to ask us at what price we sell it, that is an entirely
- different proposition. When sick, consult a good physician. It is the only
- proper course. And you will find it cheaper in the end than
- self-medication with worthless<i> ‘patent’ nostrums.</i>”
- </p>
- <p>
- “Has that killed his trade in quackery?” asked Dr. Strong.
- </p>
- <p>
- “Nothing can kill that. It has cut it down by half, though. It’s
- a peculiar and disheartening fact that the public will believe the paid
- lie of a newspaper advertisement and disregard the plain truth from an
- expert. And see here, Dr. Strong, when you doctors get together and roast
- the pharmaceutical trade, just remember that it’s really the
- newspapers and not the drug-stores that sell patent medicines.”
- </p>
- <p>
- “Are all of them so bad?” asked Mrs. Clyde.
- </p>
- <p>
- “All that claim to <i>cure</i>. They’re either frauds,
- appealing to the appetite by a stiff allowance of booze, like Swamp Root
- and Peruna, or disguised dopes,—opium, hasheesh or chloral,—masquerading
- as soothing syrups, cough medicines, and consumption cures; or artificial
- devices for giving yourself heart disease by the use of coal-tar chemicals
- in the headache powders and anti-pain pills.”
- </p>
- <p>
- “Well, you can’t make me believe, Mr. Drug-man,” said
- Grandma Sharpless with a belligerent shake of her head, “that a
- patent medicine which keeps on being in demand for years, on its own
- merits, hasn’t something good in it.”
- </p>
- <p>
- “No, ma’am, I can’t,” agreed the visitor. “I
- wouldn’t want to. There isn’t any such patent medicine.”
- </p>
- <p>
- “There’s hundreds of ‘em,” contradicted the old
- lady, with the exaggeration of the disputant who finds the ground dropping
- away from underfoot.
- </p>
- <p>
- “Not that sell on their own merits. Advertising and more advertising
- and still more advertising is all that does it. Let any one of them drop
- out of the newspapers and off the bill-boards, and the demand for it would
- be dead in a year.”
- </p>
- <p>
- “Yet, as a student of business conditions,” said Mr. Clyde,
- “I’m inclined to side with Mrs. Sharpless and believe that any
- line of goods which has come down from yesterday to to-day must have some
- merit.”
- </p>
- <p>
- The druggist took off his glasses, wiped them and waved them in the air,
- with a flourish.
- </p>
- <p>
- <br />
- </p>
- <p class="indent20">
- And all our yesterdays have lighted fools
- </p>
- <p class="indent20">
- The way to dusty death,
- </p>
- <p>
- <br />
- </p>
- <p>
- he quoted sonorously. “We think ourselves heirs to the wisdom of the
- ages, without stopping to consider that we’re heirs to the
- foolishness, also. We’re gulled by the printed lie about Doan’s
- Kidney Pills, just as our fathers were by the cart-tail oratory of the
- itinerant quack who sold the ‘Wonderful Indian Secrets of Life’
- at one dollar per bottle.”
- </p>
- <p>
- “Well, I hesitate to admit it,” said Mrs. Clyde, with a little
- laugh, “but we always have a few of the old remedies about.”
- </p>
- <p>
- “Suppose you name some of them over,” suggested the druggist.
- </p>
- <p>
- “Usually I keep some One-Night Cough Cure in the house. That’s
- harmless, isn’t it?”
- </p>
- <p>
- The druggist glanced at Dr. Strong, and they both grinned.
- </p>
- <p>
- “It <i>might</i> be harmless,” said the druggist mildly,
- “if it didn’t contain both morphine and hasheesh.”
- </p>
- <p>
- “Goodness!” said Mrs. Clyde, horrified. “How could one
- suppose—”
- </p>
- <p>
- “By reading the label carefully,” interjected Dr. Strong.
- “Anything else?”
- </p>
- <p>
- “Let me think. I’ve always considered Jayne’s
- Expectorant good for the children when they have a cold.”
- </p>
- <p>
- “Tastes differ,” observed the druggist philosophically.
- “I wouldn’t consider opium good for <i>my</i> children inside
- or outside of any expectorant. Next!”
- </p>
- <p>
- “But the names <i>sound</i> so innocent!” cried Mrs. Clyde.
- “I’m almost afraid to tell any more. But we always have Rexall
- Cholera Cure on hand.”
- </p>
- <p>
- “Had much cholera in the house lately?” inquired the druggist,
- with an affectation of extreme interest.
- </p>
- <p>
- “Of course it’s only for stomach-ache,” explained Mrs.
- Clyde. “It certainly does cure the pain.”
- </p>
- <p>
- “Not cure,—drug it into unconsciousness,” amended Mr.
- Gormley. “The opium in it does that. Rather a heroic remedy, opium,
- for a little stomach-ache, don’t you think?”
- </p>
- <p>
- “What have you got to say against Kohler’s One-Night Cough
- Cure that I always keep by me?” demanded Grandma Sharpless.
- </p>
- <p>
- Mr. Gormley beamed on her in deprecatory good nature. “Who? Me?
- Gracious! I’ve got nothing to say against it worse than it says
- against itself, on its label. Morphine, chloroform, and hasheesh. What
- more <i>is</i> there to say?”
- </p>
- <p>
- “How long has this house been full of assorted poisons?” asked
- Mr. Clyde suddenly of his wife.
- </p>
- <p>
- “Now, Tom,” she protested. “I’ve always been
- careful about using them for the children. Personally, I never touch
- patent medicines.”
- </p>
- <p>
- But at this her mother, smarting under their caller’s criticism of
- her cough syrup, turned on her.
- </p>
- <p>
- “What do you call those headache tablets you take?”
- </p>
- <p>
- “Those? They aren’t a patent medicine. They’re
- Anti-kamnia, a physician’s prescription.”
- </p>
- <p>
- “Yes; a fine prescription they are!” said the druggist.
- “Did you ever read the Anti-kamnia booklet? For whole-souled,
- able-bodied, fore-and-aft, up-and-down stairs professional lying, it has
- got most of the patent medicines relegated to the infant class. Harmless,
- they say! I’ve seen a woman take two of those things and hardly get
- out of the door before they got in their fine work on her heart and over
- she went like a shot rabbit.”
- </p>
- <p>
- “Not dead!”
- </p>
- <p>
- “No; but it was touch and go with her.”
- </p>
- <p>
- “What’s in that; opium, too?” asked Mr. Clyde.
- </p>
- <p>
- “No; a coal-tar chemical which puts a clamp on the heart action. One
- or another of the coal-tar drugs is in all the headache powders. There’s
- a long list of deaths from them, not to mention cases of drug-habit.”
- </p>
- <p>
- “Habit?” cried Mrs. Clyde. “Do you mean I’m in
- danger of not being able to get along without the tablets?”
- </p>
- <p>
- “If you take them steadily you certainly are. If you take them
- occasionally, you’re only in danger of dropping dead one of these
- days.”
- </p>
- <p>
- Mr. Clyde’s chin abruptly assumed a prominence which he seldom
- permitted it. “Well, that settles <i>that</i>,” he observed;
- and it was entirely unnecessary for any one present to ask any
- amplification of the remark. Mrs. Clyde looked at her mother for sympathy—and
- didn’t get any.
- </p>
- <p>
- “Whenever I see a woman come into the shop,” continued the
- druggist, “with a whitey-blue complexion and little gray’
- flabby wrinkles under her eyes, I know without asking what <i>she</i>
- wants. She’s a headache-powder fiend.”
- </p>
- <p>
- “That queer look they have is from deterioration of the blood,”
- said Dr. Strong. “The acetanilid or acetphenetidin or whatever the
- coal-tar derivative may be, seems to kill the red corpuscles. In extreme
- cases of this I’ve seen blood the color of muddy water.”
- </p>
- <p>
- “It certainly makes a fright of a woman. ‘Orangeine’
- gets a lot of ‘em. You’ ve seen its advertisements in the
- street-cars. The owner of Orangeine, a Chicago man, got the habit himself:
- used fairly to live on the stuff, until pop! went his heart. He’s a
- living, or, rather a dead illustration of what his own dope will do.”
- </p>
- <p>
- “But what are you to do for a splitting headache?” queried
- Mrs. Clyde, turning to Dr. Strong.
- </p>
- <p>
- “I don’t know, unless I know what causes it,” said Dr.
- Strong. “Headache isn’t a disease. It’s a symptom, a
- danger signal. It’s the body’s way of crying for help. Drugs
- don’t cure a headache. They simply interrupt it.”
- </p>
- <p>
- “What with the headache-powders breeding the drug habit, and the
- consumption cures and cough medicines making dope fiends, and the malt
- whiskey cures and Perunas furnishing quiet joy to the temperance trade, I
- sometimes wonder what we’re coming to,” remarked Mr. Gormley.
- </p>
- <p>
- Mr. Clyde rubbed his chin thoughtfully. “But poor people who can’t
- afford a doctor have no recourse but to patent medicines,” said he.
- </p>
- <p>
- “Can’t afford a doctor!” exclaimed Dr. Strong. “Why,
- don’t you know that nostrum-taking is the most expensive form of
- treatment? Did you ever happen to see A. B. Frost’s powerful cartoon
- called ‘Her Last Dollar’? A woman, thin, bent, and ravaged
- with disease, is buying, across the counter of a country store, a bottle
- of some kind of ‘sure cure,’ from the merchant, who serves her
- with a smile, half-pitying, half-cynical, while her two ragged children,
- with hunger and hope in their pinched faces, gaze wistfully at the food in
- the glass cases. There’s the whole tragedy of a wasted life in that
- picture. ‘Her Last Dollar!’ That’s what the patent
- medicine is after. A doctor at least <i>tries</i> to cure. But the patent
- medicine shark’s policy is to keep the sufferer buying as long as
- there is a dollar left to buy with. Why, a nostrum that advertises heavily
- has got to sell six bottles or seven to each victim before the cost of
- catching that victim is defrayed. After that, the profits. Since you’ve
- brought up the matter of expense, I’ll give you an instance from
- your own household, Clyde.”
- </p>
- <p>
- “Here! What’s this?” cried Mr. Clyde, sitting up
- straight. “More patent dosing?”
- </p>
- <p>
- “One of the servants,—Maggie, the nurse. I’ve got her
- whole medical history and she’s a prime example of the Dupe’s
- Progress. She’s run the gamut of fake cures.”
- </p>
- <p>
- “Something must have been the matter with her to start her off,
- though,” said Mr. Clyde.
- </p>
- <p>
- “That’s the joke—or would be if it weren’t
- pathetic. She started out by having headaches. Not knowing any better, she
- took headache-powders.”
- </p>
- <p>
- “One for you, Myra,” remarked Mr. Clyde to his wife, in an
- aside.
- </p>
- <p>
- “Bad heart action and difficulty in breathing—the natural
- result—scared her into the belief that she had heart trouble.
- Impetus was given to this notion by an advertisement which she found in a
- weekly, a religious weekly (God save the mark!), advising her not to drop
- dead of heart disease. To avoid this awful fate, which was illustrated by
- a sprightly sketch of a man falling flat on the sidewalk, she was
- earnestly implored to try Kinsman’s heart remedy. She did so, and,
- of course, got worse, since the ‘remedy’ was merely a swindle.
- About this time Maggie’s stomach began to ‘act up,’
- partly from the medicines, partly from the original trouble which caused
- her headaches.”
- </p>
- <p>
- “You haven’t told us what that was, Strong,” remarked
- Mr. Clyde.
- </p>
- <p>
- “Later. Maggie now developed catarrh of the stomach, superinduced by
- reading one of old Dr. Hartman’s Peruna ads. She took seven bottles
- of Peruna, and it cheered her up quite a bit—temporarily and
- alcoholically.”
- </p>
- <p>
- “Then it was <i>that</i> that I smelled on her breath. And I accused
- her of drinking,” said Mrs. Clyde remorsefully.
- </p>
- <p>
- “So she had been; raw alcohol, flavored with a little caramel and
- doctored up with a few drugs. Toward the close of her Peruna career, her
- stomach became pretty sensitive. Also, as she wasn’t accustomed to
- strong liquor, her kidneys were affected somewhat. In her daily paper she
- read a clarion call from Dr. Kilmer of the Swamp Root swindle (the real
- Dr. Kilmer quit Swamp Root to become a cancer quack, by the way), which
- seemed to her to diagnose her case exactly. So she ‘tanked up’
- some more on that brand of intoxicant. Since she was constantly drugging
- herself, the natural resistance of her body was weakened, and she got a
- bad cold. The cough scared her almost to death; or rather, the consumption
- cure advertisements which she took to reading did; and she spent a few
- dollars on the fake factory which turns out Dr. King’s New
- Discovery. This proving worthless, she switched to Piso’s Cure and
- added the hasheesh habit to alcoholism. By this time she had acquired a
- fine, typical case of patent-medicine dyspepsia. That idea never occurred
- to her, though. She next tried Dr. Miles’s Anti-Pain Pills (more
- acetanilid), and finally decided—having read some advertising
- literature on the subject—that she had cancer. And the reason she
- was leaving you, Mrs. Clyde, was that she had decided to go to a
- scoundrelly quack named Johnson who conducts a cancer institute in Kansas
- City, where he fleeces unfortunates out of their money on the pretense
- that he can cure cancer without the use of the knife.”
- </p>
- <p>
- “Can’t you stop her?” asked Mrs. Clyde anxiously.
- </p>
- <p>
- “Oh, I’ve stopped her! You’ll find the remains of her
- patent medicines in the ash-barrel. I flatter myself I’ve fixed <i>her</i>
- case.”
- </p>
- <p>
- Grandma Sharpless gazed at him solemnly. “‘Any doctor who
- claims to cure is a quack.’ Quotation from Dr. Strong,” she
- said.
- </p>
- <p>
- “Nearly had me there,” admitted he. “Fortunately I didn’t
- use the word ‘cure.’ It wasn’t a case of cure. It was a case
- of correcting a stupid, disastrous little blunder in mathematics.”
- </p>
- <p>
- “Mathematics, eh?” repeated Mr. Clyde. “Have you reached
- the point where you treat disease by algebra, and triangulate a patient
- for an operation?”
- </p>
- <p>
- “Not quite that. But poor Maggie suffered all her troubles solely
- through an error in figuring by an incompetent man. A year ago she had
- trouble with her eyes. Instead of going to a good oculist she went to one
- of these stores which offer examinations free, and take it out in the
- price of the glasses. The examination is worth just what free things
- usually are worth—or less. They sold her a pair of glasses for two
- dollars. The glasses were figured out some fifty degrees wrong, for her
- error of vision, which was very slight, anyway. The nervous strain caused
- by the effort of the eyes to accommodate themselves to the false glasses
- and, later, the accumulated mass of drugs with which she’s been
- insulting her insides, are all that’s the matter with Maggie.”
- </p>
- <p>
- “That is, the glasses caused the headaches, and the patent medicines
- the stomach derangement,” said Mr. Clyde.
- </p>
- <p>
- “And the general break up, though the glasses may have started both
- before the nostrums ever got in their evil work. Nowadays, the wise
- doctor, having an obscure stomach trouble to deal with, in the absence of
- other explanation, looks to the eyes. Eyestrain has a most potent and
- far-reaching influence on digestion. I know of one case of chronic
- dyspepsia, of a year’s standing, completely cured by a change of
- eyeglasses.”
- </p>
- <p>
- “As a financial proposition,” said Mr. Gormley, “your
- nurse must have come out at the wrong end of the horn.”
- </p>
- <p>
- “Decidedly,” confirmed the doctor. “She spent on patent
- medicines about forty dollars. The cancer quack would have got at least a
- hundred dollars out of her, not counting her railroad fare. Two hundred
- dollars would be a fair estimate of her little health-excursion among the
- quacks. Any good physician would have sent her to an oculist, who would
- have fitted proper glasses and saved all that expense and drugging. The
- entire bill for doctor, oculist, and glasses might have been twenty-five
- dollars. Yet they defend patent medicines on the ground that they’re
- the ‘poor man’s doctor.”
- </p>
- <p>
- Mr. Gormley rose. “Poor man’s undertaker, rather,” he
- amended. “Well, having sufficiently blackguarded my own business, I
- think I’ll go. Here’s the whole thing summed up, as I see it.
- It pays to go to the doctor first and the druggist afterward; not to the
- druggist first and the doctor afterward.”
- </p>
- <p>
- Dr. Strong walked over to the gate with him. On his return Mrs. Clyde
- remarked:
- </p>
- <p>
- “What an interesting, thoughtful man. Are most druggists like that?”
- </p>
- <p>
- “They’re not all philosophers of the trade, like Gormley,”
- said Dr. Strong, “but they have to be pretty intelligent before they
- can pass the Pharmaceutical Board in this state, and put out their colored
- lights.”
- </p>
- <p>
- “I’ve often meant to ask what the green and red lights in
- front of a drug-store stand for,” said Mrs. Clyde. “What is
- their derivation?”
- </p>
- <p>
- “Green is the official color of medical science,” explained
- the doctor. “The green flag, you know, indicates the hospital corps
- in war-time; and the degree of M.D. is signalized by a green hood in
- academic functions.”
- </p>
- <p>
- “And the red globe on the other side of the store: what does that
- mean?”
- </p>
- <p>
- “Danger,” replied Dr. Strong grimly.
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0006" id="link2H_4_0006"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- V.—THE MAGIC LENS
- </h2>
- <p class="pfirst">
- <span class="dropcap" style="font-size: 4.00em">“N</span>o good
- fairy had ever bestowed such a gift as this magic lens,” said Dr.
- Strong, whisking Bettina up from her seat by the window and setting her on
- his knee. “It was most marvelously and delicately made, and
- furnished with a lightning-quick intelligence of its own. Everything that
- went on around it, it reported to its fortunate possessor as swiftly as
- thought flies through that lively little brain of yours. It earned its
- owner’s livelihood for him; it gave him three fourths of his
- enjoyments and amusements; it laid before him the wonderful things done
- and being done all over the world; it guided all his life. And all that it
- required was a little reasonable care, and such consideration as a man
- would show to the horse that worked for him.”
- </p>
- <p>
- “At the beginning you said it wasn’t a fairytale,”
- accused Bettina, with the gravity which five years considers befitting
- such an occasion.
- </p>
- <p>
- “Wait. Because the owner of the magic lens found that it obeyed all
- his orders so readily and faithfully, he began to impose on it. He made it
- work very hard when it was tired. He set tasks for it to perform under
- very difficult conditions. At times when it should have been resting, he
- compelled it to minister to his amusements. When it complained, he made
- light of its trouble.”
- </p>
- <p>
- “Could it speak?” inquired the little auditor.
- </p>
- <p>
- “At least it had a way of making known its wants. In everything
- which concerned itself it was keenly intelligent, and knew what was good
- and bad for it, as well as what was good and bad for its owner.”
- </p>
- <p>
- “Couldn’t it stop working for him if he was so bad to it?”
- </p>
- <p>
- “Only as an extreme measure. But presently, in this case, it
- threatened to stop. So the owner took it to a cheap and poor repair-shop,
- where the repairer put a little oil in it to make it go on working. For a
- time it went on. Then, one morning, the owner woke up and cried out with a
- terrible fear. For the magic light in the magic lens was gone. So for that
- foolish man there was no work to do nor play to enjoy. The world was
- blotted out for him. He could not know what was going on about him, except
- by hearsay. No more was the sky blue for him, or the trees green, or the
- flowers bright; and the faces of his friends meant nothing. He had thrown
- away the most beautiful and wonderful of all gifts. Because it is a gift
- bestowed on nearly all of us, most of us forgot the wonder and the beauty
- of it. So, Honorable Miss Twinkles, do you beware how you treat the magic
- lens which is given to you.”
- </p>
- <p>
- “To me?” cried the child; and then, with a little squeal of
- comprehension: “Oh, I know! My eyes. That’s the magic lens.
- Isn’t it?”
- </p>
- <p>
- “What’s that about Bettykin’s eyes?” asked Mr.
- Clyde, who had come in quietly, and had heard the finish of the allegory.
- </p>
- <p>
- “I’ve been examining them,” explained Dr. Strong,
- “and the story was reward of merit for her going through with it
- like a little soldier.”
- </p>
- <p>
- “Examining her eyes? Any particular reason?” asked the father
- anxiously.
- </p>
- <p>
- “Very particular. Mrs. Clyde wishes to send her to kindergarten for
- a year before she enters the public school. No child ought to begin school
- without a thorough test of vision.”
- </p>
- <p>
- “What did the test show in Bettykin’s case?”
- </p>
- <p>
- “Nothing except the defects of heredity.”
- </p>
- <p>
- “Heredity? My sight is pretty good; and Mrs. Clyde’s is still
- better.”
- </p>
- <p>
- “You two are not the Cherub’s only ancestors, however,”
- smiled the physician. “And you can hardly expect one or two
- generations to recast as delicate a bit of mechanism as the eye, which has
- been built up through millions of years of slow development. However,
- despite the natural deficiencies, there’s no reason in Betty why she
- shouldn’t start in at kindergarten next term, provided there isn’t
- any in the kindergarten itself.”
- </p>
- <p>
- Mr. Clyde studied the non-committal face of his “Chinese physician,”
- as he was given to calling Dr. Strong since the latter had undertaken to
- safeguard the health of his household on the Oriental basis of being paid
- to keep the family well and sound. “Something is wrong with the
- school,” he decided.
- </p>
- <p>
- “Read what it says of itself in that first paragraph,” replied
- Dr. Strong, handing him a rather pretentious little booklet.
- </p>
- <p>
- In the prospectus of their “new and scientific kindergarten,”
- the Misses Sarsfield warmly congratulated themselves and their prospective
- pupils, primarily, upon the physical advantages of their school building
- which included a large work-and-play room, “with generous window
- space on all sides, and finished throughout in pure, glazed white.”
- This description the head of the Clyde household read over twice; then he
- stepped to the door to intercept Mrs. Clyde’s mother who was passing
- by.
- </p>
- <p>
- “Here, Grandma,” said he. “Our Chinese tyrant had
- diagnosed something wrong with that first page. Do you discover any kink
- in it?”
- </p>
- <p>
- “Not I,” said Mrs. Sharpless, after reading it. “Nor in
- the place itself. I called there yesterday. It is a beautiful room;
- everything as shiny and clean as a pin.”
- </p>
- <p>
- “Yesterday was cloudy,” observed the Health Master.
- </p>
- <p>
- “It was. Yet there wasn’t a corner of the place that wasn’t
- flooded with light,” declared Mrs. Sharpless.
- </p>
- <p>
- “And on a clear day, with the sun pouring in from all sides and
- being flashed back from those shiny, white walls, the unfortunate inmates
- would be absolutely dazzled.”
- </p>
- <p>
- “Do you mean to say that God’s pure sunlight can hurt any one?”
- challenged Mrs. Sharpless, who was rather given to citing the Deity as
- support for her own side of any question.
- </p>
- <p>
- “Did you ever hear of snow-blindness?” countered the
- physician.
- </p>
- <p>
- “I’ve seen it in the North,” said Mr. Clyde. “It’s
- not a pleasant thing to see.”
- </p>
- <p>
- “Glazed white walls would give a very fair imitation of snow-glare.
- Too much light is as bad as too little. Those walls should be tinted.”
- </p>
- <p>
- “Yet it says here,” said Mr. Clyde, referring to his circular,
- “that the ‘Misses Sarsfield will conduct their institution on the
- most improved Froebelian principles.”
- </p>
- <p>
- “Froebel was a great man and a wise one,” said Dr. Strong.
- “His kindergarten system has revolutionized all teaching. But he
- lived before the age of hygienic knowledge. I suppose that no other man
- has wrought so much disaster to the human eye as he.”
- </p>
- <p>
- “That’s a pretty broad statement, Strong,” objected Air.
- Clyde.
- </p>
- <p>
- “Is it? Look at the evidence. North Germany is the place where
- Froebel first developed his system. Seventy-five per cent of the
- population are defective of vision. Even the American children of North
- German immigrants show a distinct excess of eye defects. You’ve seen
- the comic pictures representing Boston children as wearing huge goggles?”
- </p>
- <p>
- “Are you making an argument out of a funny-paper joke?”
- queried Grandma Sharpless.
- </p>
- <p>
- “Why not? It wouldn’t be a joke if it hadn’t some
- foundation in fact. The kindergarten system got its start in America in
- Boston. Boston has the worst eyesight of any American city; impaired
- vision has even become hereditary there. To return to Germany: if you want
- a shock, look up the records of suicides among school-children there.”
- </p>
- <p>
- “But surely that has no connection with the eyes.”
- </p>
- <p>
- “Surely it has,” controverted Dr. Strong. “The eye is
- the most nervous of all the organs; and nothing will break down the
- nervous system in general more swiftly and surely than eye-strain. Even in
- this country we are raising up a generation of neurasthenic youngsters,
- largely from neglect of their eyes.”
- </p>
- <p>
- “Still, we’ve got to educate our children,” said Mr.
- Clyde.
- </p>
- <p>
- “And we’ve got to take the utmost precautions lest the
- education cost more than it is worth, in acquired defects.”
- </p>
- <p>
- “For my part,” announced Grandma Sharpless, “I believe
- in early schooling and in children learning to be useful. At the Sarsfield
- school there were little girls no older that Bettina, who were doing
- needlework beautifully; fine needlework at that.”
- </p>
- <p>
- “Fine needlework!” exploded Dr. Strong in a tone which Grandma
- Sharpless afterwards described as “damnless swearing.”
- </p>
- <p>
- “That’s enough! See here, Clyde. Betty goes to that
- kindergarten only over my dead job.”
- </p>
- <p>
- “Oh, well,” said Mr. Clyde, amazed at the quite unwonted
- excitement which the other exhibited, “if you’re dealing in
- ultimatums, I’ll drop out and leave the stricken field to Mrs.
- Clyde. This kindergarten scheme is hers. Wait. I’ll bring her. I
- think she just came in.”
- </p>
- <p>
- “What am I to fight with you about, Dr. Strong?” asked Mrs.
- Clyde, appearing at the door, a vision of trim prettiness in her furs and
- veil. “Tom didn’t tell me the <i>casus belli</i>.”
- </p>
- <p>
- “Nobody in this house,” said Dr. Strong appealing to her,
- “seems to deem the human eye entitled to the slightest
- consideration. You’ve never worn glasses; therefore you must have
- respected your own eyesight enough to—”
- </p>
- <p>
- He stopped abruptly and scowled into Mrs. Clyde’s smiling face.
- </p>
- <p>
- “Well! what’s the matter?” she demanded. “You look
- as if you were going to bite.”
- </p>
- <p>
- “What are you looking cross-eyed for?” the Health Master shot
- at her.
- </p>
- <p>
- “I’m not! Oh, it’s this veil, I suppose.” She
- lifted the heavy polka-dotted screen and tucked it over her hat. “There,
- that’s more comfortable!”
- </p>
- <p>
- “Is it!” said the physician with an emphasis of sardonicism.
- “You surprise me by admitting that much. How long have you been
- wearing that instrument of torture?”
- </p>
- <p>
- “Oh, two hours. Perhaps three. But, Dr. Strong, it doesn’t
- hurt my eyes at all.”
- </p>
- <p>
- “Nor your head?”
- </p>
- <p>
- “I <i>have</i> got a little headache,” she confessed. “To
- think that a supposedly intelligent woman who has reached the age of—of—”
- </p>
- <p>
- “Thirty-eight,” said she, laughing. “I’m not
- ashamed of it.”
- </p>
- <p>
- “—Thirty-eight, without having to wear glasses, should
- deliberately abuse her hard-working vision by distorting it! See here,”
- he interrupted himself, “it’s quite evident that I haven’t
- been living up to the terms of my employment. One of these evenings we’re
- going to have in this household a short but sharp lecture and symposium on
- eyes. I’ll give the lecture; and I suspect that this family will
- furnish the symposium—of horrible examples. Where’s Julia? As
- she’s the family Committee on School Conditions, I expect to get
- some material from her, too. Meantime, Mrs. Clyde, no kindergarten for
- Betty kin, if you please. Or, in any case, not that kindergarten.”
- </p>
- <p>
- No further ocular demonstrations were made by Dr. Strong for several days.
- Then, one evening, he came into the library where the whole family was
- sitting. Grandma Sharpless, in the old-fashioned rocker, next a stand from
- which an old-fashioned student-lamp dispensed its benign rays, was holding
- up, with some degree of effort, a rather heavy book to the line of her
- vision. Opposite her a soft easychair contained Robin, other-wise Bobs,
- involuted like a currant-worm after a dose of Paris green, and
- imaginatively treading, with the feet of enchantment, virgin expanses of
- forest in the wake of Mr. Stewart White.
- </p>
- <p>
- Julia, alias “Junkum,” his twin, was struggling against the
- demon of ill chance as embodied in a game of solitaire, far over in a dim
- corner. Geography enchained the mind of eight-year-old Charles, also his
- eyes, and apparently his nose, which was stuck far down into the mapped
- page. Near him his father, with chin doubled down over a stiff collar, was
- internally begging leave to differ with the editorial opinions of his
- favorite paper; while Mrs. Clyde, under the direct glare of a side-wall
- electric cluster, unshaded, was perusing a glazed-paper magazine, which
- threw upon her face a strong reflected light. Before the fire Bettykin was
- retailing to her most intelligent doll the allegory of the Magic Lens.
- </p>
- <p>
- Enter, upon this scene of domestic peace, the spirit of devastation in the
- person of the Health Master.
- </p>
- <p>
- “The horrible examples being now on exhibit,” he remarked from
- the doorway, “our symposium on eyes will begin.”
- </p>
- <p>
- “He says we’re a hor’ble example, Susan Nipper,”
- said Bettina confidentially, to her doll.
- </p>
- <p>
- “No, I apologize, Bettykin,” returned the doctor. “You’re
- the only two sensible people in the room.”
- </p>
- <p>
- Julia promptly rose, lifted the stand with her cards on it, carried it to
- the center of the library, and planted it so that the central light fell
- across it from a little behind her.
- </p>
- <p>
- “One recruit to the side of common sense,” observed the
- physician. “Next!”
- </p>
- <p>
- “What’s wrong with me?” demanded Mr. Clyde, looking up.
- “Newspaper print?”
- </p>
- <p>
- “Newspaper print is an unavoidable evil, and by no means the worst
- example of Gutenberg’s art. No; the trouble with you is that your
- neck is so scrunched down into a tight collar as to shut off a proper
- blood supply from your head. Don’t your eyes feel bungy?”
- </p>
- <p>
- “A little. What am I going to do? I can’t sit around after
- dinner with no collar on.”
- </p>
- <p>
- “Sit up straight, then; stick your neck up out of your collar and
- give it play. Emulate the attentive turtle! And you, Bobs, stop imitating
- an anchovy. Uncurl! <i>Uncurl!!</i>”
- </p>
- <p>
- With a sigh, Robin straightened himself out. “I was so comfortable,”
- he complained.
- </p>
- <p>
- “No, you weren’t. You were only absorbed. The veins on your
- temples are fairly bulging. You might as well try to read standing on your
- head. Get a straight-backed chair, and you’re all right. I’m
- glad to see that you follow Grandma Sharpless’s good example in
- reading by a student-lamp.”
- </p>
- <p>
- “That’s my own lamp,” said Mrs. Sharpless. “Seventy
- years has at least taught me how to read.”
- </p>
- <p>
- “How, but not what,” answered the Health Master. “That’s
- a bad book you’re reading.”
- </p>
- <p>
- Grandma Sharpless achieved the proud athletic feat of bounding from her
- chair without the perceptible movement of a muscle.
- </p>
- <p>
- “Young man!” she exclaimed in a shaking voice, “do you
- know what book that is?”
- </p>
- <p>
- “I don’t care what book—”
- </p>
- <p>
- “It is the Bible.”
- </p>
- <p>
- “Is it? Well, Heaven inspired the writer, but not the printer. Text
- such as that ought to be prohibited by law. Isn’t there a passage in
- that Bible, ‘Having eyes, ye see not’?”
- </p>
- <p>
- “Yes, there is,” snapped Mrs. Sharpless. “And my eyes
- have been seeing and seeing straight for a good many more years than
- yours.”
- </p>
- <p>
- “The more credit to them and the less to you, if you’ve
- maltreated them with such sight-murdering print as that. Haven’t you
- another Bible?”
- </p>
- <p>
- Grandma Sharpless sat down again. “I have another,” she said,
- “with large print; but it’s so heavy.”
- </p>
- <p>
- “Prescription: one reading-stand. Now, Mrs. Clyde.”
- </p>
- <p>
- The mother of the family looked up from her magazine with a smile.
- </p>
- <p>
- “You can’t say that I haven’t large print or a good
- light,” she said.
- </p>
- <p>
- “The print is good, but the paper bad,” said the Health
- Master. “Bad, that is, as you are holding it under a full,
- unqualified electric light. In reading from glazed paper, which reflects
- like a mirror, you should use a very modified light. In fact, I blame
- myself from not having had all the electric globes frosted long since.
- Now, I’ve kept the worst offender for the last.”
- </p>
- <p>
- Charley detached his nose from his geography and looked up. “That’s
- me, I suppose,” he remarked pessimistically and ungrammatically.
- “I’m always coming in for something special. But I can’t
- make anything out of these old maps without digging my face down into
- ‘em.”
- </p>
- <p>
- “That’s a true bill against the book concern which turns out
- such a book, and the school board which permits its use. Charley, do you
- know why Manny isn’t playing football this year?”
- </p>
- <p>
- “Manny” was the oldest son of the family, then away at school.
- </p>
- <p>
- “Mother wanted him not to, I suppose,” said the boy.
- </p>
- <p>
- “No,” said Mrs. Clyde. “Dr. Strong persuaded me that the
- development he would get out of the game would be worth the risk.”
- </p>
- <p>
- “It was his eyes,” said the Health Master. “He is
- wearing glasses this year and will probably wear them next. After that I
- hope he can stop them. But his trouble is that he—or rather his
- teachers—abused his eyes with just such outrageous demands as that
- geography of yours. And while the eye responded then, it is demanding
- payment now.”
- </p>
- <p>
- “But a kid’s got to study, hasn’t he? Else he won’t
- keep up,” put in Bobs, much interested.
- </p>
- <p>
- “Not at the expense of the most important of his senses,”
- returned the Health Master. “And never at night, at Charley’s
- age, or even yours, Bobs.”
- </p>
- <p>
- “Then he gets dropped from his classes,” objected Bobs.
- </p>
- <p>
- “The more blame to his classes. Early learning is much too expensive
- at the cost of eye-strain and consequent nerve-strain. If we force a
- student in the early years to make too great demands on his eyes, the
- chances are that he will develop some eye or nervous trouble at sixteen or
- seventeen and lose far more time than he has gained before, not reckoning
- the disastrous physical effects.”
- </p>
- <p>
- “But if other children go ahead, ours must,” said Mrs. Clyde.
- </p>
- <p>
- “Perhaps the others who go ahead now won’t keep ahead later.
- There is a sentence in Wood and Woodruff’s textbook on the eye *
- which every public-school teacher and every parent should learn by heart.
- It runs like this: ‘That child will be happier and a better citizen
- as well as a more successful man of affairs, who develops into a fairly
- healthy, though imperfectly schooled animal at twenty, than if he becomes
- a learned, neurasthenic asthenope at the same age.’”
- </p>
-<pre xml:space="preserve">
- * Commoner Diseases of the Eye, by Casey A. Wood and Thomas
- A. Woodruff, pp. 418, 419.
-</pre>
- <p>
- “Antelope?” put in Bettina, who was getting weary of her
- exclusion from the topic. “I’ve got a picture of that. It’s
- a little deer.”
- </p>
- <p>
- “So are you, Toddles,” cried the doctor, seizing upon her with
- one hand and Susan Nipper with the other, and setting one on each
- shoulder, “and we’re going to keep those very bright twinklers
- of yours just as fit’as possible, both to see and be seen.”
- </p>
- <p>
- “But what of Charley and the twins?” asked Mr. Clyde.
- </p>
- <p>
- “Everything right, so far. They’re healthy young animals and
- can meet the ordinary demands of school life. But no more study at night,
- for some years, for Charley; and no more, ever, of fine-printed maps. Some
- day, Charley, you may go to the Orinoco. It’s a good deal more
- desirable that you should be able to see what there is to be seen there,
- then, than that you should learn, now, the name of every infinitesimally
- designated town on its banks.”
- </p>
- <p>
- “In my childhood,” observed Mrs. Sharpless, with the finality
- proper to that classic introductory phrase, “we thought more of our
- brains than our eyes.”
- </p>
- <p>
- “An inverted principle. The brain can think for itself. The eye can
- only complain, and not always very clearly in the case of a child.
- Moreover, Mrs. Sharpless, in your school-days the eye wasn’t under
- half the strain that it is in our modern, print-crowded world. The fact
- is, we’ve made a tremendous leap forward, and radically changed a
- habit and practice built up through hundreds and thousands of years, and
- Nature is struggling against great difficulties to catch up with us.”
- </p>
- <p>
- “I don’t understand what you are getting at,” said Mrs.
- Clyde, letting her magazine drop.
- </p>
- <p>
- “Have you tried walking on all fours lately?” inquired the
- physician.
- </p>
- <p>
- “Not for a number of years.”
- </p>
- <p>
- “Presumably you would find it awkward. Yet if, through some pressure
- of necessity, the human race should have to return to the quadrupedal
- method, the alteration in life would be less radical than we have imposed
- upon our vision in the last few generations.”
- </p>
- <p>
- “Sounds like flat nonsense to me,” said the downright Clyde.
- “We see just as all our ancestors saw.”
- </p>
- <p>
- “Think again. Our ancestors, back a very few generations, were an
- outdoor race living in a world of wide horizons. Their eyes could range
- over far distances, unchecked, instead of being hemmed in most of the time
- by four walls. They were farsighted. Indeed, their survival depended upon
- their being far-sighted; like the animals which they killed or which
- killed them, according as the human or the beast had the best eyes.
- Nowadays, in order to live we must read and write. That is, the primal
- demand upon the eye is that it shall see keenly near at hand instead of
- far off. The whole hereditary training of the organ has been inverted, as
- if a mountaineer should be set to diving for pearls; and the poor thing
- hasn’t had time to adjust itself yet. We employ our vision for close
- work ten times as much as we did a hundred years ago and ten thousand
- times as much as we did ten thousand years ago. But the influence of those
- ten thousand years is still strong upon us, and the human child is born
- with the eye of a savage or an animal.”
- </p>
- <p>
- “What kind of an animal’s eyes have I got?” demanded
- Bettina. “A antelope’s?”
- </p>
- <p>
- “Almost as far-sighted,” returned the Health Master, wriggling
- out from under her and catching her expertly as she fell. “And how
- do you think an antelope would be doing fine needlework in a kindergarten?”
- </p>
- <p>
- “But, Strong, few of us go blind,” said Mr. Clyde. “And
- of those who do, nearly half are needlessly so. That we aren’t all
- groping, sightless, about the earth is due to the marvelous adaptability
- of our eyes. And it is exactly upon that adaptability that we are so prone
- to impose; working a willing horse to death. In the young the muscles of
- accommodation, whereby the vision is focused, are almost incredibly
- powerful; far more so than in the adult. The Cherub, here, could force her
- vision to almost any kind of work and the eye would not complain much—at
- this time. But later on the effects would be manifest. Therefore we have
- to watch the eye very closely until it begins to grow old, which is at
- about twelve years or so. In the adult the eye very readily lets its owner
- know if anything is wrong. Only fools disregard that warning. But in the
- developing years we must see to it that those muscles, set to the task of
- overcoming generations of custom, do not overwork and upset the whole
- nervous organization. Sometimes glasses are necessary; usually, only care.”
- </p>
- <p>
- “In a few generations we’ll all have four eyes, won’t
- we?” asked Bobs, making a pair of mock spectacles with his circled
- fingers and thumbs.
- </p>
- <p>
- “Oh, let’s hope not. The cartoonists of prophecy always give
- the future man spectacles. But I believe that the tendency will be the
- other way, and that, by evolution to meet new conditions, the eye will fit
- itself for its work, unaided, in time. Meantime, we have to pay the
- penalty of the change. That’s a small price for living in this
- wonderful century.”
- </p>
- <p>
- “You say that half the blind are needlessly so,” said Mrs.
- Clyde. “Is that from preventable disease?”
- </p>
- <p>
- “About forty per cent, of the wholly blind. But the half-blind and
- the nervously wrecked victims of eye-strain owe their woes generally to
- sheer carelessness and neglect. By the way, eye-strain itself may cause
- very serious forms of disease, such as obstinate and dangerous forms of
- indigestion, insomnia, or even St. Vitus’s dance and epilepsy.”
- </p>
- <p>
- “But you’re not telling us anything about eye diseases, Dr.
- Strong,” said Julia.
- </p>
- <p>
- “There speaks our Committee on School Conditions, filled full of
- information,” said the Health Master with a smile. “Junkum has
- made an important discovery, and made it in time. She has found that two
- children recently transferred from Number 14 have red eyes.”
- </p>
- <p>
- “Maybe they’ve been crying,” suggested Bettykin.
- </p>
- <p>
- “They were when I saw them, acute Miss Twinkles, although they didn’t
- mean it at all. One was crying out of one eye, and one out of the other,
- which gave them a very curious, absurd, and interesting appearance. They
- had each a developing case of pink-eye.”
- </p>
- <p>
- “Horses have pink-eye, not people,” remarked Grandma
- Sharpless.
- </p>
- <p>
- “To be more accurate, then, conjunctivitis. People have that; a
- great many people, once it gets started. It looks very bad and dangerous;
- but it isn’t if properly cared for. Only, it’s quite
- contagious. Therefore the Committee on Schools, with myself as acting
- executive, accomplished the temporary removal of those children from
- school.”
- </p>
- <p>
- “And then,” the Committee joyously took up the tale, “we
- went out and trailed the pink-eye.”
- </p>
- <p>
- “We did. We trailed it to its lair in School Number 14, and there we
- found one of the most dangerous creatures which civilization still allows
- to exist.”
- </p>
- <p>
- “In the school?” said Bettykin. “Oo-oo! What was it?”
- </p>
- <p>
- “It was a Rollertowl,” replied the doctor impressively and in
- a sonorous voice.
- </p>
- <p>
- “I never heard of it,” said the Cherub, awestruck. “What
- is it like?”
- </p>
- <p>
- “He means a roller-towel, goosie,” explained Julia. “A
- towel on a roller, that everybody wipes their hands and faces on.”
- </p>
- <p>
- “Exactly. And because everybody uses it, any contagious disease that
- anybody has, everybody is liable to catch. I’d as soon put a
- rattlesnake in a school as a roller-towel. In this case, half the grade
- where it was had conjunctivitis. But that isn’t the worst. There was
- one case of trachoma in the grade; a poor little Italian whose parents
- ignorantly sent her to an optician instead of an oculist. The optician
- treated her for an ordinary inflammation, and now she will lose the sight
- of one eye. Meantime, if any of the others have been infected by her,
- through that roller-towel, there will be trouble, for trachoma is a
- serious disease.”
- </p>
- <p>
- “Did you throw out the roller-towel?” asked Charley with a
- hopeful eye to a fray.
- </p>
- <p>
- “No. We got thrown out ourselves, didn’t we, Junkum?”
- </p>
- <p>
- “Pretty near,” corroborated Julia. “The principal told
- Dr. Strong that he guessed he could run his school himself and he didn’t
- need any interference by—by—what did he call us, Dr. Strong?”
- </p>
- <p>
- “Interlopers. No, Cherub, an interloper is no relation to an
- antelope. It was four days ago that we left that principal and went out
- and whistled for the Fool-killer. Yesterday, the principal came down with
- a rose-pink eye of his own; the Health Officer met him and ordered him
- into quarantine, and the terrible and ferocious Rollertowl is now writhing
- in its death-agonies on the ash-heap.”
- </p>
- <p>
- “What about other diseases?” asked Mrs. Clyde after a pause.
- </p>
- <p>
- “Nothing from me. The eye will report them itself quick enough. And
- as soon as your eye tells you that anything is the matter with it, you
- tell the oculist, and you’ll probably get along all right, as far as
- diseases go. It is not diseases that I have to worry about, as your
- Chinese-plan physician, so much as it is to see that you give your vision
- a fair chance. Let’s see. Charley, you’re the Committee on
- Air, aren’t you? Could you take on a little more work?”
- </p>
- <p>
- “Try me,” said the boy promptly.
- </p>
- <p>
- “All right; we’ll make you the Committee on Air and Light,
- hereafter, with power of protest and report whenever you see your mother
- going out in a polka-dotted, cross-eyed veil, or your grandmother reading
- a Bible that needs burning worse than any heretic ever did, or any of the
- others working or playing without sufficient illumination. Here endeth
- this lecture, with a final word. This is it:—
- </p>
- <p>
- “The eye is the most nervous of all the body’s organs. Except
- in early childhood, when it has the recklessness and overconfidence of
- unbounded strength, it complains promptly and sharply of ill-usage. Now,
- there are a few hundred rules about when and how to use the eyes and when
- and how not to use them. I’m not going to burden you with those. All
- I’m going to advise you is that when your eyes burn, smart, itch, or
- feel strained, there’s some reason for it, and you should obey the
- warning and stop urging them to work against their protest. In fact, I
- might sum it all up in a motto which I think I’ll hang here in the
- library—a terse old English slang phrase.”
- </p>
- <p>
- “What is it?” asked Mr. Clyde.
- </p>
- <p>
- “‘Mind your eye,’” replied the Health Master.
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0007" id="link2H_4_0007"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- VI.—THE RE-MADE LADY
- </h2>
- <p>
- “Of all unfortunate times!” lamented Mrs. Clyde, her piquant
- face twisted to an expression of comic despair. “Why couldn’t
- he have given us a little more notice?”
- </p>
- <p>
- Impatiently she tossed aside the telegram which announced that her husband’s
- old friend, Oren Taylor, the artist, would arrive at seven o’clock
- that evening.
- </p>
- <p>
- “Don’t let it bother you, dear,” said Clyde. “I’ll
- take him to the club for dinner.”
- </p>
- <p>
- “You can’t. Have you forgotten that I’ve invited Louise
- Ennis for her quarterly—well—visitation?”
- </p>
- <p>
- Clyde whistled. “That’s rather a poser. What business have I
- got to have a cousin like Louise, anyway!”
- </p>
- <p>
- Upon this disloyal observation Dr. Strong walked into the library. He was
- a very different Dr. Strong from the nerve-shaken wanderer who had dropped
- from nowhere into the Clyde household a year previous as its physician on
- the Chinese plan of being employed to keep the family well. The painful
- lines of the face were smoothed out. There was a deep light of content,
- the content of the man who has found his place and filled it, in the level
- eyes; and about the grave and controlled set of the mouth a sort of
- sensitive buoyancy of expression. The flesh had hardened and the spirit
- softened in him.
- </p>
- <p>
- “Did you hear that, Strong?” inquired Mr. Clyde, turning to
- him.
- </p>
- <p>
- “I have trained ears,” answered Dr. Strong solemnly. “They’re
- absolutely impervious to any speech not intended for them.”
- </p>
- <p>
- “Open them to this: Louise Ennis is invited for dinner to-night. So
- is my old friend Oren Taylor, who wires to say that he’s passing
- through town.”
- </p>
- <p>
- “Is that Taylor, the artist of ‘The First Parting’? I
- shall enjoy meeting him.”
- </p>
- <p>
- “Well, you won’t enjoy meeting Cousin Louise,” declared
- Mr. Clyde. “We ask her about four times a year, out of family piety.
- You’ve been lucky to escape her thus far.”
- </p>
- <p>
- “Rather a painful old party, your cousin?” inquired the
- physician, smilingly, of Clyde.
- </p>
- <p>
- “Old? Twenty-two,” said Mrs. Clyde. “But she looks fifty
- and feels a hundred.”
- </p>
- <p>
- “Allowing for feminine exaggeration,” amended Clyde.
- </p>
- <p>
- “But what’s so wrong with her?” demanded the physician.
- </p>
- <p>
- “Nerves,” said Mrs. Clyde.
- </p>
- <p>
- “Stomach,” said Mr. Clyde.
- </p>
- <p>
- “Headaches,” said Mrs. Clyde.
- </p>
- <p>
- “Toe-aches,” said Mr. Clyde.
- </p>
- <p>
- “Too much money,” said Mrs. Clyde.
- </p>
- <p>
- “Too much ego,” said Mr. Clyde.
- </p>
- <p>
- “Dyspepsia.”
- </p>
- <p>
- “Hypochondria.”
- </p>
- <p>
- “Chronic inertia.”
- </p>
- <p>
- “Set it to music,” suggested Dr. Strong, “and sing it as
- a duet of disease, from ablepsy to zymosis, inclusively. I shall be
- immensely interested to observe this prodigy of ills.”
- </p>
- <p>
- “You’ll have plenty of opportunity,” said Mrs. Clyde
- rather maliciously. “You’re to sit next to her at dinner
- to-night.”
- </p>
- <p>
- “Then put Bettykin on the other side of me,” he returned.
- “With that combination of elf, tyrant, and angel close at hand, I
- can turn for relief from the grave to the cradle.”
- </p>
- <p>
- “Indeed you cannot. Louise can’t endure children. She says
- they get on her nerves. <i>My</i> children!”
- </p>
- <p>
- “Now you <i>have</i> put the finishing touch to your character
- sketch,” observed Dr. Strong. “A woman of child-bearing age
- who can’t endure children—well, she is pretty far awry.”
- </p>
- <p>
- “Yet I can remember Louise when she was a sweet, attractive young
- girl,” sighed Mrs. Clyde. “That was before her mother died,
- and left her to the care of a father too busy making money to do anything
- for his only child but spend it on her.”
- </p>
- <p>
- “You’re talking about Lou Ennis, I know,” said Grandma
- Sharpless, who had entered in time to hear the closing words.
- </p>
- <p>
- “Yes,” said. Dr. Strong. “What is our expert
- diagnostician’s opinion of the case? You know I always defer to you,
- ma’am, on any problem that’s under the surface of things.”
- </p>
- <p>
- “None of your soft sawder, young man!” said the old lady, her
- shrewd, gray eyes twinkling from her shrewd, pink face. “My opinion
- of Louise Ennis? I’ll give it to you in two words. Just spoiled.”
- </p>
- <p>
- “Taking my warning as I find it,” remarked the physician,
- rising, “I shall now retire to put on some chain armor under my
- evening coat, in case the Terrible Cousin attempts to stab me with an
- oyster-fork.”
- </p>
- <p>
- The dinner was not, as Mrs. Clyde was forced to admit afterward, by any
- means the dismal function which she had anticipated. Oren Taylor, an easy,
- discursive, humorous talker, set the pace and was ably seconded by Grandma
- Sharpless, whose knack of incisive and pointed comment served to spur him
- to his best. Dr. Strong, who said little, attempted to draw Miss Ennis
- into the current of talk, and was rewarded with an occasional flash of
- rather acid wit, which caused the artist to look across the table
- curiously at the girl. So far as he could do so without rudeness, the
- physician studied his neighbor.
- </p>
- <p>
- He saw a tall, amply-built girl, with a slackened frame whose muscles had
- forgotten how to play their part properly in holding the structure firm.
- Her face was flaccid. Under the large but dull eyes, there was a bloodless
- puffiness. Discontent sat enthroned at the corners of the sensitive mouth.
- A faint, reddish eruption disfigured her chin. Her two strong assets,
- beautifully even teeth and a wealth of soft, fine hair, failed wholly to
- save her from being a flatly repellent woman. Dr. Strong noted further
- that her hands were incessantly uneasy, and that she ate little and
- without interest. Also she seemed, in a sullen way, shy. Yet, despite all
- of these drawbacks, there was a pathetic suggestion of inherent fineness
- about her; of qualities become decadent through disuse; a charm that
- should have been, thwarted and perverted by a slovenly habit of life. Dr.
- Strong set her down as a woman at war with herself, and therefore with her
- world.
- </p>
- <p>
- After dinner Mr. and Mrs. Clyde slipped away to see the children. The
- artist followed Dr. Strong, to whom he had taken a liking, as most men
- did, into the small lounging-room, where he lighted a cigar.
- </p>
- <p>
- “Too bad about that Miss Ennis, isn’t it?” said Taylor
- abruptly.
- </p>
- <p>
- His companion looked at him interrogatively.
- </p>
- <p>
- “Such a mess,” he continued. “Such a ruin. Yet so much
- left that isn’t ruined. That face would be worth a lot to me for the
- ‘Poet’s Cycle of the Months’ that I’m painting
- now. What a <i>November</i> she’d make; ‘November, the withered
- mourner of glories dead and gone.’ Only I suppose she’d resent
- being asked to sit.”
- </p>
- <p>
- “Illusions are the last assets that a woman loses,” agreed Dr.
- Strong.
- </p>
- <p>
- “To think,” pursued the painter, “of what her Maker
- meant her to be, and of how she has belied it! She’s essentially and
- fundamentally a beautiful woman; that is why I want her for a model.”
- </p>
- <p>
- ‘“In the structure of her face, perhaps—”
- </p>
- <p>
- “Yes; and all through. Look at the set of her shoulders, and the
- lines of her when she walks. Nothing jerry-built about her! She’s
- got the contours of a goddess and the finish of a mud-pie. It’s
- maddening.”
- </p>
- <p>
- “More maddening from the physician’s point of view than from
- the artist’s. For the physician knows how needless it all is.”
- </p>
- <p>
- “Is she your patient?”
- </p>
- <p>
- “If she were I’d be ashamed to admit it. Give me military
- authority and a year’s time and if I couldn’t fix her so that
- she’d be proud to pose for your picture—Good Heavens!”
- </p>
- <p>
- From behind the drapery of the passageway appeared Louise Ennis. She took
- two steps toward the two men and threw out her hands in an appeal which
- was almost grotesque.
- </p>
- <p>
- “Is it true?” she cried, turning from one to the other.
- “Tell me, is it really true?”
- </p>
- <p>
- “My dear young lady,” groaned Taylor, “what can I say to
- palliate my unpard—”
- </p>
- <p>
- “Nevermind that! I don’t care. I don’t care anything
- about it. It’s my own fault. I stopped and listened. I couldn’t
- help it. It means so much to me. You can’t know. No man can
- understand. Is it true that I—that my face—”
- </p>
- <p>
- Oren Taylor was an artist in more than his art: he possessed the rare
- sense of the fit thing to do and say.
- </p>
- <p>
- “It is true,” he answered quietly, “that I have seen few
- faces more justly and beautifully modeled than yours.”
- </p>
- <p>
- “And you,” she said, whirling upon Dr. Strong. “Can you
- do what you said? Can you make me good-looking?”
- </p>
- <p>
- “Not I. But you yourself can.”
- </p>
- <p>
- “Oh, how? What must I do? D—d—don’t think me a
- fool!” She was half-sobbing now. “It may be silly to long so
- bitterly to be beautiful. But I’d give anything short of life for
- it.”
- </p>
- <p>
- “Not silly at all,” returned Dr. Strong emphatically. “On
- the contrary, that desire is rooted in the profoundest depths of sex.”
- </p>
- <p>
- “And is the best excuse for art as a profession,” said the
- painter, smiling.
- </p>
- <p>
- “Only tell me what to do,” she besought. “Gently,”
- said Dr. Strong. “It can’t be done in a day. And it will be a
- costly process.”
- </p>
- <p>
- “That doesn’t matter. If money is all—”
- </p>
- <p>
- “It isn’t all. It’s only a drop in the bucket. It will
- cost you dear in comfort, in indulgence, in ease, in enjoyment, in habit—”
- </p>
- <p>
- “I’ll obey like a child.” Again her hands went
- tremulously out to him; then she covered her face with them and burst into
- the tears of nervous exhaustion.
- </p>
- <p>
- “This is no place for me,” said the artist, and was about to
- escape by the door, when Mrs. Clyde blocked his departure.
- </p>
- <p>
- “Ah, you are in here,” she said gayly. “I’d been
- wondering—Why, what’s the matter? What is it?”
- </p>
- <p>
- “There has been an unfortunate blunder,” said Dr. Strong
- quickly. “I said some foolish things which Miss Ennis overheard—”
- </p>
- <p>
- “No,” interrupted the painter. “The fault was mine—”
- And in the same breath Louise Ennis cried:—
- </p>
- <p>
- “I didn’t overhear! I listened. I eavesdropped.”
- </p>
- <p>
- “Are you quite mad, all of you?” demanded the hostess. “Won’t
- somebody tell me what has happened?”
- </p>
- <p>
- “It’s true,” said the girl wildly; “every word
- they said. I <i>am</i> a mess.”
- </p>
- <p>
- Mrs. Clyde’s arms went around the girl. Sex-loyalty raised its war
- signal flaring in her cheeks.
- </p>
- <p>
- “<i>Who</i> said that?” she demanded, in a tone of which Dr.
- Strong observed afterward, “I never before heard a woman roar under
- her breath.”
- </p>
- <p>
- “Never mind who said it,” retorted the girl. “It’s
- true anyway. It wasn’t meant to hurt me. It didn’t hurt me. He
- is going to cure me; Dr. Strong is.”
- </p>
- <p>
- “Cure you, Louise? Of what?”
- </p>
- <p>
- “Of ugliness. Of hideousness. Of being a mess.”
- </p>
- <p>
- “But, my dear,” said the older woman softly, “you mustn’t
- take it to heart so, the idle word of some one who doesn’t know you
- at all.”
- </p>
- <p>
- “You can’t understand,” retorted the other passionately.
- “You’ve always been pretty!”
- </p>
- <p>
- “A compliment straight from the heart,” murmured the painter.
- </p>
- <p>
- The color came into Mrs. Clyde’s smooth cheek again. “What
- have you promised her, Dr. Strong?” she asked.
- </p>
- <p>
- “Nothing. I have simply followed Mr. Taylor’s lead. His is the
- artist eye that can see beauty beneath disguises. He has told Miss Ennis
- that she was meant to be a beautiful woman. I have told her that she can
- be what she was meant to be if she wills, and wills hard enough.”
- </p>
- <p>
- “And you will take charge of her case?” asked Mrs. Clyde.
- </p>
- <p>
- “That, of course, depends upon you and Mr. Clyde. If you will
- include Miss Ennis in the family, my responsibilities will automatically
- extend to her.”
- </p>
- <p>
- “Most certainly,” said Mrs. Clyde. “And now, Mr. Taylor,”
- she added, answering a look of appeal from that uncomfortable gentleman,
- “come and see the sketches. I really believe they are Whistler’s.”
- </p>
- <p>
- As they left, Dr. Strong looked down at Louise Ennis with a smile.
- </p>
- <p>
- “At present I prescribe a little cold water for those eyes,”
- said he. “And then some general conversation in the drawing-room.
- Come here tomorrow at four.”
- </p>
- <p>
- “No,” said she. “I want to begin at once.”
- </p>
- <p>
- “So as to profit by the impetus of the first enthusiasm? Very well.
- How did you come here this evening?”
- </p>
- <p>
- “In my limousine.”
- </p>
- <p>
- “Sell it.”
- </p>
- <p>
- “Sell my new car? At this time of year?”
- </p>
- <p>
- “Store it, then.”
- </p>
- <p>
- “And go about on street-cars, I suppose?”
- </p>
- <p>
- “Not at all. Walk.”
- </p>
- <p>
- “But when it rains?”
- </p>
- <p>
- “Run.”
- </p>
- <p>
- Eagerness died out of Louise Ennis’s face. “Oh, I know,”
- she said pettishly. “It’s that old, old exercise treatment.
- Well, I’ve tried that, and if you think—”
- </p>
- <p>
- She stopped in surprise, for Dr. Strong, walking over to the door, held
- the portière aside.
- </p>
- <p>
- “After you,” he said courteously.
- </p>
- <p>
- “Is that all the advice you have for me?” she persisted.
- </p>
- <p>
- “After you,” he repeated.
- </p>
- <p>
- “Well, I’m sorry,” she said sulkily. “What is it
- you want me—”
- </p>
- <p>
- “Pardon me,” he interrupted in uncompromising tones. “I
- am sure they are waiting for us in the other room.”
- </p>
- <p>
- “You are treating me like a spoiled child,” declared Miss
- Ennis, stamping a period to the charge with her high French heel.
- </p>
- <p>
- “Precisely.”
- </p>
- <p>
- She marched out of the room, and, with the physician, joined the rest of
- the company. For the remainder of the evening she spoke little to any one
- and not at all to Dr. Strong. But when she came to say good-night he was
- standing apart. He held out his hand, which she could not well avoid
- seeing.
- </p>
- <p>
- “When you get up to-morrow,” he said, “look in the
- mirror, [she winced] and say, ‘I can be beautiful if I want to hard
- enough.’ Good-bye.”
- </p>
- <p>
- Luncheon at the Clydes’ next day was given up to a family discussion
- of Miss Louise Ennis, precipitated by Mr. Clyde, who rallied Dr. Strong on
- his newest departure.
- </p>
- <p>
- “Turned beauty doctor, have you?” he taunted good-humoredly.
- </p>
- <p>
- “Trainer, rather,” answered Dr. Strong.
- </p>
- <p>
- “You might be in better business,” declared Mrs. Sharpless,
- with her customary frankness. “Beauty is only skin-deep.”
- </p>
- <p>
- “Grandma Sharpless’s quotations,” remarked Dr. Strong to
- the saltcellar, “are almost as sure to be wrong as her observations
- are to be right.”
- </p>
- <p>
- “It was a wiser man than you or I who spoke that truth about beauty.”
- </p>
- <p>
- “Nonsense! Beauty only skin-deep, indeed! It’s liver-deep
- anyway. Often it’s soul-deep. Do you think you’ve kept your
- good looks, Grandma Sharpless, just by washing your skin?”
- </p>
- <p>
- “Don’t you try to dodge the issue by flattery, young man,”
- said the old lady, the more brusquely in that she could see her son-in-law
- grinning boyishly at the mounting color in her face. “I’m as
- the Lord made me.”
- </p>
- <p>
- “And as you’ve kept yourself, by clean, sound living. Miss
- Ennis isn’t as the Lord made her or meant her. She’s a mere
- parody of it. Her basic trouble is an ailment much more prevalent among
- intelligent people than they are willing to admit. In the books it is
- listed under various kinds of hyphenated neurosis; but it’s real
- name is fool-in-the-head.”
- </p>
- <p>
- “Curable?” inquired Mr. Clyde solicitously.
- </p>
- <p>
- “There’s no known specific except removing the seat of the
- trouble with an axe,” announced Dr. Strong. “But cases
- sometimes respond to less heroic treatment.”
- </p>
- <p>
- “Not this case, I fear,” put in Mrs. Clyde. “Louise will
- coddle herself into the idea that you have grossly insulted her. She won’t
- come back.”
- </p>
- <p>
- “Won’t she!” exclaimed Mrs. Sharpless. “Insult or
- no insult, she would come to the bait that Dr. Strong has thrown her if
- she had to crawl on her knees.”
- </p>
- <p>
- Come she did, prompt to the hour. From out the blustery February day she
- lopped into the physician’s pleasant study, slumped into a chair,
- and held out to him a limp left hand, palm up and fingers curled.
- Ordinarily the most punctilious of men, Dr. Strong did not move from his
- stance before the fire. He looked at the hand.
- </p>
- <p>
- “What’s that for?” he inquired.
- </p>
- <p>
- “Aren’t you going to feel my pulse?”
- </p>
- <p>
- “No.”
- </p>
- <p>
- “Nor take my temperature?”
- </p>
- <p>
- “No.”
- </p>
- <p>
- “Nor look at my tongue?”
- </p>
- <p>
- “Certainly not. I have a quite sufficient idea of what it looks
- like.”
- </p>
- <p>
- The tone was almost brutal. Miss Ennis began to whimper.
- </p>
- <p>
- “I’m a m—m—mess, I know,” she blubbered.
- “But you needn’t keep telling me so.”
- </p>
- <p>
- “A mess can be cleared up,” said he more kindly, “under
- orders.”
- </p>
- <p>
- “I’ll do whatever you tell me, if only—”
- </p>
- <p>
- “Stop! There will be no ‘if’ about it. You will do as
- you are bid, or we will drop the case right here.”
- </p>
- <p>
- “No, no! Don’t drop me. I will. I promise. Only, please tell
- me what is the matter with me.”
- </p>
- <p>
- Dr. Strong, smiling inwardly, recalled the diagnosis he had announced to
- the Clydes, but did not repeat it.
- </p>
- <p>
- “Nothing,” he said.
- </p>
- <p>
- “But I know there must be. I have such strange symptoms. You can’t
- imagine.”
- </p>
- <p>
- Fumbling in her hand-bag she produced a very elegant little notebook with
- a gold pencil attached. Dr. Strong looked at it with fascinated but
- ominous eyes.
- </p>
- <p>
- “I’ve jotted down some of the symptoms here,” she
- continued, “just as they occurred. You see, here’s Thursday.
- That was a heart attack—”
- </p>
- <p>
- “Let me see that book.”
- </p>
- <p>
- She handed it to him. He carefully took the gold pencil from its socket
- and returned it to her.
- </p>
- <p>
- “Now, is there anything in this but symptoms? Any addresses that you
- want to keep?”
- </p>
- <p>
- “Only one: the address of a freckle and blemish remover.”
- </p>
- <p>
- “We’ll come to that later. Meantime—” He tossed
- the book into the heart of the coal fire where it promptly curled up and
- perished.
- </p>
- <p>
- “Why—why—why—” gasped the visitor,—“how
- dare you? What do you mean? That is an ivory-bound, gold-mounted book. It’s
- valuable.”
- </p>
- <p>
- “I told you, I believe, that the treatment would be expensive. This
- is only the beginning. Of all outrageous, unforgivable kinds of
- self-coddling, the hypochondria that keeps its own autobiography is the
- worst.”
- </p>
- <p>
- Regrettable though it is to chronicle, Miss Ennis hereupon emitted a
- semi-yelp of rage and beat the floor with her high French heels. Instantly
- the doctor’s gaze shifted to her feet. Just how it happened she
- could not remember, but her right foot, unprotected, presently hit the
- floor with a painful thump, while the physician contemplated the shoe
- which he had deftly removed therefrom.
- </p>
- <p>
- “Two inches and a half at least, that heel,” he observed.
- “Talk about the Chinese women torturing their feet!” He laid
- the offending article upon the hearth, set his own soundly shod foot upon
- it, and tweaked off two inches of heel with the fire-tongs. “Not so
- pretty,” he remarked, “but at least you can walk, and not
- tittup in that. Give me the other.”
- </p>
- <p>
- Shocked and astounded into helplessness, she mechanically obeyed. He
- performed his rough-and-ready repairs, and handed it back to her.
- </p>
- <p>
- “Speaking of walking,” he said calmly, “have you stored
- your automobile yet?”
- </p>
- <p>
- “No! I—I—I—”
- </p>
- <p>
- “After to-morrow I don’t want you to set foot in it. Now,
- then, we’re going to put you through a course of questioning. Ready?”
- </p>
- <p>
- Miss Ennis settled back in her chair, with the anticipatory expression of
- one to whom the recital of her own woe is a lingering pleasure. “Perhaps
- if I told you,” she began, “just how I feel—”
- </p>
- <p>
- “Never mind that. Do you drink?”
- </p>
- <p>
- “No!” The answer came back on the rebound. “Humph!”
- Dr. Strong leaned over her. She turned her head away.
- </p>
- <p>
- “You asked me as if you meant I was a drunkard,” she
- complained. “Once in a while, when I have some severe nervous strain
- to undergo, I need a stimulant.”
- </p>
- <p>
- “Oh. Cocktail?”
- </p>
- <p>
- “Yes. A mild one.”
- </p>
- <p>
- “A mild cocktail! That’s a paradox I’ve never
- encountered. How often do you take these mild cocktails?”
- </p>
- <p>
- “Oh, just occasionally.”
- </p>
- <p>
- “Well, a meal is an occasion. Before meals?”
- </p>
- <p>
- “Sometimes,” she admitted reluctantly.
- </p>
- <p>
- “You didn’t have one here last night.”
- </p>
- <p>
- “No.”
- </p>
- <p>
- “And you ate almost nothing.”
- </p>
- <p>
- “That is just it, you see. I need something: otherwise I have no
- appetite.”
- </p>
- <p>
- “In other words, you have formed a drink habit.”
- </p>
- <p>
- “Oh, Dr. Strong!” It was half reproach, half insulted
- innocence, that wail.
- </p>
- <p>
- “After a cocktail—or two—or three,” he looked at
- her closely, but she would not meet his eyes, “you eat pretty well?”
- </p>
- <p>
- “Yes, I suppose so.”
- </p>
- <p>
- “And then go to bed with a headache because you’ve stimulated
- your appetite to more food than your run-down mechanism can rightly
- handle.”
- </p>
- <p>
- “I do have a good many headaches.”
- </p>
- <p>
- “Do anything for them?”
- </p>
- <p>
- “Yes. I take some harmless powders, sometimes.”
- </p>
- <p>
- “Harmless, eh? A harmless headache powder is like a mild cocktail.
- It doesn’t exist. So you’re adding drug habit to drink habit.
- Fortunately, it isn’t hard to stop. It has begun to show on you
- already, in that puffy grayness under the eyes. All the coal-tar powders
- vitiate the blood as well as affect the heart. Sleep badly?”
- </p>
- <p>
- “Very often.”
- </p>
- <p>
- “Take anything for that?”
- </p>
- <p>
- “You mean opiates? I’m not a fool, Doctor.”
- </p>
- <p>
- “You mean you haven’t gone quite that far,” said the
- other grimly. “You’ve started in on two habits; but not the
- worst. Well, that’s all. Come back when you need to.”
- </p>
- <p>
- Miss Ennis’s big, dull eyes opened wide. “Aren’t you
- going to give me anything? Any medicine?”
- </p>
- <p>
- “You don’t need it.”
- </p>
- <p>
- “Or any advice?”
- </p>
- <p>
- Dr. Strong permitted himself a little smile at the success of his
- strategy. “Give it to yourself,” he suggested. “You
- showed, in flashes, during the dinner talk last night, that you have both
- wit and sense, when you choose to use them. Do it now.”
- </p>
- <p>
- The girl squirmed uncomfortably. “I suppose you want me to give up
- cocktails,” she murmured in a die-away voice.
- </p>
- <p>
- “Absolutely.”
- </p>
- <p>
- “And try to get along with no stimulants at all?”
- </p>
- <p>
- “By no means. Fresh air and exercise ad lib.”
- </p>
- <p>
- “And to stop the headache powders?”
- </p>
- <p>
- “Right; go on.”
- </p>
- <p>
- “And to stop thinking about my symptoms?”
- </p>
- <p>
- “Good! I didn’t reckon on your inherent sense in vain.”
- </p>
- <p>
- “And to walk where I have been riding?”
- </p>
- <p>
- “Rain or shine.”
- </p>
- <p>
- “What about diet?”
- </p>
- <p>
- “All the plain food you want, at any time you really want it,
- provided you eat slowly and chew thoroughly.”
- </p>
- <p>
- “A la Fletcher?”
- </p>
- <p>
- “Horace Fletcher is one of those fine fanatics whose extravagances
- correct the average man’s stolid stupidities. I’ve seen his
- fad made ridiculous, but never harmful. Try it out.”
- </p>
- <p>
- “And you won’t tell me when to come back?”
- </p>
- <p>
- “When you need to, I said. The moment the temptation to break over
- the rules becomes too strong, come. And—eh—by the way—eh—don’t
- worry about your mirror for a while.” Temporarily content with this,
- the new patient went away with new hope. Wiping his brow, the doctor
- strolled into the sitting-room where he found the family awaiting him with
- obvious but repressed curiosity.
- </p>
- <p>
- “It isn’t ethical, I suppose,” said Mr. Clyde, “to
- discuss a patient’s case with outsiders?”
- </p>
- <p>
- “You’re not outsiders. And she’s not my patient, in the
- ordinary sense, since I’m giving my services free. Moreover, I need
- all the help I can get.”
- </p>
- <p>
- “What can <i>I</i> do?” asked Mrs. Clyde promptly. “Drop
- in at her house from time to time, and cheer her up. I don’t want
- her to depend upon me exclusively. She has depended altogether too much on
- doctors in the past.”
- </p>
- <p>
- Mr. Clyde chuckled. “Did she tell you that the European medical
- faculty had chased her around to every spa on the Continent? Neurasthenic
- dyspepsia, they called it.”
- </p>
- <p>
- “Pretty name! Seventy per cent of all dyspeptics have the seat of
- the imagination in the stomach. The difficulty is to divert it.”
- </p>
- <p>
- “What’s your plan?”
- </p>
- <p>
- “Oh, I’ve several, when the time comes. For the present I’ve
- got to get her around into condition.”
- </p>
- <p>
- “Spoiled mind, spoiled body,” remarked Mrs. Sharpless.
- </p>
- <p>
- “Exactly. And I’m going to begin on the body, because that is
- the easiest to set right. Look out for an ill-tempered cousin during the
- next fortnight.”
- </p>
- <p>
- His prophecy was amply confirmed by Mrs. Clyde, who made it her business,
- amid multifarious activities, to drop in upon Miss Ennis with patient
- frequency. On the tenth day of the “cure,” Mrs. Clyde reported
- to the household physician:—
- </p>
- <p>
- “If I go there again I shall probably <i>slap</i> her. She’s
- become simply unbearable.”
- </p>
- <p>
- “Good!” said Dr. Strong. “Fine! She has had the nerve to
- stick to the rules. We needn’t overstrain her, though. I’ll
- have her come here tomorrow.”
- </p>
- <p>
- Accordingly, at six o’clock in the evening of the eleventh day, the
- patient stamped into the office, wet, bedraggled, and angry.
- </p>
- <p>
- “Now look!” she cried. “You made me store my motor-car.
- All the street-cars were crowded. My umbrella turned inside out. I’m
- a perfect drench. And I know I’ll catch my death of cold.”
- Whereupon she laid a pathetic hand on her chest and coughed hollowly.
- </p>
- <p>
- “Stick out your foot,” ordered Dr. Strong. And, as she obeyed:
- “That’s well. Good, sensible storm shoes. I’ll risk your
- taking cold. How do you feel? Better?”
- </p>
- <p>
- “No. Worse!” she snapped.
- </p>
- <p>
- “I suppose so,” he retorted with a chuckle.
- </p>
- <p>
- “What is more,” she declared savagely, “I look worse!”
- </p>
- <p>
- “So your mirror has been failing in its mission of flattery. Too
- bad. Now take off your coat, sit right there by the fire, and in an hour
- you’ll be dry as toast.”
- </p>
- <p>
- “An hour? I can’t stay an hour!”
- </p>
- <p>
- “Why not?”
- </p>
- <p>
- “It’s six o’clock. I must go home. Besides,” she
- added unguardedly, “I’m half starved.”
- </p>
- <p>
- “<i>Indeed!</i> Had a cocktail to-day?”
- </p>
- <p>
- “No. Certainly not.”
- </p>
- <p>
- “Yet you have an appetite. A bad sign. Oh, a very bad sign—for
- the cocktail market.”
- </p>
- <p>
- “I’m so tired all the time. And I wake up in the morning with
- hardly any strength to get out of bed—”
- </p>
- <p>
- “Or the inclination? Which?” broke in the doctor.
- </p>
- <p>
- “And my heart gives the queerest jumps and—”
- </p>
- <p>
- “Thought we’d thrown that symptom-book into the fire. Stand
- up, please.”
- </p>
- <p>
- She stood. Dr. Strong noted with satisfaction how, already, the lithe and
- well-set figure had begun to revert to its natural pose, showing that the
- muscles were beginning to do their work. He also noted that the hands,
- hitherto a mere <i>mélange</i> of nervously writhing fingers, hung easily
- slack.
- </p>
- <p>
- “Your troubles,” he said pleasantly, “have only just
- begun. I think you’re strong enough now to begin work.”
- </p>
- <p>
- “I’m not,” she protested, half weeping. “I feel
- faint this minute.”
- </p>
- <p>
- “Good, healthy hunger. Of course, if a glance in your mirror
- convinces you that you’ve had enough of the treatment—”
- </p>
- <p>
- Miss Ennis said something under her breath which sounded very much like
- “Brute!”
- </p>
- <p>
- “Have you ever had a good sweat?” he asked abruptly.
- </p>
- <p>
- Her lips curled superciliously. “I’m not given to
- perspiration, I’m thankful to—”
- </p>
- <p>
- “Did I say ‘perspire’?” inquired he. “I
- understood myself to say ‘sweat.’ Have you ever—”
- </p>
- <p>
- “No.”
- </p>
- <p>
- “High time you began. Buy yourself the heaviest sweater you can find—you
- may call it a ‘perspirationer’ if you think the salesman will
- appreciate your delicacy—and I’ll be around to-morrow and set
- up a punching-bag for you.”
- </p>
- <p>
- “What is that?”
- </p>
- <p>
- “A device which you strike at. The blow forces it against a board
- and it returns and, unless you dodge nimbly, impinges upon your
- countenance. In other words, whacks you on the nose. Prizefighters use it.”
- </p>
- <p>
- “I suppose you want me to be like a prizefighter.”
- </p>
- <p>
- “The most beautiful pink-and-white skin and the clearest eye I’ve
- ever seen belonged to a middleweight champion. Yes, I’d like to see
- you exactly like him in that respect. One hour every day—”
- </p>
- <p>
- “I simply can’t. I shan’t have time. With the walking I
- do now I’m busy all the morning and dead tired all the afternoon;
- and in the evening there is my bridge club—”
- </p>
- <p>
- “Ah, you play bridge. For money?”
- </p>
- <p>
- “Naturally we don’t play for counters.”
- </p>
- <p>
- “Well, I’d give it up.”
- </p>
- <p>
- “You are not employed as a censor of my morals, Dr. Strong.”
- </p>
- <p>
- “No; but I’ve undertaken to censor your nerves. And gambling,
- for a woman in your condition, is altogether too much of a strain.”
- </p>
- <p>
- The corners of Miss Ennis’s mouth quivered babyishly. “I’m
- sure, then, that working like a prizefighter will be too much strain. You’re
- wearing me out.”
- </p>
- <p>
- “I’m a cruel tyrant,” mocked Dr. Strong; “and
- worse is to come. We’ll clear out a room in your house and put in
- not only the punching-bag, but also pulleys and a rowing-machine. And I’ll
- send up an athletic instructor to see that you use them.”
- </p>
- <p>
- “I won’t have him. I’ll send him away!”
- </p>
- <p>
- “By advice of your mirror?”
- </p>
- <p>
- Miss Ennis frankly and angrily wept.
- </p>
- <p>
- “Now I’ll tell you a secret about yourself.” Miss Ennis
- stopped weeping.
- </p>
- <p>
- “Ninety-nine cases out of a hundred I couldn’t handle as I am
- handling your case. They would need a month’s rest and building up
- before they’d be fit for real work. But you are naturally a
- powerful, muscular woman with great physical endurance and resiliency.
- What I am trying to do is to take advantage of your splendid equipment to
- pull you out.”
- </p>
- <p>
- “What would you do with the ordinary case?” asked the girl,
- interested.
- </p>
- <p>
- “Oh, put her to bed, perhaps. Perhaps send her away to the woods.
- Maybe set a nurse over her to see that she didn’t take to writing
- her symptoms down in a book. Keep her on a rigid diet, and build her up by
- slow and dull processes. You may thank your stars that—”
- </p>
- <p>
- “I don’t thank my stars at all!” broke in the patient,
- as her besetting vice of self-pity asserted itself. “I’d much
- rather do that than be driven like a galley-slave. I’m too tired to
- get any pleasure out of anything—”
- </p>
- <p>
- “Even bridge?” interposed the tormentor softly.
- </p>
- <p>
- “—and when night comes I fall into bed like a helpless log.”
- </p>
- <p>
- “That’s the best news I’ve heard yet. You’re
- progressing. Now take that new appetite of yours home to dinner. And don’t
- spoil it by eating too fast. Good-night.”
- </p>
- <p>
- Fully a fortnight later Grandma Sharpless met Dr. Strong in the hallway as
- he came in from a walk.
- </p>
- <p>
- “What have you been doing to Louise Ennis?” she demanded.
- </p>
- <p>
- “Lots of things. What’s wrong now? Another fit of the sulks?”
- </p>
- <p>
- “Worse,” said the old lady in a stage whisper. “She’s
- got <i>paint</i> on her face.”
- </p>
- <p>
- Dr. Strong laughed. “Really? It might be worse. In fact, as a
- symptom, it couldn’t be better.”
- </p>
- <p>
- “Young man, do you mean to tell me that face-paint is a good thing
- for a young woman?”
- </p>
- <p>
- “Oh, no. It’s vulgar and tawdry, as a practice. But I’m
- glad to know that Miss Ennis has turned to it, because it shows that she
- recognizes her own improvement and is trying to add to it.”
- </p>
- <p>
- “But the stuff will ruin her skin,” cried the scandalized old
- lady. “See what dreadful faces women have who use it. Look at the
- actresses—”
- </p>
- <p>
- “Well, look at them!” broke in the physician. “There is
- no class of women in the world with such beautiful skin as the women of
- the stage. And that in spite of hard work, doubtful habits of eating, and
- irregular hours. Do you know why?”
- </p>
- <p>
- “I suppose you’ll tell me that paint does it,” said Mrs.
- Sharpless with a sniff.
- </p>
- <p>
- “Not the paint itself. But the fact that in putting it on and taking
- it off, they maintain a profound cleanliness of skin which the average
- woman doesn’t even understand. The real value of the successful
- skin-lotions and creams so widely exploited lies in the massage which
- their use compels.”
- </p>
- <p>
- “Aside from the stuff on her face,” remarked Mrs. Sharpless,
- “Louise looks like another woman, and acts like one. She came
- breezing in here like a young cyclone.”
- </p>
- <p>
- “Which means trouble,” sighed Dr. Strong. “Now that her
- vitality is returning, it will demand something to feed on. Well, we shall
- see.”
- </p>
- <p>
- He found his patient standing—not sitting, this time—before
- the fireplace, with a face of gloom. Before he could greet her, she burst
- out:—
- </p>
- <p>
- “How long am I to be kept on the grind? I see nobody. I have nothing
- to amuse me. I’ve had a row with father.” Dr. Strong smiled.
- “The servants are impertinent.” The smile broadened. “The
- whole world is hateful!” The doctor’s face was now expanded
- into a positive grin. “I despise everything and everybody! I’m
- bored.”
- </p>
- <p>
- “Passing that over for the moment for something less important,”
- said Dr. Strong smoothly, “where do you buy your paint?”
- </p>
- <p>
- “I don’t paint!” retorted the girl hotly.
- </p>
- <p>
- “Well, your rouge. Your skin-rejuvenator. Your essence of bloom of
- youth or whatever poetic name you call it by. Let me see the box.”
- Mutiny shone from the scowling face, but her hand went to her reticule and
- emerged with a small box. It passed to the physician’s hand and
- thence to the fire. “I’ll use paint if I want to,”
- declared the girl. “Undoubtedly. But you’ll use good paint if
- you use any. Get a theatrical paper, read the ads, and send for the
- highest grade of grease-paint. I won’t say anything about the
- vulgarity of the practice because I’m not censoring your manners. I’ll
- only state that three months from now you won’t want or need paint.
- Did you get this stuff,” he nodded toward the fireplace whence
- issued a highly perfumed smoke, “from that address in your deceased
- symptom-book?”
- </p>
- <p>
- “Yes.”
- </p>
- <p>
- “That was the firm which advertised to remove pimples, wasn’t
- it?”
- </p>
- <p>
- Miss Ennis shrank. “Pimple is an inexcusable word,” she
- protested.
- </p>
- <p>
- “Word? We’re dealing in realities now. And pimples were an
- inexcusable reality in your case, because they were the blossoms of
- gluttony, torpor, and self-indulgence.”
- </p>
- <p>
- He leaned forward and looked closely at her chin. The surface, once
- blotched and roughened, was now of a smooth and soft translucency. “You
- once objected to the word ‘sweat,’” he continued.
- “Well, it has eliminated the more objectionable word ‘pimple’
- from your reckoning. And it has done the job better than your
- blemish-remover—-which leaves scars.”
- </p>
- <p>
- Her hand went to her temple, where there was a little group of
- silvery-white patches on the skin. “Can’t you fix that?”
- she asked anxiously.
- </p>
- <p>
- “No. Your ‘remover’ was corrosive sublimate. It
- certainly removed the blemish. It would also have removed your entire face
- if you had used enough of it. Nothing can restore what the liquid fire has
- burned away. That’s the penalty you pay for foolish credulousness.
- Fortunately, it is where it won’t show much.”
- </p>
- <p>
- Gloom surged back into her face. “It doesn’t make any
- difference,” she fretted. “I’m still a mess in looks
- even if I don’t feel so much like one.”
- </p>
- <p>
- “One half of looks is expression,” stated the doctor
- didactically. “I don’t like yours. What’s your religion?”
- </p>
- <p>
- His patient stared. “Why, I’m a Presbyterian, I suppose.”
- </p>
- <p>
- “Humph! You suppose! It doesn’t seem to have struck in very
- hard. Any objection to going to a Christian Science church?”
- </p>
- <p>
- “Christian Science! I thought the regular doctors considered it the
- worst kind of quackery.”
- </p>
- <p>
- “The regular doctors,” returned Dr. Strong quickly, “once
- considered anaesthesia, vaccination, and the germ theory as quackery. We
- live and learn, like others. There’s plenty of quackery in Christian
- Science, and also quite a little good. And nowadays we’re learning
- to accept the good in new dogmas, and discard the bad.”
- </p>
- <p>
- “And you really wish me to go to the Christian Science church?”
- </p>
- <p>
- “Why not? You’ll encounter there a few wild fanatics. I’ll
- trust your hard common sense to guard you against their proselytizing. You’ll
- also meet a much larger number of sweet, gentle, and cheerful people, with
- a sweet, helpful, and cheerful philosophy of life. That’ll help to
- cure you.”
- </p>
- <p>
- “And what will they cure me of, since you say I have no disease?”
- </p>
- <p>
- “They’ll cure you of turning your mouth down at the corners
- instead of up.”
- </p>
- <p>
- At this, the mouth referred to did, indeed, turn up at the corners, but in
- no very pleasant wise.
- </p>
- <p>
- “You think they’ll amuse me?” she inquired
- contemptuously.
- </p>
- <p>
- “Oh, as for amusement, I’ve arranged for that. You’re
- bored. Very well, I expected it. It’s a symptom, and a good one, in
- its place. I’ll get you a job.”
- </p>
- <p>
- “Indeed! And if I don’t want a job?”
- </p>
- <p>
- “No matter what you want. You need it.”
- </p>
- <p>
- “Settlement work, I suppose.”
- </p>
- <p>
- “Nothing so mild. Garbage inspection.”
- </p>
- <p>
- “What!” Louise Ennis closed her eyes in expectation of a qualm
- of disgust. The qualm didn’t materialize. “What’s the
- matter with me?” she asked in naïve and suppressed chagrin. “I
- ought to feel—well, nauseated.”
- </p>
- <p>
- “Nonsense! Your nerves and stomach have found their poise. That’s
- all.”
- </p>
- <p>
- “But what do I know about garbage?”
- </p>
- <p>
- “You know it when you see it, don’t you? Now, listen. There
- has been a strike of the city teamsters. Dr. Merritt, the Health Officer,
- wants volunteers to inspect the city and report on where conditions are
- bad from day to day. You’ve got intelligence. You can outwalk nine
- men out of ten. And you can be of real service to the city. Besides, it’s
- doctor’s orders.”
- </p>
- <p>
- The story of Louise Ennis’s part in the great garbage strike, and of
- her subsequent door-to-door canvass of housing conditions, has no place in
- this account. After the start, Dr. Strong saw little of her; but he heard
- much from Mrs. Clyde, who continued her frequent visits to the Ennis
- household; not so much, as she frankly admitted, for the purpose of
- furnishing bulletins to Dr. Strong, as because of her own growing interest
- in and affection for the girl. And, as time went on, Strong noticed that,
- on the occasions when he chanced to meet his patient on the street, she
- was usually accompanied by one or another of the presentable young men of
- the community, a fact which the physician observed with professional
- approval rather than personal gratification.
- </p>
- <p>
- “It isn’t her health alone,” said Mrs. Clyde, when they
- were discussing her, one warm day in the ensuing summer. “These six
- months seem to have made a new person of her. Trust the children to find
- out character. Bettykins wants to spend half her time with Cousin Lou.”
- </p>
- <p>
- “You’ve surely worked a transformation, Strong,” said
- Clyde. “But, of course, the raw material was there. You couldn’t
- do much for the average homely woman.”
- </p>
- <p>
- “The average woman isn’t homely,” said Mrs. Clyde.
- “She’s got good looks either spoiled or undeveloped.”
- </p>
- <p>
- “Perfectly true,” confirmed Dr. Strong. “Any young woman
- whose face isn’t actually malformed can find her place in the
- eternal scheme of beauty if she tries. Nature works toward beauty in all
- matters of sex. Where beauty doesn’t exist it is merely an error in
- Nature’s game.”
- </p>
- <p>
- “Then the world is pretty full of errors,” said Mrs.
- Sharpless.
- </p>
- <p>
- “Most of them aren’t Nature’s errors. They are the
- mistakes of the foolish human. Take almost any woman, not past the age of
- development, build up her figure to be supple and self-sustaining; give
- her a clear eye, quick-moving blood, fresh skin, and some interest in the
- game of life that shall keep mind and body alert—why, the radiant
- force of her abounding health would make itself felt in a blind asylum.
- And all this she can do for herself, with a little knowledge and a good
- deal of will.”
- </p>
- <p>
- “But that isn’t exactly beauty, is it?” asked Clyde,
- puzzled.
- </p>
- <p>
- “Isn’t it? In the soundest sense, I think it is. Anyway, put
- it this way: No woman who is wholly healthy, inside and out, can fail to
- be attractive.”
- </p>
- <p>
- “I wish that painter-man could see Louise now, as an example,”
- said Grandma Sharpless.
- </p>
- <p>
- “Oren Taylor?” said Mr. Clyde. “Why, he can. He goes
- East next week, and I’ll wire him to stop over.”
- </p>
- <p>
- Oren Taylor arrived late on a warm afternoon. As he crossed the lawn,
- Louise Ennis was playing “catch” with Manny Clyde. Her figure
- swung and straightened with the lithe muscularity of a young animal. Her
- cheek was clear pink, deepening to the warmer color of the curved lips.
- The blue veins stood out a little against the warm, moist temples from
- which she brushed a vagrant lock of hair. Her eyes were wide and lustrous
- with the eager effort of the play, for the boy was throwing wide in
- purposeful delight over her swift gracefulness.
- </p>
- <p>
- “Great Heavens!” exclaimed the artist, staring at her. “Who
- did that?”
- </p>
- <p>
- “Strong did that,” explained Clyde; “as per
- specifications.”
- </p>
- <p>
- “A triumph!” declared Taylor. “A work of art.”
- </p>
- <p>
- “Oh, no,” said Dr. Strong; “a renewal of Nature.”
- </p>
- <p>
- “In any case, a lady remade and better than new. My profound
- felicitations, Dr. Strong.” He walked over to the flushed and lovely
- athlete. “Miss Ennis,” he said abruptly, “I want your
- permission to stay over to-morrow and sketch you. I need you in my ‘Poet’s
- Cycle of the Months.’”
- </p>
- <p>
- “How do you do, Mr. Taylor?” she returned demurely. “Of
- course you can sketch me, if it doesn’t interfere with my working
- hours.” A quick smile rippled across her face like sunlight across
- water. “The same subject?” she asked with mischievous
- nonchalance.
- </p>
- <p>
- “No. Not even the same season,” he replied emphatically,
- coloring, as he bethought him of his “November, the withered mourner
- of glories dead and gone.”
- </p>
- <p>
- “What part am I to play now?”
- </p>
- <p>
- “Let Dr. Strong name it,” said Taylor with quick tact. “He
- has prepared the model.”
- </p>
- <p>
- The girl turned to the physician, a little deeper tinge of color in her
- face.
- </p>
- <p>
- “Referred to Swinburne,” said Strong lightly, and quoted:—
- </p>
- <p>
- <br />
- </p>
- <p class="indent15">
- “When the hounds of Spring are on Winter’s traces,
- </p>
- <p class="indent15">
- The mother of months in valley and plain
- </p>
- <p class="indent15">
- Fills the shadows and windy places
- </p>
- <p class="indent15">
- With lisp of leaves and ripple of rain.”
- </p>
- <p>
- <br />
- </p>
- <p>
- “Atalanta,” said Oren Taylor, bowing low to her; “the
- maiden spirit of the spring.”
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0008" id="link2H_4_0008"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- VII.—THE RED PLACARD
- </h2>
- <p class="pfirst">
- <span class="dropcap" style="font-size: 4.00em">“W</span>ell?”
- questioned Mrs. Clyde, facing the Health Master haggardly, as he entered
- the library.
- </p>
- <p>
- “Oh, come!” he protested with his reassuring smile. “Don’t
- take it so tragically. You’ve got a pretty sick-looking boy there.
- But any thoroughgoing fever makes a boy of nine pretty sick.”
- </p>
- <p>
- “What fever?” demanded the mother. “What is it?”
- </p>
- <p>
- “Let’s start with what it isn’t—and thank Heaven.
- It isn’t typhoid. And it isn’t diphtheria.”
- </p>
- <p>
- “Then it’s—it’s—;”
- </p>
- <p>
- “It’s scarlet fever,” broke in her mother, Mrs.
- Sharpless, who had followed the doctor into the room. “That’s
- what it is.”
- </p>
- <p>
- Mrs. Clyde shuddered at the name. “Has he got the rash?”
- </p>
- <p>
- “No. But he will have to-morrow,” stated the old lady
- positively.
- </p>
- <p>
- “Do you think so, too, Dr. Strong?” Mrs. Clyde appealed.
- </p>
- <p>
- “I’ll accept Grandma Sharpless’s judgment,”
- answered the physician. “She has seen more scarlet fever in her time
- than I, or most physicians. And experience is the true teacher of
- diagnosis.”
- </p>
- <p>
- “But you can’t be sure!” persisted Mrs. Clyde. “How
- can you tell without the rash?”
- </p>
- <p>
- “Not in any way that I could put into words,” said her mother.
- “But there’s something in the look of the throat and something
- about the eyes and skin—Well, I can’t describe it, but I know
- it as I know my own name.”
- </p>
- <p>
- “There speaks the born diagnostician,” observed the Health
- Master. “I’m afraid the verdict must stand.”
- </p>
- <p>
- “Then—then,” faltered Mrs. Clyde, “we must act at
- once. I’ll call up my husband at the factory.”
- </p>
- <p>
- “What for?” inquired Dr. Strong innocently. “Why, to let
- him know, of course.”
- </p>
- <p>
- “Don’t. When I undertook to act as Chinese-plan physician to
- the Clyde household, I was not only to guard the family against illness as
- well as I could, but also to save them worry. This is Saturday. Mr. Clyde
- has had a hard, trying week in the factory. Why break up his day?”
- </p>
- <p>
- Mrs. Clyde drew a long breath and her face lightened. “Then it isn’t
- a serious case?”
- </p>
- <p>
- “Scarlet fever is always serious. Any disease which thoroughly
- poisons the system is. But there’s no immediate danger; and there
- shouldn’t be much danger at any time to a sturdy youngster like
- Charley, if he’s well looked after.”
- </p>
- <p>
- “But the other children!” Mrs. Clyde turned to Mrs. Sharpless.
- “Where can we send them, mother?”
- </p>
- <p>
- “Nowhere.” It was the doctor who answered.
- </p>
- <p>
- “Surely we can’t keep them in the house!” cried Mrs.
- Clyde. “They would be certain to catch it from Charley.”
- </p>
- <p>
- “By no means certain. Even if they did, that would not be the worst
- thing that could happen.”
- </p>
- <p>
- “No? What would, then?” challenged Grandma Sharpless.
- </p>
- <p>
- “That they should go out of this house, possibly carrying the poison
- with them into some other and defenseless community.” Dr. Strong
- spoke a little sternly.
- </p>
- <p>
- Neither woman replied for a moment. When Mrs. Clyde spoke, it was with a
- changed voice. “Yes. You are right. I didn’t think. At least I
- thought only of my own children. It’s hard to learn to think like a
- mother of all children.”
- </p>
- <p>
- “It’s as near to the divine as any human can come,”
- returned the Health Master gently. “However, I think I can promise
- you that, if the twins and Bettykin haven’t been touched with the
- poison already, they shan’t get it from Charley. We’ll
- organize a defense—provided only the enemy hasn’t established
- itself already. Now the question is, where did the poison come from? We’ll
- have Junkum in and see if she can help us find out.” Julia, the more
- efficient of the eleven-year-old twins, a shrewd and observing youngster,
- resembling, in many respects, her grandmother, came at the doctor’s
- summons and was told what had befallen Charley.
- </p>
- <p>
- “Oh!” said Junkum. Then, “Can I nurse him?”
- </p>
- <p>
- “I should think not!” burst out her mother and grandmother in
- a breath.
- </p>
- <p>
- “Later on you can help,” said Dr. Strong. “In fact, I
- shall probably need your help. Now, Junkum, you remember I told you
- children a month ago that there was scarlet fever about and warned you to
- guard your mouths and noses with special care. Can you recall whether
- Charley has been careless?”
- </p>
- <p>
- Miss Julia took the matter under consideration. “We’ve all
- been, I guess,” she said. “Clara Wingate gave a party last
- week and there was bobbing for apples, and everybody had their faces in
- the same tub of water.”
- </p>
- <p>
- “Yes; and Irving Wingate has since come down with scarlet fever,”
- added Mrs. Clyde.
- </p>
- <p>
- “Enough said!” asserted the Health Master. “I can’t
- think of any better way to disseminate germs than an apple-bobbing
- contest. It beats even kissing games. Well, the mischief is done.”
- </p>
- <p>
- “Then they’ll all have it,” said Mrs. Clyde miserably.
- </p>
- <p>
- “Oh, let’s hope not. Nothing is more mysterious than the way
- contagion hits one and misses others. I should say there was at least an
- even chance of the rest escaping. But we must regard them as suspects, and
- report the house for quarantine.”
- </p>
- <p>
- “Ugh!” shuddered Mrs. Clyde. “I hate that word. And
- think of my husband coming home to find a flaming red placard on the
- house!”
- </p>
- <p>
- “We’ll give him warning before he leaves the factory. And now
- for our campaign. Item 1: a trained nurse. Item 2: a gas-range.”
- </p>
- <p>
- “The trained nurse, certainly,” agreed Mrs. Clyde. “But
- why the gas-range? Isn’t Charley’s room warm enough?”
- </p>
- <p>
- “Quite. The stove isn’t for warmth; it’s for safety. I’m
- going to establish a line of fire beyond which no contagion can pass. We’ll
- put the stove in the hall, and keep on it a tin boiler full of water just
- at the simmering point. Everything which Charley has used or touched must
- go into that or other boiling water as soon as it leaves the room: the
- plates he eats from, the utensils he uses; his handkerchiefs,
- night-clothes, towels—everything.”
- </p>
- <p>
- “That will be a hard regimen to keep up,” Mrs. Clyde objected.
- </p>
- <p>
- “Martial law,” said the Health Master positively. “From
- the moment the red placard goes up, we’re in a state of siege, and I’m
- in command. The rules of the camp will be simple but strict. Whoever
- violates any of them will be liable to imprisonment in the strictest
- quarantine. We’ll have a household conference to-night and go over
- the whole matter. Now I’m going to telephone the Health Department
- and ask Dr. Merritt to come up and quarantine us officially.”
- </p>
- <p>
- “But what of Charley?” exclaimed Mrs. Clyde. “You’re
- not going to keep me away from my boy?”
- </p>
- <p>
- “Not when you put it in that way and use that tone,” smiled
- Dr. Strong. “I probably couldn’t if I tried. Under official
- quarantine rules you’ll have to give up going anywhere outside the
- house. Under our local martial law you’re not to touch Charley or
- anything that he handles, nor to kiss the other children. And you’re
- to wash your hands every time you come out of the sick-room, though it’s
- only to step beyond the door.”
- </p>
- <p>
- “It is an order,” said the mother gravely. “Will he be
- very ill, do you think?”
- </p>
- <p>
- “So far the cases have been mild. His is likely to be, too. But it’s
- the most difficult kind of case to handle.”
- </p>
- <p>
- “I don’t see that at all,” said Mrs. Sharpless.
- </p>
- <p>
- “You will, when he becomes convalescent. Then is when my troubles
- will begin. For the present the bulk of the work inside the sick-room will
- be upon the trained nurse and Mrs. Clyde. I’ll have my troubles
- outside, watching the rest of the family.”
- </p>
- <p>
- Not since Dr. Strong came to the Clydes’ as guardian of their health
- had there been an emergency meeting called of the Household Protective
- Association, as the Health Master termed the organization which he had
- formed (mainly for educative purposes) within the family. That evening he
- addressed a full session, including the servants, holding up before them
- the red placard which the Health Department had sent, and informing them
- of the quarantine.
- </p>
- <p>
- “No school?” inquired the practical-minded Bobs, “Hooray!”
- </p>
- <p>
- “No school for you children, until further notice,” confirmed
- the physician.
- </p>
- <p>
- “And no business for me, I suppose,” said Mr. Clyde, frowning.
- </p>
- <p>
- “Oh, yes. You can come and go as you please, so long as you keep
- away from Charley’s room. Every one is barred from Charley’s
- room until further instructions, except Mrs. Clyde; and she is confined
- within military bounds, consisting of the house and yard. And now for the
- most important thing—Rosie and Katie,”—the cook and the
- maid—“pay particular heed to this—nothing of any kind
- which comes from the sick-room is to be touched until it is disinfected,
- except under my supervision. When I’m not in the house, the nurse’s
- authority will be absolute. Now for the clinic; we’ll look over the
- throats of the whole crowd.”
- </p>
- <p>
- Throat inspection appeared to be the Health Master’s favorite
- pursuit for the next few days.
- </p>
- <p>
- “I don’t dare open my mouth,” protested Bobs, “for
- fear he’ll peek into it and find a spot.”
- </p>
- <p>
- “Dr. Strong spends a lot more time watching us than he does watching
- Charley,” remarked Junkum. “Who’s the sick one, anyway—us
- or him?” she concluded, her resentment getting the better of her
- grammar.
- </p>
- <p>
- “Ho!” jeered Bobs, and intoned the ancient couplet, made and
- provided for the correction of such slips:—
- </p>
- <p>
- <br />
- </p>
- <p class="indent20">
- “Her ain’t a-callin’ we,
- </p>
- <p class="indent20">
- Us don’t belong to she.”
- </p>
- <p>
- <br />
- </p>
- <p>
- “Anyhow, I ain’t sick,” asseverated Bettina; “but
- he shut me up in my room for a day jus’ because my swallow worked
- kinda hard.”
- </p>
- <p>
- “If I’m going to have scarlet fever I want to have scarlet
- fever and get done with it!” declared.
- </p>
- <p>
- Bobs. “I’m getting tired of staying out of school. Charley’s
- having all the fun there is out of this, getting read to all the time by
- that nurse and Mother.”
- </p>
- <p>
- Meantime nothing of interest was happening in the sick-room. Interesting
- phases seldom appear in scarlet fever, which is well, since, when they do
- appear, the patient usually dies. Not at any time did Charley evince the
- slightest tendency to forsake a world which he had found, on the whole, to
- be a highly satisfactory place of residence. In fact, he was going
- comfortably along through a typically light onset of the disease; and was
- rather less ill than he would have been with a sound case of measles.
- Already the furrows in Mrs. Clyde’s forehead had smoothed out, and
- Grandma Sharpless had ceased waking, in the dead of night, with a catch at
- her heart and the totally unfounded fear that she had “heard
- something,” when one morning Charley awoke, scratched a tiny flake
- of skin off his nose, yawned, and emitted a hollow groan.
- </p>
- <p>
- “What is it, Charley boy?” asked his mother.
- </p>
- <p>
- “I’m tired of staying in bed,” announced the young man.
- </p>
- <p>
- “How do you feel?”
- </p>
- <p>
- The patient sat up, the better to consider the matter. “I feel,”
- he stated in positive accents, “like a bucket of oyster stew, a
- steak as big as my head, with onions all over it, a whole apple pie, a
- platter of ice-cream, and a game of baseball.”
- </p>
- <p>
- Mrs. Clyde laughed happily. “I’ll tell the Health Master,”
- she said. She did, and Dr. Strong came up and looked the patient over
- carefully.
- </p>
- <p>
- “You lie back there, young fellow,” he ordered, “and
- play sick, no matter how well you feel, until I tell you different.”
- </p>
- <p>
- “How about that beefsteak and pie, Doctor?” inquired the boy
- wistfully.
- </p>
- <p>
- “Mere prospects,” retorted the hard-hearted physician. “But
- you can have some ice-cream.” Conclave of the elders that evening to
- consider the situation was opened by Dr. Strong.
- </p>
- <p>
- “We’ve now reached the critical point,” he began.
- </p>
- <p>
- “Critical?” gasped Mrs. Clyde, whose nerves had been
- considerably stretched in the ten days of sick-room work. “Isn’t
- he getting well?”
- </p>
- <p>
- “He’s getting well quite as quickly as I want him to. Perhaps
- a little more quickly. The fever is broken and he is beginning to peel.”
- </p>
- <p>
- “Then what’s the difficulty?” inquired Mr. Clyde.
- </p>
- <p>
- “Just this. Charley is a sturdy boy. The light attack he’s had
- hasn’t begun to exhaust his vitality. From now on, he is going to be
- a bundle of energy, without outlet.”
- </p>
- <p>
- “From now on till when?” It was Grandma Sharpless who wanted
- to know.
- </p>
- <p>
- “Two weeks anyway. Perhaps more.”
- </p>
- <p>
- “Are you going to keep that poor child in bed for two weeks after he’s
- practically well?” said the mother.
- </p>
- <p>
- “For three weeks if the whole family will help me. It’s not
- going to be easy.”
- </p>
- <p>
- “Isn’t that a little extreme, Strong?” asked Mr. Clyde.
- </p>
- <p>
- “Only the precaution of experience. The danger-point in scarlet
- fever isn’t the illness; it’s the convalescence. People think
- that when a child is cured of a disease, he is cured of the effects of the
- disease also. That mistake costs lives.”
- </p>
- <p>
- “Because the poison is still in the system?”
- </p>
- <p>
- “Rather, the effects of the poison. Though the patient may feel
- quite well, the whole machinery of the body is out of gear. What do you do
- when your machinery goes wrong, Clyde?”
- </p>
- <p>
- “Stop it, of course.”
- </p>
- <p>
- “Of course,” repeated the Health Master. “Obviously we
- can’t stop the machinery of life, but we can ease it down to its
- lowest possible strain, until it has had a chance to readjust itself. That
- is what I want to do in Charley’s case.”
- </p>
- <p>
- “How does this poison affect the system?”
- </p>
- <p>
- “If I could discover that, I’d be sure of a place in history.
- All we know is that no organ seems to be exempt from its sudden return
- attack long after the disease has passed. If we ever get any complete
- records, I venture to say that we’ll find more children dying in
- after years from the results of scarlet fever than die from the immediate
- disease itself, not to mention such after-effects as deafness and
- blindness.”
- </p>
- <p>
- “I’ve noticed that,” said Grandma Sharpless, “when
- we lived in the country. And I remember a verse on the scarlet-fever page
- of an old almanac:—
- </p>
- <p>
- <br />
- </p>
- <p class="indent20">
- If they run from nose or ear,
- </p>
- <p class="indent20">
- Watch your children for a year.
- </p>
- <p>
- <br />
- </p>
- <p>
- But I always set down those cases to catching cold.”
- </p>
- <p>
- “Most people do. It isn’t that. It’s overstrain put on a
- poisoned system. And it’s true not of scarlet fever alone, but of
- measles, and diphtheria, and grippe; and, in a lesser degree, of
- whooping-cough and chicken pox.”
- </p>
- <p>
- “You’ve seen such cases in your own practice?” asked Mr.
- Clyde, and regretted the question as soon as he had put it, for there
- passed over Dr. Strong’s face the quick spasm of pain which anything
- referring back to the hidden past before he had come to the Clyde house
- always brought.
- </p>
- <p>
- “Yes,” he replied with an effort. “I have had such
- cases, and lost them. I might even say, killed them in my ignorance.”
- </p>
- <p>
- “Oh, no, Dr. Strong!” said Mrs. Clyde in quick sympathy.
- “Don’t say that. Being mistaken isn’t killing.”
- </p>
- <p>
- “It is, sometimes, for a doctor. I remember one little patient who
- had a very light case of scarlet fever. I let her get up as soon as the
- fever broke. Three months later she developed a dropsical tendency. And
- one day she fell dead across the doll she was playing with. The official
- cause of death said heart disease. But I knew what it was. The next case
- was not so wholly my fault. The boy was a spoiled child, who held his
- parents in enslavement. They hadn’t the strength of character to
- keep him under control. He insisted on riding his bicycle around the yard,
- three days after he was out of bed. Against his willfulness my protests
- were of no account. What I should have done is to have thrown up the case;
- but I was young and the people were my friends. Well; that boy made,
- apparently, a complete recovery. A few weeks later I was sent for again.
- There was some kidney trouble. I knew, before the analysis was made, what
- it would show: nephritis. The poison had struck to the kidneys like a
- dagger. The poor little chap dragged along for some months before he died;
- and his mother—God forgive me if I did wrong in telling her the
- truth, as I did for the protection of their other child—almost lost
- her reason.”
- </p>
- <p>
- “And such cases are common?” asked Mr. Clyde.
- </p>
- <p>
- “Common enough to be fairly typical. Afterward, I cited the two
- instances in a talk before our medical society. My frankness encouraged
- some of the other men to be frank; and the list of fatalities and
- permanent disabilities, following scarlet fever and measles, which was
- brought out at that meeting, nearly every case being one of rushing the
- convalescence—well, it reformed one phase of medical procedure in—in
- that city and county.”
- </p>
- <p>
- “That settles it for Charley,” decided Mr. Clyde. “He
- stays in bed until you certify him cured, if I have to hire a vaudeville
- show to keep him amused.”
- </p>
- <p>
- “My boy is not a spoiled child!” said Mrs. Clyde proudly.
- “I can handle him.”
- </p>
- <p>
- “Maybe he wasn’t before,” remarked Grandma Sharpless
- dryly; “but I think you’ll have your hands full now.”
- </p>
- <p>
- “Therefore,” said Dr. Strong, “I propose to enlist the
- services of the whole family, including the children.”
- </p>
- <p>
- “What! Let the others go to see Charley when he’s peeling?”
- protested Mrs. Sharpless. “They’ll all catch it.”
- </p>
- <p>
- “How?”
- </p>
- <p>
- “Why, from the skin-flakes. That’s the way scarlet fever
- spreads.”
- </p>
- <p>
- “Is it?” said the Health Master mildly. “Then perhaps
- you’ll explain to me why doctors aren’t the greatest danger
- that civilization suffers from.”
- </p>
- <p>
- “I suppose they disinfect themselves,” said the old lady, in a
- rather unconvinced tone.
- </p>
- <p>
- “Let’s see how much that would amount to. The fine flakes of
- skin are likely to be pretty well disseminated in a sick-room. According
- to the old theory, every one of them is a potential disease-bearer. Now, a
- doctor could hardly be in a sickroom without getting some of them on his
- clothes or in his hair, as well as on his hands, which, of course, he
- thoroughly washes on leaving the place. But that’s the extent of his
- disinfection. Why don’t the flakes he carries with him spread the
- fever among his other patients?”
- </p>
- <p>
- “Don’t ask <i>me!</i>” said Clyde. “I’m not
- good at puzzles.”
- </p>
- <p>
- “Many doctors still hold to the old theory. But I’ve never met
- one who could answer that argument. Some of the best hospitals in the
- world discharge patients without reference to the peeling of the skin, and
- without evil results.”
- </p>
- <p>
- “How is scarlet fever caught, then?” asked Mrs. Clyde.
- </p>
- <p>
- “From the discharge from the inflamed nose and throat, or from the
- ears if they are affected. Anything which comes in contact with this
- poisonous mucus is dangerous. Thus, of course, the skin-flakes from the
- lips or the hands which had been in contact with the mouth or nose might
- carry the contagion, just as a fork or a tooth-brush or a handkerchief
- might. Now, I’ll risk my status in this house on the safety of
- letting the other children visit Charley under certain restrictions.”
- </p>
- <p>
- “That settles it for me,” said Mr. Clyde, whose faith in his
- friend, while not unquestioning, was fundamental; and the two women
- agreed, though not without misgivings. Thereupon Bobs, Julia, and Bettina
- were sent for, and the Health Master announced that Charley would hold a
- reception on the following afternoon. There were shouts of acclamation at
- the prospect.
- </p>
- <p>
- “But first,” added Dr. Strong, “there will be a
- rehearsal in the playroom, to-morrow morning.”
- </p>
- <p>
- “What do we need a rehearsal for to see Charley?” inquired
- Julia.
- </p>
- <p>
- “To guard yourselves, Miss Junkum,” returned the doctor.
- “Possibly you don’t know everything about scarlet fever that
- you should know. Do you, Cherubic Miss Toots,” he added, turning
- upon Bettina, “know what a contagious disease is?”
- </p>
- <p>
- “I know,” said the diminutive maiden gravely, “that if
- you leave Charley’s door open the jerrums will fly out and bite
- people.”
- </p>
- <p>
- “Which fairly typifies the popular opinion concerning disease
- bacilli,” observed Dr. Strong.
- </p>
- <p>
- “I saw a jerrum once,” continued the infant of the family.
- “It was under a stone in a creek. It had horns and a wiggly tail.
- Just like the Devil,” she added with an engaging smile.
- </p>
- <p>
- “Betty’s been looking at the pictures in the comic
- supplements,” explained her elder sister.
- </p>
- <p>
- “Popular education by the press!” commented Dr. Strong.
- “Well, I haven’t time for an exposition of the germ theory
- now. The point is this: Can you children stay an hour in Charley’s
- room without putting a lot of things in your mouths?”
- </p>
- <p>
- “Why, I never put anything in my mouth. You taught us better than
- that,” said Julia reproachfully.
- </p>
- <p>
- The doctor was little impressed by the reproach. “Humph!” he
- grunted. “Well, suppose you stop nibbling at your hair”—Julia’s
- braid flew back over her shoulder—“and consider that, when you
- put your fingers in your mouth, you may be putting in, also, a particle of
- everything that your fingers have touched. And in Charley’s room
- there might be jerrums, as Twinkles calls them, from his mouth which would
- be dangerous. Rehearsal at noon tomorrow.”
- </p>
- <p>
- Expectant curiosity brought the children early to the playroom whither
- they found that the Health Master had preceded them.
- </p>
- <p>
- “When’s it going to begin?” asked Bettina.
- </p>
- <p>
- “Presently,” replied the master of ceremonies. “We’re
- going to pretend that this is Charley’s room. Just at present I’m
- busy with some work.” He shook a notebook at them. “Go ahead
- and amuse yourselves till I get through.”
- </p>
- <p>
- Julia the observant noted three hues of crayon on the stand beside the
- doctor. “Are you going to make a sketch?” she inquired.
- </p>
- <p>
- “Never you mind. You attend to your affairs and I’ll attend to
- mine.”
- </p>
- <p>
- “Dr. Strong is a-goin’ to make a picture of a jerrum,”
- Bettina informed her favorite doll, Susan Nipper, imprinting a fervent
- kiss on the pet’s flattened face. “Come on an’ let’s
- read the paper.”
- </p>
- <p>
- Dr. Strong made a note in his book, with a pencil.
- </p>
- <p>
- “Want to play catch, Junkum?” suggested Bobs to his twin.
- </p>
- <p>
- “All right,” said Julia, seizing upon a glove, while Bobs, in
- his rôle of pitcher, professionally moistened the ball.
- </p>
- <p>
- Dr. Strong made another note.
- </p>
- <p>
- For half an hour they disported themselves in various ways while the
- Health Master, whose eyes were roving everywhere, made frequent entries in
- his book.
- </p>
- <p>
- “All out now,” he ordered finally. “Come back in five
- minutes.”
- </p>
- <p>
- Before the time was up, they were clustered at the door. Dr. Strong
- admitted them.
- </p>
- <p>
- “Does the rehearsal begin now?” asked Bobs.
- </p>
- <p>
- “It’s all over,” said the physician. “Look around
- you.”
- </p>
- <p>
- “Ow-w-w!” wailed Bettina. “Look at Susan Nipper’s
- nose!”
- </p>
- <p>
- That once inconspicuous feature had turned a vivid green.
- </p>
- <p>
- “And the baseball is red,” cried Bobs.
- </p>
- <p>
- “So’s my glove,” announced Julia.
- </p>
- <p>
- Walking over to her, the Health Master caught her left hand and smeared it
- with blue crayon. For good measure he put a dab on her chin.
- </p>
- <p>
- “My story-book is all blue, too,” exclaimed the girl. “What’s
- it for?”
- </p>
- <p>
- “Just by way of illustration,” explained the doctor. “The
- mouths of all of us contain germs of one kind or another. So I’ve
- assumed that Bob’s mouth has red, and Junkum’s blue, and Miss
- Twinkle’s green. Every chalk mark shows where you’ve spread
- your germs.”
- </p>
- <p>
- “Then the red on the ball is where I wet my fingers for that
- in-curve,” said Bobs.
- </p>
- <p>
- “And on my glove is where I caught it,” said Julia. “But
- what’s the blue doing on my left hand?”
- </p>
- <p>
- “I know,” announced Bobs triumphantly. “You got that
- slow drop on the end of your finger and jammed your finger in your mouth.”
- </p>
- <p>
- “It hurt,” defended Julia. “Look at the walls—and
- the Indian clubs—and the chair.”
- </p>
- <p>
- Crayon marks were everywhere. In some places it was one color; in others
- another; in many, a crazy pattern of red, blue, and green.
- </p>
- <p>
- “And if I carried it out,” said the doctor, “your faces
- would all be as bad.”
- </p>
- <p>
- “I don’t care!” murmured Betty to Susan Nipper; “I
- <i>will</i> kiss you even if you do turn green.”
- </p>
- <p>
- “But you mustn’t kiss Charley,” interposed Dr. Strong.
- “If you’ve had enough rehearsal, we’ll go and make our
- call right after luncheon.”
- </p>
- <p>
- Entering the sick-room, the three visitors stood a little abashed and
- strange. Their hearty, rough-and-tumble brother looked strangely drawn and
- brighteyed.
- </p>
- <p>
- “Hello, kids!” said he, airily. “Make yourselves at
- home.”
- </p>
- <p>
- Bettykin was the first to break the ice. “Did it hurt, Charley?”
- she asked, remembering her own experience with adenoids.
- </p>
-<pre xml:space="preserve">
- * For this ingenious example of the crayon marks I am
- indebted to Dr. Charles V. Chapin, Health Officer of
- Providence, Rhode Island, and a distinguished
- epidemiologist.
-</pre>
- <p>
- “Nope,” said the convalescent. “Only thing that hurts is
- being kept in bed when I want to be up and around. What’s new?”
- </p>
- <p>
- Much was new, there in the room, and the children took it in, wide-eyed.
- Although it was early May, the windows were screened. All the hangings and
- curtains had been taken out of the room, which looked bare and bright. On
- the door of the bathroom was a huge roller-towel of soft, cloth-like
- paper, perforated in lengths so as to be easily detachable, and below it a
- scrap-basket, with a sign: “Throw Paper Towels in Here to be Burned
- after Using.” Between the two windows was a larger sign:—
- </p>
- <p>
- <i>Keep your Fingers Away from Your Mouth and Nose. </i>
- </p>
- <p>
- Don’t Handle Utensils Lying About.
- </p>
- <p>
- Don’t Open an Unscreened Window.
- </p>
- <p>
- After Touching Anything which may have been Contaminated Wash Your Hands
- at Once.
- </p>
- <p>
- Use the Paper Towels; They’re the Only Safe Kind.
- </p>
- <p>
- One Dollar Reward to Any One Discovering a Fly in the Room.
- </p>
- <p>
- Wash Your Hands Immediately After Leaving the Room.
- </p>
- <p>
- Keep Outside the Dead-line.
- </p>
- <h3>
- PENALTIES
- </h3>
- <p>
- For First Violation of Rules—Offender Reads to Patient One Hour.
- Second Violation—Banishment for Balance of Day.
- </p>
- <p>
- “The dead-line is that thing, I suppose,” said Junkum,
- pointing to a tape stretched upon standards around the bed at a distance
- of a yard.
- </p>
- <p>
- “Is it a game?” questioned the hopeful Bettina. “No,
- Bettykin. It’s a germ-cage. No germs can get out of that unless they’re
- carried out by somebody or something. And, in that case, they’re
- boiled to death on the gas-stove outside.”
- </p>
- <p>
- At this moment Charley called for a drink of water. After he had emptied
- the glass, his mother took it out and dropped it into the disinfecting hot
- bath. Then she washed her hands, dried them on a strip of the paper towel
- and dropped that in the basket.
- </p>
- <p>
- “I see,” said Julia, the observant. “Nothing gets any
- scarlet fever on it except what Charley touches. And everything he touches
- has to be washed as soon as it comes out of the dead-line.”
- </p>
- <p>
- “Exactly. We’ll make a trained nurse of you, yet, Junkum,”
- approved the Health Master.
- </p>
- <p>
- “Then,” said Julia slowly, “I think Bobs ought to wash
- his hands now. Mother opened the door after handling Charley’s
- glass, and when he went to watch her wash the glass, he put his hand on
- the knob.”
- </p>
- <p>
- “One mark against Bobs,” announced the doctor. “The
- rigor of the game.”
- </p>
- <p>
- A game it proved to be, with Charley for umpire, and a very keen umpire,
- as he was the beneficiary of the penalties. For some days Charley quite
- fattened on literature dispensed orally by the incautious. Presently,
- however, they became so wary that it was hard to catch them.
- </p>
- <p>
- Then, indeed, was the doctor hard put to it to keep the invalid amused.
- The children invented games and charades for him. A special telephone wire
- was run to his room so that he might talk with his friends. Bobs won
- commendations by flying a kite one windy day and passing the twine up
- through Charley’s window, whereby the bedridden one spent a happy
- afternoon “feeling her pull.” And the next day Betty won the
- first and only dollar by discovering a small and early fly which,
- presumably, had crawled in by the hole bored for the kite twine. As to any
- encroachments upon the physical quiet of his patient or the protective
- guardianship surrounding him, the Health Master was adamant, until, on a
- day, after examining the prisoner’s throat and nose, and going over
- him, as Mr. Clyde put it, “like a man buying a horse that’s
- cheaper than he ought to be,” he sent for the Health Officer.
- </p>
- <p>
- “It’s a clean throat,” said Dr. Merritt. “Never
- mind the desquamating skin. We’ll call it off.”
- </p>
- <p>
- Whereupon Charley was raised from his bed, and having symbolically broken
- the tape-line about his bed, headed a solemn and slow procession of the
- entire family to the front porch where he formally took down the red
- placard and tore it in two. The halves still ornament the playroom, as a
- memento.
- </p>
- <p>
- After this memorable ceremony, Mrs. Clyde retired to the library and,
- quite contrary to her usually self-restrained nature, dissolved into
- illogical tears, in which condition she was found by the rest.
- </p>
- <p>
- “I—I—I don’t know what’s the matter,”
- she sobbed, in response to her husband’s inquiry. “It’s
- just because I hated the very thought of that abominable red sign so,—as
- if we were unclean—like lepers.”
- </p>
- <p>
- “Well, we’re not lepers and if we can continue in that blessed
- state,” remarked Dr. Strong cheerfully, “we can escape most of
- the ills that flesh is heir to. After all, from a scientific point of
- view, contagion is merely the Latin synonym for a much shorter and uglier
- word.”
- </p>
- <p>
- “Which is—” queried Mr. Clyde.
- </p>
- <p>
- “Dirt,” said the Health Master.
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0009" id="link2H_4_0009"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- VIII.—HOPE FOR THE HOPELESS
- </h2>
- <p class="pfirst">
- <span class="dropcap" style="font-size: 4.00em">“H</span>opeless
- from the first,” said old Mrs. Sharpless, with a sigh, to her
- daughter.
- </p>
- <p>
- Mrs. Clyde nodded. “I suppose so. And she has so much to live for,
- too.”
- </p>
- <p>
- “What’s this that’s hopeless from the first?”
- asked the Health Master, looking up from the novel which he was enjoying
- in what he called his “lazy hour,” after luncheon.
- </p>
- <p>
- “Mrs. Westerly’s case,” said the younger woman. “Even
- now that she’s gone to the hospital, the family won’t admit
- that it’s cancer.”
- </p>
- <p>
- “Ah, of the liver, I suppose,” commented the physician.
- </p>
- <p>
- “Why on earth should you suppose that?” demanded Mrs.
- Sharpless suspiciously.
- </p>
- <p>
- “Why, because cancer of the liver is the only form which could
- possibly be regarded as hopeless from the first.”
- </p>
- <p>
- “All cancer, if it is really cancer, is hopeless,” declared
- the old lady with vigorous dogmatism. “Don’t tell me. I’ve
- seen too many cases die and too few get well.”
- </p>
- <p>
- “Were those ‘few’ hopeless, too?” inquired Dr.
- Strong with bland slyness.
- </p>
- <p>
- “I guess they weren’t cancer, at all,” retorted Mrs.
- Sharpless; “just doctors’ mistakes.”
- </p>
- <p>
- “Doctors do make mistakes,” admitted the representative of the
- profession, “and cancer is one of the diseases where they are most
- commonly at fault. But the error isn’t of the kind that you suggest,
- Grandma Sharpless. Where they go wrong so often is in mistaking cancer for
- some less malignant trouble; not in mistaking the less malignant forms for
- cancer. And that wastes thousands of lives every year which might have
- been saved.”
- </p>
- <p>
- “How could they have been saved?” asked the old lady
- combatively.
- </p>
- <p>
- “Let me do the questioning for a minute, and perhaps we’ll get
- at that. Now, these many cases that you’ve known: were most of the
- fatal ones recent?”
- </p>
- <p>
- “Not very,” she replied, after some consideration. “No;
- most of them were from ten years ago, back.”
- </p>
- <p>
- “Exactly. Now, the few that recovered: when did these occur?”
- </p>
- <p>
- “Within a few years.”
- </p>
- <p>
- “None of the old cases recovered?”
- </p>
- <p>
- “No.”
- </p>
- <p>
- “But a fair proportion of the more recent ones have?”
- </p>
- <p>
- “Yes.”
- </p>
- <p>
- “All these were operated on, weren’t they?”
- </p>
- <p>
- “Yes; I believe they were. But not all that were operated on lived.”
- </p>
- <p>
- “Did a single one of those not operated on live?”
- </p>
- <p>
- “Not so far as I can remember.”
- </p>
- <p>
- “Well, there we have the truth about cancer in a few words; or,
- anyway, a good part of the truth. Up to twenty years ago or so, cancer was
- practically incurable. It always returned after operation. That was
- because the surgeon thought he needed only to cut out the cancer. Now he
- knows better; he knows that he must cut out all the tissue and the glands
- around the obvious cancer, and thus get the root of the growth out of the
- system.”
- </p>
- <p>
- “And that cures?” asked Mrs. Clyde.
- </p>
- <p>
- “In a great majority of cases, <i>if it is done early enough</i>.”
- The Health Master dropped his book and beat time with an emphatic
- forefinger to his concluding words.
- </p>
- <p>
- “But Agnes Westerly’s is cancer of the breast,” said
- Mrs. Clyde, as if that clinched the case against the patient.
- </p>
- <p>
- “Just about the most favorable locality.”
- </p>
- <p>
- “I thought it was the worst.”
- </p>
- <p>
- “Where on earth do intelligent women collect their superstitions
- about cancer?” cried Dr. Strong. “Carcinoma of the breast is
- the commonest form among women, and the easiest to handle. Show me a case
- in the first stages and, with a good surgical hospital at hand, I’d
- almost guarantee recovery. It’s simply a question of removing the
- entire breast, and sometimes the adjacent glands. Ninety per cent of the
- early cases should get well.”
- </p>
- <p>
- “But the operation itself is so terrible,” shuddered Mrs.
- Clyde.
- </p>
- <p>
- “Terrible? Unpleasant, I’ll admit. But if you mean terrible in
- the sense of dangerous, or even serious, you’re far wrong again. The
- percentage of mortality from the operation itself is negligible. But the
- percentage of mortality without operation is 100 out of 100. So the choice
- is an easy one.”
- </p>
- <p>
- “They seem to hold out little hope for Agnes Westerly.”
- </p>
- <p>
- “Let’s hear about the circumstances,” suggested Dr.
- Strong.
- </p>
- <p>
- “About two years ago—”
- </p>
- <p>
- “That’s a bad beginning,” interrupted the physician,
- shaking his head.
- </p>
- <p>
- “—She noticed a small lump in her right breast. It didn’t
- trouble her much—”
- </p>
- <p>
- “It seldom does at the start.”
- </p>
- <p>
- “—And she didn’t want to alarm her husband; so she said
- nothing about it. It kept getting a little larger very slowly, but there
- was no outside sore; so she thought it couldn’t be serious. If it
- were, she thought, it would pain her.”
- </p>
- <p>
- “That fatal mistake! Pain is a late symptom in cancer—usually
- too late.”
- </p>
- <p>
- “It was curious the way she finally came to find out. She read an
- advertisement in the paper, headed, ‘Any Lump in Woman’s
- Breast is Cancer.’”
- </p>
- <p>
- “Yes; I know that advertisement. It’s put out by a scoundrel
- named Chamlee. Surely, she didn’t try his torturing treatment?”
- </p>
- <p>
- “Oh, no. Agnes is too intelligent for that. But it frightened her
- into going to her doctor. He told her that a radical operation was her
- only chance. She was terribly frightened,—more afraid of the knife
- than of the disease, she told me,—and she insisted on delay until
- the pain grew intolerable. And now, they say, there’s only a slight
- chance. Isn’t it pitiful?”
- </p>
- <p>
- “Pitiful, and typical. Mrs. Westerly, if she dies, is a type of
- suicide, the suicide of fear and ignorance. Two years’ waiting! And
- every day subtracting from her chance. That’s the curse of cancer;
- that people won’t understand the vital necessity of promptness.”
- </p>
- <p>
- “But is it true that any lump in a woman’s breast is cancer?”
- asked Mrs. Sharpless.
- </p>
- <p>
- “No; it’s a lie; a damnable lie, circulated by that quack to
- scare foolish women into his toils. Most of such lumps are non-malignant
- growths. This is true, though: that any lump in a woman’s breast is
- suspicious. It may be cancer; or it may develop into cancer. The only
- course is to find out.”
- </p>
- <p>
- “How?”
- </p>
- <p>
- ‘“With the knife.”
- </p>
- <p>
- “Isn’t that rather a severe method for a symptom that may not
- mean anything?”
- </p>
- <p>
- “Not too severe, considering the danger. Whatever the lump may be,
- it has no business there in the breast, any more than a bullet has. If it
- is only a small benign tumor, the process of taking it out is very simple,
- and there is nothing further to do. While the patient is still under the
- anaesthetic, a microscopical examination of the tissue, which can be made
- in a few minutes in a well-equipped hospital, will determine whether the
- growth is malignant. If so, the whole breast is taken off, and the
- patient, in all probability, saved. If not, sew up the wound, and the
- subject is none the worse. Much the better, in fact, for the most innocent
- growth may develop cancer by irritation. Thirty per cent, or more, of
- breast cancers develop in this way.”
- </p>
- <p>
- “But irritation alone won’t cause cancer, will it?”
- asked Mrs. Clyde, her restlessly inquiring mind reaching back, as was
- typical of her mental processes, toward first causes.
- </p>
- <p>
- “No. There must be something else. What that something is, we don’t
- know. But we are pretty certain that it doesn’t develop unless there
- is irritation of some kind.”
- </p>
- <p>
- “Isn’t cancer a germ disease?”
- </p>
- <p>
- “Nobody knows. Some day we may—probably shall—find out.
- Meantime we have the knowledge of how to prevent it.”
- </p>
- <p>
- “How to prevent a disease you don’t know the nature of?”
- said Mrs. Sharpless incredulously. “That sounds like nonsense.”
- </p>
- <p>
- “Does it? What about smallpox? We haven’t any idea of what
- smallpox really is; but we are able to control it with practical certainty
- through vaccination.”
- </p>
- <p>
- “Doctors don’t vaccinate for cancer,” remarked the
- practical-minded old lady.
- </p>
- <p>
- “They have tried serums, but that is no use. As I said, the
- immediate occasion of cancer is irritation. There is overwhelming proof
- that an unhealing sore or irritation at any point is likely to result in
- the development of a cancer at that point, and at least a highly probable
- inference that, without such irritation, the disease would not develop.”
- </p>
- <p>
- “Then why not get rid of the irritation?”
- </p>
- <p>
- “Ah, there’s the point. That’s where the tremendous
- life-saving could be effected. Take a very simple instance, cancer of the
- lip. In a thousand cases recorded by one of the Johns Hopkins experts,
- there wasn’t one but had developed from a small sore, at first of
- innocent nature. It isn’t too much to say that this particular
- manifestation of cancer is absolutely preventable. If every person with a
- sore on the lip which doesn’t heal within three weeks were to go to
- a good surgeon, this hideous and defacing form of tumor would disappear
- from the earth. As for carcinoma of the tongue, one of the least hopeful
- of all varieties, no careful person need ever develop it. Good dentistry,
- which keeps the mouth free of jagged tooth-edges, is half the battle. The
- other half is caution on the part of smokers. If a white patch develops in
- the mouth, tobacco should be given up at once. Unless the patch heals
- within a few weeks, the patient should consult a physician, and, if
- necessary, have it removed by a minor operation. That’s all there is
- to that.”
- </p>
- <p>
- “But if the irritant sore is internal?” inquired Mrs. Clyde.
- </p>
- <p>
- “To the watchful it will give evidence of its presence, usually in
- time. If it is in the intestines or stomach, there is generally some
- uneasiness, vague, perhaps, but still suspicious, to announce the danger.
- Surgical records covering a long period show that eighty per cent of
- stomach cancers were preceded by definite gastric symptoms of more than a
- year’s duration. If it is in the uterus, there are definite signs
- which every woman ought to be taught to understand. And here, to go back
- to the matter of cure, even if the discovery isn’t made until cancer
- has actually developed, there is an excellent chance in the early stages.
- Cancer of the stomach used to be sure doom to a hideous death. Now, taking
- the cases as they come, the desperate chances with the early cases, more
- than a quarter are saved in the best surgical hospitals. Where the growth
- is in the womb or the intestines, with reasonably early discovery, a
- generous half should be repaired and returned to active life as good as
- new.”
- </p>
- <p>
- “That doesn’t seem possible,” said Mrs. Sharpless
- flatly.
- </p>
- <p>
- “Simply because you’ve been steeped in the fatalism which
- surrounds cancer. That fatalism, which is so hard to combat, is what keeps
- women from the saving hope of the knife. ‘I’ve got to die
- anyway,’ they say, ‘and I’m not going to be carved up before I
- die.’ And so they throw away what chance they have. Oh, if only I
- had control of the newspapers of this city for one day a week or a month,—just
- for a half-column editorial,—what a saving of life I could effect! A
- little simple advice in straight-out terms would teach the people of this
- community to avoid poor Mrs. Westerly’s fate.”
- </p>
- <p>
- “And drive ‘em all into the hands of the doctors,” said
- Mrs. Sharpless shrewdly. “A fine fattening of fees for your trade,
- young man.”
- </p>
- <p>
- “Do you think so? Do you think that cancer <i>ever</i> fails to come
- to the physician at last? And do you think the fee is less because the
- surgeon has to do twice the amount of work with a hundredth of the hope of
- success?”
- </p>
- <p>
- “No-o-o,” admitted the old lady, with some hesitancy; “I
- didn’t think of it in that light.”
- </p>
- <p>
- “Few do. Oh, for the chance to teach people to think straight about
- this! Publicity is what we need so bitterly, and the only publicity goes
- to the quacks who pay for it, because the local newspapers don’t
- want to write about ‘unpleasant topics,’ forsooth!”
- </p>
- <p>
- “Do you want a chance for some publicity in a small way?”
- asked Mrs. Clyde.
- </p>
- <p>
- “Do I! Show me the chance.”
- </p>
- <p>
- “The Mothers’ Association meets here this afternoon. We haven’t
- much business on hand. Come in and talk to us for an hour.”
- </p>
- <p>
- “Fine!” said the Health Master, with enthusiasm. “Half
- of that time will do me. How many will be there?”
- </p>
- <p>
- “About sixty.”
- </p>
- <p>
- “Very well. Just have me introduced with the statement that I’m
- going to talk informally on a subject of importance to all of you; and
- then help me out with a little object lesson. I’ll want sixty sealed
- envelopes for the members to draw.”
- </p>
- <p>
- “Are you conducting a lottery, young man?” queried Grandma
- Sharpless.
- </p>
- <p>
- “In a way. Rather I’m arranging an illustration for the great
- lottery which Life and Death conduct.”
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <br /><br />
- </p>
- <p>
- Two hours later, the business of the meeting having been concluded, Mrs.
- Clyde asked, from the assembled mothers, the privilege of the floor for
- Dr. Strong, and this being granted, aroused the curiosity of the meeting
- by requesting each member to draw an envelope from the basket which she
- carried around, while the presiding officer introduced the speaker.
- </p>
- <p>
- “Let me begin,” said the Health Master, “with an
- ungallant assumption. I’m going to assume that I’m talking to
- a gathering of middle-aged women. That being the case, I’m going on
- to a very unpleasant statement, to wit, that one out of every eight women
- here may reasonably expect to die of cancer in some form.”
- </p>
- <p>
- A little subdued flutter passed through the room, and the name of Agnes
- Westerly was whispered.
- </p>
- <p>
- “Yes; it is Mrs. Westerly’s case which is responsible for my
- being here,” said Dr. Strong, who had abnormally keen hearing.
- “I would like to save at least part of the eight out of your number,
- who are statistically doomed, from this probable fate. To bring the lesson
- home to you, I have had each of you draw an envelope. Eight of these
- represent death by cancer.”
- </p>
- <p>
- Every eye in the room turned, with rather ghastly surmise, to the little
- white squares. But old Mrs. Sharpless rose from her place, marched upon
- the Health Master, as one who leads a charge, and in low but vehement
- tones protested: “I won’t be a party to any such nonsense. The
- idea! Scaring some woman that’s as well as you are into nervous
- collapse with your black dot or red cross or whatever you’ve got
- inside these envelopes.”
- </p>
- <p>
- “Oh, Grandma Sharpless, Grandma Sharpless! Have you known me all
- this time not to trust me further than that?” whispered the Health
- Master. “Wait and see.”
- </p>
- <p>
- A little woman near the rear of the room spoke up with a fine bravado:
- “I’m not afraid. It can’t give me cancer.” Then a
- pause, and a sigh of relief, which brought out a ripple of nervous
- laughter from the rest, as she said, “There’s nothing in mine.”
- </p>
- <p>
- “Nor in mine,” added a young and pretty woman, in the second
- row, who had furtively and swiftly employed a hatpin to satisfy her
- curiosity.
- </p>
- <p>
- “Nor mine!”—“Nor mine!” added a dozen
- voices, in varying tones of alleviated suspense.
- </p>
- <p>
- “Not in any of them,” said Dr. Strong, smiling. “My
- little design was to arouse you collectively to a sense of the danger, not
- to frighten you individually into hysterics.” (At this point Mrs.
- Sharpless sat down abruptly and fanned a resentful face.) “The ugly
- fact remains, however: one out of every eight here is marked for death by
- the most dreadful of diseases, unless you do something about it.”
- </p>
- <p>
- “What can we do?” inquired the minister’s wife, in the
- pause that followed this statement.
- </p>
- <p>
- “Educate yourselves. If, in the process, you educate others, so much
- the better. Now I propose to tell you all about cancer in half an hour.
- Does that sound like a large contract? When I say ‘all,’ I
- mean all that it is necessary for you to know in order to protect
- yourselves. And, for good measure, I’ll answer any questions—if
- I can—within the limit of time.”
- </p>
- <p>
- “What <i>is</i> cancer?” asked a voice.
- </p>
- <p>
- “Ah! There is one that I can’t answer. No one knows. If I told
- you that it was a malignant tumor, that would be true, but it wouldn’t
- be an answer, because we don’t know the real nature and underlying
- cause of the tumor. Whether it is caused by a germ, science has not yet
- determined. But though we know nothing of the fundamental cause of the
- disease, we do understand, definitely, what is the immediate causative
- influence. It practically always arises from some local sore or
- irritation. Therefore—and here is my first important point—it
- is preventable.”
- </p>
- <p>
- “That would be only theoretically, wouldn’t it, Dr. Strong?”
- asked the little woman who had first braved the venture of the sealed
- envelope. “One can’t get through life without bumps and
- scratches.”
- </p>
- <p>
- “True. But ordinary bumps or scratches properly looked after don’t
- cause cancer. The sore must be an unhealing one, or the irritation a
- continued condition, in order to be dangerous. Remember this: any sort of
- a sore, inflammation, or scarification, external or internal, which
- continues more than a few weeks, is an invitation to cancer. Therefore,
- get rid of it.”
- </p>
- <p>
- “But suppose the injury is in the stomach, where it can’t be
- got at?” asked a member.
- </p>
- <p>
- “Why can’t it be got at?” demanded Dr. Strong.
- </p>
- <p>
- “How can it be got at?” retorted the questioner.
- </p>
- <p>
- “By opening up the stomach and examining it.”
- </p>
- <p>
- “Well, I don’t want anybody to open up my stomach just to see
- what is inside it!” declared Mrs. Sharpless vigorously.
- </p>
- <p>
- “Very likely not. Perhaps you’d feel different if you’d
- had steady pain or indigestion for two or three years.”
- </p>
- <p>
- “Does that mean cancer?” asked a tall, sallow woman anxiously.
- </p>
- <p>
- “Not by any means necessarily. But it may well mean gastric ulcer,
- and that may develop into cancer. Three fourths of the cases of carcinoma
- of the stomach which come into the surgeon’s hands have developed
- from gastric ulcer.”
- </p>
- <p>
- “Is there no cure but the knife?” inquired Mrs. Clyde.
- </p>
- <p>
- “Not for the cancer. For the gastric ulcer, yes. Careful medical
- care and diet often cure it. The trouble is that patients insist on diet
- and drugs in cases where they have proved themselves ineffectual. Those
- cases should come to the surgeon. But it will take long to educate the
- public to the significance of long-continued abdominal pain or
- indigestion. The knife is the last thing they are willing to think of.”
- </p>
- <p>
- “But stomach operations are terribly dangerous, aren’t they?”
- inquired a member.
- </p>
- <p>
- “Not any more. They were once. The operation for gastric ulcer in
- the early stage is simple. Even developed cancer of the stomach can be
- cured by the knife in from twenty-five to thirty per cent of the cases.
- Without the knife, it is sure death. I’m glad we got to the stomach
- first, because that is the most obscure and least hopeful of the common
- locations of the growth. In carcinoma of the breast, the most prevalent
- form among women, there is one simple, inclusive rule of prevention and
- cure. Any lump in the breast should be regarded, as Blood-good of Johns
- Hopkins puts it, ‘as an acute disease.’ It should come out
- immediately. If such growths come at once to the surgeon, prevention and
- cure together would save probably ninety per cent of those who now die
- from this ‘creeping death,’ as our parents called it.
- </p>
- <p>
- “Now, I’ll ask you to imagine for the moment that I am
- conducting a clinic, for I’m not going to mince words in speaking of
- cancer of the womb, the next commonest form. Any persistent irritation
- there is a peril. If there is a slight, steady, and untimely discharge,
- that’s a danger signal. The woman should at once have a
- microscopical examination made. This is simple, almost painless, and
- practically a sure determination of whether there is cancer or not. The
- thing to do is to find out.”
- </p>
- <p>
- “But if it is cancer, is there any chance?” asked the lady of
- the hatpin.
- </p>
- <p>
- “Would you regard tuberculosis as hopeless?”
- </p>
- <p>
- “Of course not.”
- </p>
- <p>
- “Your parents would have. But you have profited by popular
- education. If the public understood what to do in cancer as thoroughly as
- they know about tuberculosis, we’d save almost if not quite as many
- victims from the more terrible disease. Fatalism is as out of place in the
- one as in the other. The gist of the matter is taking the thing in time.
- Let me read you what the chairman of the Cancer Campaign Committee of the
- Congress of Surgeons of North America, Dr. Thomas S. Cullen, of Baltimore,
- says: ‘Surgeons are heartsick to see the many cancer patients
- begging for operations when the disease is so far advanced that nothing
- can be done. Cancer is in the beginning a local process and not a blood
- disease, and in its early stages can be completely removed. When the
- cancer is small the surgeon can, with one fourth the amount of labor,
- accomplish ten times the amount of good.’”
- </p>
- <p>
- “Does that always mean the knife?” asked a timid-looking
- woman.
- </p>
- <p>
- “Always. There is no other hope, once the malignant growth has
- begun. But the knife is not so terrible. In fact, in the early stages it
- is not terrible at all. Modern surgery has reduced pain to a minimum. The
- strongest argument against dread is a visit to a well-equipped surgical
- hospital, where one can see patients sitting up in bed and enjoying life a
- few days after a major operation. Even at the worst, the knife is less
- terrible than death, its certain alternative.”
- </p>
- <p>
- “Why do you call it the certain alternative?” asked the
- minister’s wife. “I have seen facial cancer cured by
- concentrated ray treatment.”
- </p>
- <p>
- “That wasn’t cancer; it was lupus,” replied Dr.
- </p>
- <p>
- Strong; “a wholly different thing. True cancer of the face in its
- commonest location, the lips, is the most frequently cured of any form,
- but only by operation. Now here’s an interesting and suggestive
- point; taking lip-cancer patients as they come to us, we get perhaps
- sixty-five per cent of complete cures. With cancer of the womb, we get in
- all not more than forty per cent of recoveries. Perhaps some of you will
- be able to suggest the explanation for this contrast.”
- </p>
- <p>
- “Because cancer of the lip isn’t as deadly a disease,”
- ventured some one.
- </p>
- <p>
- “Cancer is cancer, wherever it is located. Unless it is removed it
- is always and equally deadly.”
- </p>
- <p>
- “Then it is because the internal operation is so much more
- dangerous,” offered another member.
- </p>
- <p>
- “No; uterine operations are easy and simple. It is simply because
- the sore on the face is obvious, plain, unmistakable evidence of something
- wrong; and the patient ordinarily gets into the surgeon’s hands
- early; that is, before the roots of the growth have spread and involved
- life itself. The difference in mortality between carcinoma of the lip and
- carcinoma of the womb is the difference between early operation and
- delayed operation. If uterine cancer or breast cancer were discovered as
- early as lip cancer, we’d save practically as many of the internal
- as we do of the external cases. And if all the lip cancer cases were
- noticed at the first development, we’d save ninety-five per cent of
- them.”
- </p>
- <p>
- “Isn’t it the business of the physician to find out about the
- internal forms?” asked Mrs. Sharpless.
- </p>
- <p>
- “Often the physician hasn’t the chance. The woman ought to do
- the first diagnosing herself. That is, she must be taught to recognize
- suspicious symptoms. In Germany there has been a campaign of education
- among women on cancer of the womb. The result is that more than twice as
- many Germans come to the operating table, in time to give a fair chance of
- permanent recovery in this class of cases, as do Americans.”
- </p>
- <p>
- “How is the American woman, who knows nothing about such matters, to
- find out?” queried the minister’s wife.
- </p>
- <p>
- “There is a campaign of education now under way here. Publications
- giving the basic facts about cancer, its prevention and cure, in simple
- and popular form, can be had from the American Society for the Control of
- Cancer,—Thomas M. Debevoise, secretary, 62 Cedar Street, New York
- City; or more detailed advice can be had from the Cancer Campaign
- Committee of the Congress of Surgeons of North America, Dr. Thomas S.
- Cullen, chairman, 3 West Preston Street, Baltimore; or from Dr. F. R.
- Green, 535 Dearborn Avenue, Chicago, Illinois, secretary of the Council of
- Health and Public Instruction of the American Medical Association.”
- </p>
- <p>
- “Why not more easily and readily one’s own physician?”
- asked Mrs. Clyde.
- </p>
- <p>
- “Women don’t go to their own physicians early enough. It is
- necessary that they be trained to understand symptoms which do not at
- first seem serious enough for medical attention. Besides, I regret to
- confess, in this matter of cancer our physicians need educating, too. They
- are too prone to say, if they are not sure of the diagnosis, ‘Wait
- and see.’ Waiting to see is what kills three fourths of the women
- who succumb to cancer. Let me illustrate this peril by two cases which
- have come under my observation: The wife of a lawyer in a Western city had
- a severe attack of stomach trouble. Her doctor, a young and open-minded
- man, had the courage to say, T don’t know. But I’m afraid it’s
- cancer. You’d better go to such-and-such a hospital and let them
- see.’ The woman went. An exploratory incision was made and carcinoma
- found in the early stage. It was cut out and to-day she is as good as new.
- </p>
- <p>
- “Now, this same lawyer had a friend who had been treated for months
- by a stomach specialist of some reputation. Under the treatment he had
- grown steadily thinner, paler, and weaker. ‘Indigestion, gastric
- intoxication,’ the specialist repeated, parrotlike, until the man
- himself, in his misery, began to suspect. At this point the lawyer friend
- got hold of him and took him to the hospital where his wife had been. The
- surgeons refused the case and sent the man away to die. Indignant, the
- lawyer sought the superintendent of the hospital.
- </p>
- <p>
- “‘Why won’t you take my friend’s case?’
- </p>
- <p>
- “‘It is inoperable.’
- </p>
- <p>
- “‘Isn’t it cancer of the stomach, like my wife’s?’
- </p>
- <p>
- “‘Yes.’
- </p>
- <p>
- “‘You cured my wife. Why can’t you cure my friend?’
- </p>
- <p>
- “The official shook his head.
- </p>
- <p>
- “I want an answer,” insisted the lawyer.
- </p>
- <p>
- “‘Well, frankly,’ said the other, ‘your wife’s
- physician knew his business. Your friend’s physician is a fool. He
- has killed his patient by delay.’
- </p>
- <p>
- “Back home went the lawyer, and spread that story quietly. To-day
- the specialist’s practice is almost ruined; but he has learned an
- expensive lesson. The moral is this: If your doctor is doubtful whether
- your trouble is cancerous, and advises delay, get another doctor.
- </p>
- <p>
- “Then, there is the ‘conservative’ type of practitioner,
- who is timid about making a complete job of his operation. One of this
- kind had the case of an acquaintance of mine who was stricken with cancer
- of the breast. The physician, under persuasion of his patient, I presume,
- advised excising only the tumor itself, but the husband, who had been
- reading up on cancer, insisted on a radical operation. The entire breast
- was removed. A year later the woman’s unmarried sister was afflicted
- in exactly the same way; but the discovery was made earlier, so that the
- case was a distinctly favorable one. The girl, however, would not consent
- to the radical operation, and the physician (the same man) declared it
- unnecessary. The tumor alone was cut out. The cancer reappeared and
- another operation was necessary. The girl died after cruel suffering. The
- married sister is alive, and, five years after the operation, as sound as
- a bell. That physician is a wiser man; also a sadder one. There’s a
- special moral to this, too: the operator has but one chance; he must do
- his work thoroughly, or he might better not do it at all. When cancer
- returns after operation—which means that the roots were not
- eradicated—it is invariably fatal.
- </p>
- <p>
- “Here are a few things which I want every one of you to remember.
- Had I had time I’d have had them printed for each of you to take
- home, so important do I think them:—
- </p>
- <p>
- “No cancer is hopeless when discovered early.
- </p>
- <p>
- “Most cancer, discovered early, is permanently curable.
- </p>
- <p>
- “The only cure is the knife.
- </p>
- <p>
- “Medicines are worse than useless.
- </p>
- <p>
- “Delay is more than dangerous; it is deadly.
- </p>
- <p>
- “The one hope, and a strong one, is prompt and radical operation. A
- half-operation is worse than none at all.
- </p>
- <p>
- “Most, if not all, cancer is preventable by correcting the minor
- difficulty from which it develops.
- </p>
- <p>
- “With recognition of, and prompt action upon early symptoms, the
- death rate can be cut down at least a half; probably more.
- </p>
- <p>
- “The fatalism which says: ‘If it’s cancer, I might as
- well give up,’ is foolish, cowardly, and suicidal.
- </p>
- <p>
- “And, finally, here is some simple advice, intelligible to any
- thinking human being, which has been indorsed in printed form by the
- Congress of Surgeons of North America:—
- </p>
- <p>
- “‘Be careful of persistent sores or irritations, external or
- internal.
- </p>
- <p>
- “‘Be careful of yourself, without undue worry. At the first
- suspicious symptom go to some good physician and demand the truth. Don’t
- wait for pain to develop.
- </p>
- <p>
- “‘If the doctor suspects cancer insist that he confirm or
- disprove his suspicions.
- </p>
- <p>
- “‘Don’t be a hopeless fatalist. If it’s cancer
- face it bravely. With courage and prompt action the chances of recovery
- are all in your favor.
- </p>
- <p>
- “‘Don’t defer an advised operation even for a day; and
- don’t shrink from the merciful knife, when the alternative is the
- merciless anguish of slow death.’
- </p>
- <p>
- “For the woman who fears the knife, Dr. Charles H. Mayo, one of the
- greatest of living surgeons, has spoken the final words: ‘The risk
- is not in surgery, but in <i>delayed surgery</i>.’
- </p>
- <p>
- “I have said my say, ladies, and there are five minutes left. Has
- any one any further questions?”
- </p>
- <p>
- There was none. But as he stepped down, Mrs. Sharpless whispered to him:
- “I watched them while you talked, and half of those women are
- thinking, and thinking <i>hard</i>.”
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <br /><br />
- </p>
- <p>
- Six months thereafter, Mrs. Clyde came into the Health Master’s
- office one day.
- </p>
- <p>
- “I’ve just come from a sort of experience meeting of the
- Mothers’ Club,” she said.
- </p>
- <p>
- “What was the topic this time?” asked Dr. Strong.
- </p>
- <p>
- “Aftermath.”
- </p>
- <p>
- “Of what?”
- </p>
- <p>
- “Your cancer talk.”
- </p>
- <p>
- “Anything definite?”
- </p>
- <p>
- “Definite, indeed! Between fifteen and twenty of the members went
- away from that meeting where you talked, suspecting themselves of cancer.”
- </p>
- <p>
- “That’s too many.”
- </p>
- <p>
- “Yes. Ten of them had their fears set at rest right away.”
- </p>
- <p>
- “I’m sorry to have frightened them; but one has to do a little
- harm in aiming at almost any good.”
- </p>
- <p>
- “This was worth it. Half a dozen others had minor operations.”
- </p>
- <p>
- “Perhaps saving major ones later.”
- </p>
- <p>
- “Very likely. And four of them actually had cancer. Three out of the
- four are going to be well women. The fourth has an even chance. Dr.
- Strong, I don’t think you’ve done so good a day’s work
- since you brought health into this house.”
- </p>
- <p>
- “I thank you,” said the doctor simply; “I think you are
- right. And you’ve given me the most profound and about the rarest
- satisfaction with which the physician is ever rewarded.”
- </p>
- <p>
- “And that is?” she asked.
- </p>
- <p>
- “The practical certainty of having definitely saved human life,”
- said the Health Master.
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0010" id="link2H_4_0010"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- IX.—THE GOOD GRAY DOCTOR
- </h2>
- <p class="pfirst">
- <span class="dropcap" style="font-size: 4.00em">A</span> twenty-dollar
- bill! Crisp, fresh, and golden, it rose monumentally from the basis of
- nickels, dimes, and quarters which made up the customary collection of the
- Bairdstown Memorial Church. Even the generosity of the Clyde family, who,
- whenever they spent a week-end at Mr. Clyde’s farm outside the
- little city, attended the Sunday services, looked meager and insignificant
- beside its yellow-backed splendor. Deacon Wilkes, passing the plate, gazed
- at it in fascination. Subsequent contributors surreptitiously touched it
- in depositing their own modest offerings, as if to make certain of its
- substance. It was even said at the Wednesday Sewing Circle that the Rev.
- Mr. Huddleston, from his eminence in the pulpit, had marked its colorful
- glint with an instant and benign eye and had changed the final hymn to one
- which specially celebrated the glory of giving.
- </p>
- <p>
- In the Clyde pew also there was one who specially noted the donor, but
- with an expression far from benign. Dr. Strong’s appraising glance
- ranged over the plump and glossy perfection of the stranger, his symphonic
- grayness, beginning at his gray-suède-shod feet, one of which
- unobtrusively protruded into the aisle, verging upward through gray sock
- and trouser to gray frock coat, generously cut, and terminating at the
- sleek gray head. Even the tall hat which the man dandled on his knees was
- gray. Against this Quakerish color-scheme the wearer’s face stood
- out, large, pink, and heavy-jowled, lighted by restless brown eyes. His
- manner was at once important and reverent, and his “amen” a
- masterpiece of unction. No such impressive outlander had visited
- Bairdstown for many a moon.
- </p>
- <p>
- After the service the visitor went forward to speak with Mr. Huddleston.
- At the same time Dr. Strong strolled up the aisle and contrived to pass
- the two so, as to obtain a face-to-face view of the stranger.
- </p>
- <p>
- “At nine o’clock to-morrow, then, and I shall be delighted to
- see you,” the pastor was saying as Dr. Strong passed.
- </p>
- <p>
- “Good-morning, Professor,” said Dr. Strong, with an accent on
- the final word as slight as the nod which accompanied it.
- </p>
- <p>
- “Good-morning! Good-morning!” returned the other heartily. But
- his glance, as it followed the man who had accosted him, was puzzled and
- not wholly untroubled.
- </p>
- <p>
- “Who is your munificent friend?” asked Mrs. Clyde, as the
- Health Master emerged from the church and joined her husband and herself
- in their car.
- </p>
- <p>
- “When I last ran across him he called himself Professor Graham Gray,
- the Great Gray Benefactor,” replied Dr. Strong.
- </p>
- <p>
- “Dresses the part, doesn’t he?” observed Mr. Clyde.
- “Where was it that you knew him?”
- </p>
- <p>
- “On the Pacific Coast, five years ago. He was then ‘itinerating’—the
- quack term for traveling from place to place, picking up such practice as
- may be had by flamboyant advertising. Itinerating in eyes, as he would
- probably put it.”
- </p>
- <p>
- “A wandering quack oculist?”
- </p>
- <p>
- “Optician, rather, since he carried his own stock of glasses. In
- fact that’s where his profit came in. He advertised treatment free
- and charged two or three dollars for the glasses, special rates to
- schoolchildren. The scheme is an old one and a devilish. Half of the
- children in San Luis Obispo County, where I chanced upon his trail, were
- wearing his vision-twisters by the time he was through with them.”
- </p>
- <p>
- “What kind of glasses were they?”
- </p>
- <p>
- “Sometimes magnifying lenses. Mostly just plain window glass. Few
- children escaped him, for he would tell the parents that only prompt
- action could avert blindness.”
- </p>
- <p>
- “At least the plain glass couldn’t hurt the children,”
- suggested Mrs. Clyde.
- </p>
- <p>
- “Couldn’t it! It couldn’t fail to hurt them. Modify the
- sight of a delicate instrument like a child’s eye continuously by
- the most transparent of barriers, and it is bound to go wrong soon. The
- magnifying glasses are far worse. There are hundreds of children in that
- one locality alone who will carry the stigma of his quackery throughout
- their lives.”
- </p>
- <p>
- “Do you think he is here with a view to practicing his amiable
- trade?” inquired Clyde.
- </p>
- <p>
- “Only in part, if at all. I understand that he has changed his line.”
- </p>
- <p>
- “How comes he by all that showy money, then?”
- </p>
- <p>
- “By murder.”
- </p>
- <p>
- The Clydes, accustomed to their physician’s hammerstroke turns of
- speech, took this under consideration.
- </p>
- <p>
- “But he wasn’t committing murder in the church just now, I
- suppose,” insinuated Mrs. Clyde at length.
- </p>
- <p>
- “Not directly. His immediate business there, I suspect, was bribery.”
- </p>
- <p>
- “Of whom?”
- </p>
- <p>
- “The minister.”
- </p>
- <p>
- “Oh, come, Strong!” protested Mr. Clyde. “Mr. Huddleston
- isn’t an intellectual giant, I grant you; but he’s certainly a
- well-meaning and honorable old fellow.”
- </p>
- <p>
- “Some cynical philosopher has remarked that wicked men have a talent
- for doing harm, but fools have a genius. Mr. Huddleston’s goodness
- and honesty, taken in connection with his hopeless ignorance of human
- nature, are just so much capital to hand for a scoundrel like this Gray.”
- </p>
- <p>
- “What does he expect to get for his twenty-dol-lar bill?”
- </p>
- <p>
- “First, a reputation for piety and generosity. Second, that
- reputation duly certified to by the leading minister of the town.”
- </p>
- <p>
- “In other words, a testimonial.”
- </p>
- <p>
- “Precisely. For home use, and cheap at twenty dollars. Preparatory
- to operating in a town, your itinerating quack bribes two people—if
- he can. First, the editor of the local paper; second, the pastor of the
- leading church. The editor usually takes the money with his eyes wide
- open; the minister with his eyes tight shut.”
- </p>
- <p>
- “How can his eyes be shut to such a business?” asked Mrs.
- Clyde.
- </p>
- <p>
- “Because so much dust has been thrown in them by the so-called
- religious journals.”
- </p>
- <p>
- “Surely you don’t mean that religious journals exploit
- quackery in their pages!” cried Mrs. Clyde.
- </p>
- <p>
- “They are the mainstay of the quack and patent medicine business,”
- declared the Health Master. “Leaving out the Christian Science
- papers, which, of course, don’t touch this dirty money, the
- religious press of all denominations, with a few honorable individual
- exceptions, sells out to any form of medical fraud which has a dollar to
- spend. Is it strange that the judgment of some of the clergy, who
- implicitly trust in their sectarian publications, becomes distorted? It’s
- an even chance that our Great Gray faker’s advertisement is in the
- religious weekly which lies on Mr. Huddleston’s study-table at this
- moment.”
- </p>
- <p>
- Grandma Sharpless turned around from her seat in front, where she always
- ensconced herself so that, as she put it, she could see what was coming in
- time to jump. “I know it is,” she stated quietly. “For
- while I was waiting in the parsonage last week I picked up the ‘Church
- Pillar’ and saw it there.”
- </p>
- <p>
- “Trust Grandma Sharpless’s eyes not to miss anything that
- comes within their range,” said Dr. Strong.
- </p>
- <p>
- “Well, I missed the sense of that advertisement till just now,”
- retorted the old lady. “I’ve just remembered about this Graham
- Gray.”
- </p>
- <p>
- “What about him?” asked the Health Master with eagerness, for
- Mrs. Sharpless’s memory was as reliable for retaining salient facts
- as her vision was for discerning them. “Do you know him?”
- </p>
- <p>
- “Only by his works. Last year a traveling doctor of that name
- stopped over at Greenvale, twenty miles down the river, and gave some of
- his lectures to Suffering Womanhood, or some such folderol. He got hold of
- Sally Griffin, niece of our farmer here, while she was visiting there.
- Sally’s as sound as a pippin, except for an occasional spell of
- fool-in-the-head, and I guess no school of doctoring ever helps that
- common ailment much. Well, this Gray got her scared out of her wits with
- symptoms, and sold her twenty-five dollars’ worth of medicine to
- cure her of something or other she didn’t have. Cured!”
- sniffed the lively narrator. “If I hadn’t taken the stuff away
- from her and locked it up, I expect she’d be in the churchyard by
- now.”
- </p>
- <p>
- “The whole philosophy of quackery explicated and punctured, by one
- who knows,” chuckled Dr. Strong.
- </p>
- <p>
- “None of your palaver with me, young man!” returned the brisk
- old lady, who was devoted to the Health Master, and showed it by a policy
- of determined opposition of the letter and whole-hearted support of the
- spirit and deed, in all things. “Probably he knows as much as most
- of your regular doctors, at that!”
- </p>
- <p>
- “At least he seems to know human nature. That’s the strong
- point of the charlatan. But have you got any of his medicine left?”
- </p>
- <p>
- “Yes; I think I can lay my hands on what’s left of it. I
- remember that Sally boohooed like a baby, grown woman that she is, when I
- took it away from her.” Dr. Strong’s eyebrows went up sharply.
- “As soon as we get to the house I’ll look it up.”
- </p>
- <p>
- On their arrival at the roomy old farmstead which Mr. Clyde had remodeled
- and modernized for what he called “an occasional three days of grace”
- from his business in the city of Worthington, Grandma Sharpless set about
- the search, and presently came to the living-room bearing in one hand a
- large bottle and in the other a newspaper.
- </p>
- <p>
- “Since you’re interested in Professor Gray,” she said,
- “here’s what he says about himself in yesterday’s
- ‘Bairdstown Bugle.’ I do think,” she added, “that
- the Honorable Silas Harris might be in better business with his paper than
- publishing such truck as this. Listen to it.”
- </p>
- <h3>
- <i>GOSPEL HERBS WILL CURE YOUR ILLS</i>
- </h3>
- <p>
- <i>Women of Bairdstown; Read your Bible! Revelation 22d chapter, 2d verse.
- God promises that “the Herbs of the field shall heal the nations.”
- In a vision from above, the holy secret has been revealed to me. Alone of
- all men, I can brew this miracle-working elixir.</i>
- </p>
- <p>
- “The blasphemous old slinkum!” Grandma Sharpless interrupted
- herself to say angrily. “He doesn’t even quote the Scriptures
- right!”
- </p>
- <p>
- “Oh, blasphemy is a small matter for a rascal of his kind,”
- said the Health Master lightly. “Go on.”
- </p>
- <p>
- She read on:—
- </p>
- <p>
- <i>Come to me, ye women who suffer, and I will give you relief. All those
- wasting and wearing ailments from which the tender sex suffers, vanish
- like mist before the healing, revivifying influence of Gospel Herbs.
- Supposed incurable diseases: Rheumatism, Dropsy, Diabetes and all kidney
- ills, Stomach Trouble, Scrofula, Blood Poison, even the dreaded scourge,
- Consumption, yield at once to this remedy. </i>
- </p>
- <p>
- Though my special message is to women, I will not withhold this boon from
- any suffering human. Come one and all, rich and poor, young and old, of
- either sex. Your money refunded if I do not cure you. Public meeting
- Monday and Tuesday evenings, at eight o’clock sharp in the Scatcherd
- Opera House; admission free to all. Private consultation at the Mallory
- Hotel, Monday, Tuesday, and Wednesday from 10 a.m. to 4 p.m. Remember, I
- cure where the doctors fail; or no pay.
- </p>
- <p>
- Prof. Graham Gray,
- </p>
- <p>
- The Great Gray Benefactor.
- </p>
- <p>
- Mrs. Sharpless held out for the general view the advertisement, which
- occupied, in huge type, two thirds of a page of the “Bugle.”
- The remainder of the page was taken up with testimonials to the marvelous
- effects of the Gospel Herbs. Most of the letters were from far-away towns,
- but there were a few from the general vicinity of Bairdsville.
- </p>
- <p>
- Meantime Dr. Strong had been delicately tasting and smelling the contents
- of the bottle, which were thick and reddish.
- </p>
- <p>
- “What do you make out is in it?” asked Clyde.
- </p>
- <p>
- “Death—and a few worse things. Grandma Sharpless, you say that
- the girl cried for this after you took it from her?”
- </p>
- <p>
- “Not only that; she wrote to the Professor for more. And when it
- came I smashed the bottle.”
- </p>
- <p>
- “You ought to have the honorary degree of M.D. Well, it’s
- pretty plain, but to make sure I’ll send this to Worthington for an
- analysis.”
- </p>
- <p>
- “So our friend, the gray wolf, is going to prowl in Bairdstown for
- the next three days!” Thomas Clyde began to rub his chin softly;
- then not so softly; and presently quite hard. His wife watched him with
- troubled eyes. When his hand came down to rest upon his knee, it was
- doubled into a very competent-looking fist. His face set in the expression
- which the newspapers of his own city had dubbed, after the tenement
- campaign of the year before, “Clyde’s fighting smile.”
- </p>
- <p>
- “Oh, Tom!” broke out his wife, “what kind of trouble are
- you going to get into now?”
- </p>
- <p>
- “Trouble?” repeated the head of the family, in well-simulated
- surprise. “Why, dear, I wasn’t even thinking of trouble—for
- myself. But I believe it is time for a little action. Let’s call
- this a household meeting” (this was one of the established methods
- of the Clyde clan) “and find out. As it isn’t a family affair,
- we won’t call in the children this time. Strong, what, if anything,
- are we going to do about this stranger in our midst? Are we going to let
- him take us in?”
- </p>
- <p>
- “The question is,” said Dr. Strong quickly, “whether the
- Clyde family is willing to loan its subsidized physician temporarily to
- the city of Bairdstown.”
- </p>
- <p>
- “On the Chinese plan,” supplemented Clyde.
- </p>
- <p>
- “Certainly. On the Chinese plan of trying to save the community from
- a visitation instead of waiting to cure them of the incurable results of
- it.”
- </p>
- <p>
- “By visitation I suppose you mean Professor Gray?” said Mrs.
- Sharpless.
- </p>
- <p>
- “Exactly. I should rank him rather higher than an epidemic of
- scarlet fever, as an ally of damage and death.”
- </p>
- <p>
- “I’ll vote ‘Yes,’” said Mrs. Clyde rather
- plaintively. “Only, I wish you two men didn’t have so much
- Irish in your temperament.”
- </p>
- <p>
- “I scorn your insinuation,” replied her husband. “I’m
- the original dove of peace, but this Gray person ruffles my plumage. What
- do you say, Grandma?”
- </p>
- <p>
- “Bairdstown is my own place, partly. I know the people and they know
- me and I won’t sit quiet and see ‘em put upon. I vote ‘Yes.’”
- </p>
- <p>
- “Make it unanimous!” said Clyde. “What’s the first
- move of the army of relief? I’m in on this somewhere, Strong.”
- </p>
- <p>
- “Contribute your car for a couple of days, then, and we’ll go
- out on a still hunt for the elusive clue and the shy and retiring
- evidence. In other words, we’ll scour the county, and look up some
- of these local testimonials which the Great Gray One gathered in last
- year, and now prints in the ‘Bugle.’”
- </p>
- <p>
- “And I’ll stop in town and see Mr. Huddleston to-morrow,”
- said Mrs. Sharpless.
- </p>
- <p>
- “You won’t get any results,” prophesied the Health
- Master. “But, anyway, get him to come to the Gray lecture on Tuesday
- evening. We’ll need him.”
- </p>
- <p>
- During the ensuing two and a half days and two nights Mrs. Clyde had
- speech of her husband but once; and that was at 2 a.m. when he woke her up
- to tell her that he was having the time of his life, and she replied by
- asking him whether he had let the cat in, and returned to her dreams.
- </p>
- <p>
- Bairdstown’s Suffering Womanhood—as per advertisement—turned
- out extensively and self-commiseratingly to the free lecture of Tuesday
- evening, bringing with them a considerable admixture of the male populace,
- curious, cynical, or expectant. On the platform sat a number of “special
- guests,” including the Rev. Mr. Huddleston, mild of face and white
- of hair, and the Honorable Silas Harris, owner of the “Bugle.”
- </p>
- <p>
- “Cured” patients, to the number of half a dozen, fidgeted in
- the seats of honor with expressions of conscious and pleasurable
- importance.
- </p>
- <p>
- “They appear to be enjoying poor health quite literally,”
- whispered Clyde to Dr. Strong, as the two, begrimed with the dust of a
- long day’s travel just finished, slipped quietly into side seats.
- </p>
- <p>
- At once the entertainment began. A lank, harshfaced, muscular man whom
- Professor Gray introduced as his assistant, seated himself at the piano,
- and struck a chord, whereupon the Professor, in a powerful voice, sang
- what he termed the “Hymn of Healing,” inviting the audience to
- “assist” in the chorus, which gem of poesy ran as follows:—
- </p>
- <p>
- <br />
- </p>
- <p class="indent15">
- “Ye shall be healed! Ye shall be healed!
- </p>
- <p class="indent20">
- Trust in the gospel advice.
- </p>
- <p class="indent15">
- Cured by the herbs of the wood and the field;
- </p>
- <p class="indent20">
- Healed without money or price.”
- </p>
- <p>
- <br />
- </p>
- <p>
- “Some poetic license in that last line,” murmured Clyde to his
- companion.
- </p>
- <p>
- “The next portion of our programme,” announced the Great Gray
- Benefactor, “will be corroborative readings from the Good Book.”
- And he proceeded to deliver in oratorical style sundry Bible quotations so
- patched together and garbled as to ascribe, inferentially, miraculous
- powers to the Gospel Herbs. Then came the lecture proper, which was merely
- an amplification of the “Bugle” advertisement, interspersed
- with almanac funny stories and old jokes.
- </p>
- <p>
- “And now, before our demonstration,” concluded Professor
- Graham Gray, “if there is any here seeking enlightenment or help,
- let him rise. This is your meeting, dear friends, as much as mine; free to
- your voices and your needs, as well as to your welcome presence here. I
- court inquiry and fair investigation. Any questions? If not, we—”
- </p>
- <p>
- “One moment!” The whole assemblage turned, as on a single
- pivot, to the side aisle where Dr. Strong had risen and now stood, tall,
- straight, and composed, waiting for silence.
- </p>
- <p>
- “Our friend on the right has the floor,” said the Professor
- suavely.
- </p>
- <p>
- “You state that this God-given secret remedy was imparted to you for
- the relief of human misery?” asked Dr. Strong.
- </p>
- <p>
- “Thousands of grateful patients attest it, my friend.”
- </p>
- <p>
- “Then, with human beings suffering and dying all about you, why do
- you continue to profit by keeping it secret?”
- </p>
- <p>
- Down sat the questioner. A murmur rose and ran, as the logic of the
- question struck home. But the quack had his answer pat.
- </p>
- <p>
- “Does not the Good Book say that the laborer is worthy of his hire?
- Do your regular physicians, of whom I understand you are one, treat cases
- for nothing? Ah,” he went on, outstretching his hands to the
- audience with a gesture of appeal, “the injustice which I have
- suffered from the jealousy and envy of the medical profession! Never do I
- enter a town without curing many unfortunates that the regular doctors
- have given up as hopeless. Hence the violence of their attacks upon me.
- But I forgive them their prejudice, as I pity their ignorance.”
- </p>
- <p>
- Some applause followed the enunciation of this noble sentiment.
- </p>
- <p>
- “We have with us to-night,” pursued the speaker, quick to
- catch the veering sentiment, “a number of these marvelous cures. You
- shall hear from the very mouths of the saved ones testimony beyond cavil.
- I will call first on Mrs. Amanda Gryce, wife of Mr. Stanley Gryce, the
- well and favorably known laundryman. Speak up clearly, Mrs. Gryce, and
- tell your story.”
- </p>
- <p>
- “It’s two years now that I been doctorin’,” said
- the lady thus adjured, in a fluttering voice. “I doctored with a
- allopathic physician here, an’ with a homypath over to Roxton, an’
- with a osty-path down to Worthington, an’ with Peruny in betwixt, an’
- they didn’t any of ‘em do me no good till I tried Professor
- Gray. He seen how I felt without askin’ me a question. He just
- pulled down my eyelid an’ looked at it. ‘You’re all run down;
- gone!’ says he. An’ thet’s jest what I was. So he
- treated me with his herb medicine an’ I feel like a new woman. An’
- I give Professor Graham Gray the credit an’ the thanks of a saved
- woman.”
- </p>
- <p>
- “Not to mention seven dollars an’ a half,” supplemented
- a mournful drawl from the audience.
- </p>
- <p>
- “You hush, Stan Gryce!” cried the healed one, shrill above the
- laughter of the ribald. “Would you begrutch a few mizzable dollars
- for your poor, sufferin’ wife’s health?”
- </p>
- <p>
- An alarmed child of ten was next led forward and recited in sing-song
- measure:—
- </p>
- <p>
- “I—had—the—fits—for—most—three—years—and—I—was—cured—by
- Gospel—Herbs—and—I—have—come—here—to—say—God—bless—my—dear
- benefactor—Professor—Graham—Gray,”—and sat
- down hard at the last word, whereupon a tenor squeak in the far gallery
- took up the refrain:
- </p>
- <p>
- <br />
- </p>
- <p class="indent20">
- “You’d scarcex peckwon of my yage
- </p>
- <p class="indent20">
- To speakin public on the stage.”
- </p>
- <p>
- <br />
- </p>
- <p>
- Again there was a surge of mirth, and the lecturer frowned with concern.
- But he quickly covered whatever misgivings he might have had by bringing
- forward other “testimonies”: old Miss Smithson whose
- nervousness had been quite dispelled by two doses of the herbs; Auntie
- Thomas (colored) whose “misery” had vanished before the
- wonder-working treatment; and the Widow Carlin, whose boy had been “spittin’
- blood like as if he was churchyard doomed,” but hadn’t had a
- bad coughing spell since taking the panacea. And all this time Dr. Strong
- sat quiet in his seat, with a face of darkening sternness.
- </p>
- <p>
- “You have heard your fellow-citizens,” the lecturer took up
- his theme again, “testify to the efficacy of my methods. And you see
- on this rostrum with me that grand and good old man, the worthy pastor of
- so many of you, my dear and honored friend—I feel that I may call
- him friend, since I have his approval of my humble labors—the
- Reverend Doctor Huddleston. You see also here, lending the support of his
- valued presence, the Honorable Silas Harris, whom you have twice honored
- by sending him to the state legislature. Their presence is the proudest
- testimonial to my professional character. In Mr. Harris’s fearless
- and independent journal you have read the sworn evidence of those who have
- been cured by my Godgiven remedies; evidence which is beyond challenge—”
- </p>
- <p>
- “I challenge it.”
- </p>
- <p>
- Dr. Strong, who had been hopefully awaiting some such opening, was on his
- feet again.
- </p>
- <p>
- “You have had your say!” cried Professor Gray, menacing him
- with a shaking hand. “These people don’t want to hear you.
- They understand your motives. You can’t run this meeting.”
- </p>
- <p>
- The gesture was a signal. The raw-boned accompanist, whose secondary
- function was that of bouncer, made a quick advance from the rear, reached
- for the unsuspicious Health Master—and recoiled from the impact of
- Mr. Thomas Clyde’s solid shoulder so sharply that only the side wall
- checked his subsidence.
- </p>
- <p>
- “Better stay out of harm’s way, my friend,” suggested
- Clyde amiably.
- </p>
- <p>
- Immediately the hall was in an uproar. The more timid of the women were
- making for the exits, when a high, shrill voice, calling for order
- strenuously, quelled the racket, and a very fat man waddled down the
- middle aisle, to be greeted by cries of “Here’s the Mayor.”
- Several excited volunteers explained the situation to him from as many
- different points of view, while Professor Graham Gray bellowed his appeal
- from the platform.
- </p>
- <p>
- “All I want is fair play. They’re trying to break up my
- meeting.”
- </p>
- <p>
- “Not at all,” returned Dr. Strong’s calm voice. “I’m
- more than anxious to have it continue.”
- </p>
- <p>
- With a happy inspiration, Mr. Clyde jumped up on his bench.
- </p>
- <p>
- “I move Mayor Allen take the chair!” he shouted. “Professor
- Gray says that he courts fair investigation. Let’s give it to him,
- in order.”
- </p>
- <p>
- A shout of acclaim greeted this suggestion. Bairdstown’s Suffering
- Womanhood and Bored Manhood was getting more out of a free admission than
- it had ever had in its life before. Ponderously the obese Mayor hoisted
- his weight up the steps and shook hands with the reluctant lecturer. He
- then invited Dr. Strong to come to the platform.
- </p>
- <p>
- “This is my meeting!” protested the Great Gray Benefactor.
- “I hired this hall and paid good money for it.”
- </p>
- <p>
- “You said it was our meeting as much as yours!” roared an
- insurgent from the crowd, and a chorus of substantiation followed.
- </p>
- <p>
- “Ten minutes will be all that I want,” announced Dr. Strong as
- he took a chair next the Mayor.
- </p>
- <p>
- “That’s fair!” shrilled the Chairman. “On the
- Professor’s own invitation.” In a tone lowered to the alarmed
- quack’s ear, he added: “Of course, you can back out if you
- want to. But I’d advise you to do it quick if you’re going to
- do it at all. This is a queer-tempered town.”
- </p>
- <p>
- So significant was his tone that the other judged advance to be safer than
- retreat. Therefore, summoning all his assurance, he sought, in an
- impassioned speech, to win back his hearers. He was a natural orator, and,
- when he reached his peroration, he had a large part of his audience with
- him again. In the flush of renewed confidence he made a grave tactical
- error, just when he should have closed.
- </p>
- <p>
- “Let this hireling of the Doctors’ Trust, the trust that would
- strangle all honest competition, answer these if he can!” he
- shouted, shaking the page of testimonials before his adversary’s
- face. “Let him confute the evidence of these good and honorable
- women who have appeared here to-night; women who have no selfish aims to
- subserve. Let him impugn the motives of the reverend clergyman and of the
- honored statesman who sit here with me. Let him do this, or let him shrink
- from this hall in the shame and dishonor which he seeks to heap upon one
- whose sole ambition it is to relieve suffering and banish pain and death.”
- </p>
- <p>
- There was hearty applause as the speaker sat down and Dr. Strong arose to
- face a gathering now turned for the most part hostile. He wasted no time
- in introduction or argument. “Mr. Chairman,” said he, “Professor
- Gray rests his case on his testimonials. With Mr. Clyde I have
- investigated a number of them, and will give you my results. Here are half
- a dozen testimonials to the value of one of his nostrums, the Benefaction
- Pills, from women who have been cured, so they state, of diseases ranging
- from eczema through indigestion to consumption. All, please note, by the
- same wonderful medicine. And here,” he drew a small box from his
- pocket, “is a sample of the medicine. I have just had it analyzed.
- What do you suppose they are? Sugar! Just plain sugar and nothing else.”
- Professor Gray leaped to his feet. “You don’t deny the cures!”
- he thundered.
- </p>
- <p>
- “I don’t deny that these people are well to-day. And I don’t
- deny that the testimonials from them are genuine, as documents. But your
- sugar pills had no more to do with the cure than so much moonshine.
- Listen, you people! Here is the core and secret of quackery:
- </p>
- <p>
- “All diseases tend to cure themselves, through the natural
- resistance of the body. But for that we should all be dead. This man, or
- some other of his kind, comes along with his promises and pills, and when
- the patient recovers from the disease in the natural course of events, he
- claims the credit. Meantime, he is selling sugar at about one hundred
- dollars per pound.”
- </p>
- <p>
- “Sugar,” said the quack, quick-wittedly. “But what kind
- of sugar? This sugar, as he calls it, is crystal precipitated from the
- extract of these healing herbs. No chemist can determine its properties by
- any analysis.”
- </p>
- <p>
- “Very well turned,” said Dr. Strong, with a smile. “I
- can’t immediately disprove that, though I could with time. But,
- whatever the case with his sugar, any chemist can analyze this.” He
- held up a small bottle, half filled with a red-brown liquid. “This
- is the Extract of Gospel Herbs. Now, let us see what this does.”
- </p>
- <p>
- He referred to his copy of the “Bugle,” containing the
- testimonials. “Here is Mrs. Sarah Jenkins, of the neighboring town
- of Maresco, where Professor Gray lectured a year ago, cured of Bright’s
- disease and dropsy; Miss Allie Wheat, of Weedsport, cured of cancer of the
- stomach; and Mrs. Howard Cleary, of Roxton, wholly relieved of nervous
- breakdown and insomnia. All genuine testimonials. Mr. Clyde and I have
- traced them.”
- </p>
- <p>
- Professor Gray raised his head with a flash of triumph. “You see!”
- he cried. “He has to admit the genuineness of my testimonials!”
- </p>
- <p>
- “Of your testimonials; yes. But what about your cures? Mrs. Jenkins
- has, as she said, ceased to suffer from her ills. She died of Bright’s
- disease and dropsy three months after Professor Gray cured her of them.
- Miss Wheat, whose cancer was purely imaginary, is now a hopeless wreck, in
- a sanitarium whither the Gospel Herbs drove her. Mrs. Cleary—but let
- me read what she testified to. Here it is in the paper with a picture of
- the Cleary home:—”
- </p>
- <p>
- <i>Dear Professor Gray: You have indeed been a benefactor to me. Before
- our baby was born my husband and I were the happiest of couples. Then I
- became a nervous wreck. I couldn’t sleep. I was cross and irritable.
- My nerves seemed all on fire. Your first treatment worked wonders. I slept
- like a log. Since then I have not been without Gospel Herbs in the house,
- and I am a well woman. </i>
- </p>
- <p>
- (Signed) Mrs. Howard Cleary.
- </p>
- <p>
- “That was a year ago,” continued Dr. Strong. “Yesterday
- we visited the Cleary home. We found a broken husband and a deserted baby.
- The young wife we traced to Worthington, where we discovered her—well,
- I won’t name to this audience the sort of place we found her in.
- </p>
- <p>
- “But so far as there can be a hell on this earth, she had descended
- into it, and this,” he held the vial high to view, “<i>this</i>
- sent her there.” His fingers opened; there was a crisp little crash
- of glass, and the red-brown liquid crept and spread along the floor, like
- blood.
- </p>
- <p>
- “Morphine,” said Dr. Strong. “Morphine, which enslaves
- the body and destroys the soul. There are your Gospel Herbs!”
- </p>
- <p>
- A murmur rose, and deepened into a growl. The Great Gray Benefactor, his
- face livid, sprang forward.
- </p>
- <p>
- “Lies!” he shouted. “All lies! Where’s his proof?
- What’s he got to show? Nothing but his own say-so. If there’s
- a law in the land, I’ll make him sweat for this. Mr. Huddleston, I
- appeal to you for justice.”
- </p>
- <p>
- “We shall be glad to hear from the Reverend Mr. Huddleston,”
- mildly suggested the chairman, who was evincing an enjoyment of the
- proceedings quite puzzling to Dr. Strong.
- </p>
- <p>
- The old clergyman got slowly to his feet. His mild, weak face was
- troubled. “Let us bear and forbear,” he pleaded in a tremulous
- voice. “I cannot believe these charges against our good friend,
- Professor Gray. I am sure that he is a good and worthy man. He has given
- most liberally to the church. I am informed that he is a member of his
- home church in good and regular standing, and I find in the editorial
- columns of the ‘Church Pillar’ a warm encomium upon his
- beneficent work, advising all to try his remedies. Surely our friend, Dr.
- Strong, has been led astray by mistaken zeal.
- </p>
- <p>
- “Only yesterday two members of my congregation, most estimable
- ladies, called to see me and told me how they had benefited by a visit
- just made to Professor Gray. He had treated them with his new Gospel
- Elixir, of which he has spoken to me. There was evidence of its efficacy
- in their very bearing and demeanor—”
- </p>
- <p>
- “I should say there was! <i>And</i> in their breath. Did you smell
- it?”
- </p>
- <p>
- The interruption came in a very clear, positive, and distinct contralto.
- </p>
- <p>
- “Great Grimes’s grass-green ghost!” exclaimed Mr. Thomas
- Clyde, quite audibly amidst the startled hush. “Grandma Sharpless is
- among those present!”
- </p>
- <p>
- “I—I—I—I do not think,” began the clergyman,
- aghast, “that the matter occurred to me.”
- </p>
- <p>
- “Because, if <i>you</i> didn’t, <i>I</i> did,” continued
- the voice composedly. “They reeked of liquor.”
- </p>
- <p>
- The tension to which the gathering had been strung abruptly loosened in
- mirth.
- </p>
- <p>
- “Mrs. Sharpless will please take the platform,” invited the
- Mayor-chairman.
- </p>
- <p>
- “No, I’ll do my talking from here.” The old lady stood
- up, a straight, solid, uncompromising figure, in the center of the floor.
- “I met those two ladies in the parsonage hall,” she explained.
- “They were coming out as I was going in. They stopped to talk to me.
- They both talked at once. I wouldn’t want to say that they were—well—exactly—”
- </p>
- <p>
- “Spifflicated,” suggested a helpful voice from the far rear.
- </p>
- <p>
- “Spifflicated; thank you,” accepted the speaker. “But
- they certainly were—”
- </p>
- <p>
- “Lit up,” volunteered another first-aid to the hesitant.
- </p>
- <p>
- “Yes, lit up. One of them loaned me her bottle. If I’m any
- judge of bad whiskey, that was it.”
- </p>
- <p>
- An appreciative roar from the house testified to the fact that Mrs.
- Sharpless had her audience in hand.
- </p>
- <p>
- “As for you women on the stage,” she pursued, rising to her
- topic, “I know what’s wrong with you.‘Mandy Gryce, if
- you’d tend more to your house and less to your symptoms, you wouldn’t
- be flitting from allopathic bud to homoeopathic flower like a bumblebee
- with the stomach-ache.” (“Hear, hear!” from Mr. Gryce.)
- “Lizzie Tompy, your fits are nine tenths temper. I’d cure you
- of ‘em without morphine. Miss Smithson, if you’d quit strong
- green tea, three times a day, those nerves of yours would give you a
- fairer chance—and your neighbors, too.” (Tearful sniffs from
- Miss Smithson.)
- </p>
- <p>
- “Auntie Thomas, you wait and see what your rheumatism says to you
- to-morrow, when the dope has died out of your system. Susan Carlin, you
- ought to be home this minute, looking after your sick boy, instead of on a
- stage, in your best bib and tucker, giving testimonials to you-don’t-know-what-all
- poison.
- </p>
- <p>
- “Bairdstown’s Suffering Womanhood!” exclaimed the
- vigorous old lady, her color rising with her voice. “Go home! Go
- home, you poor, self-coddling fussybuddies, to your washboards and your
- sewing-machines and forget your imaginary symptoms.
- </p>
- <p>
- “There!” she drew a long breath, looking about over the group
- of wilting testimonial-givers. “That’s the first speech I have
- ever made, and I guess it’ll be the last. But before I stop, I’ve
- got a word to say to you, Professor Graham Gray. Bless us! Where’s
- the man gone?”
- </p>
- <p>
- “Professor Gray,” announced the chairman with a twinkle in his
- voice, “has retired to obtain fresh evidence. At least, that is what
- he <i>said</i> he had gone for.”
- </p>
- <p>
- From the main floor came a hoarse suggestion which had the words “tar
- and feathers” in it. It was cut short by a metallic shriek from
- without, followed by a heavy rumbling.
- </p>
- <p>
- “Something seems to tell me,” said the fat Mayor solemnly,
- “that the 9.30 express, which just whistled for the crossing, is the
- heavier by about two hundred pounds of Great Gray Benefactor clinging to
- the rear platform, and happy to be there.”
- </p>
- <p>
- “And your money back if not benefited,” piped a reedy voice
- from the front, whereupon there was another roar.
- </p>
- <p>
- “The bright particular star of these proceedings having left, is
- there anything else to come before the meeting?” inquired the
- chairman.
- </p>
- <p>
- “I’d like to have one more word,” said Dr. Strong.
- “Friends, as one quack is, all quacks are. They differ only in
- method and degree. Every one of them plays a game with stacked cards, in
- which you are his victims, and Death is his partner. And the puller-in for
- this game is the press.
- </p>
- <p>
- “You have heard to-night how a good and wellmeaning clergyman has
- been made stool-pigeon for this murderous charlatan, through the lying of
- a religious—God save the mark!—weekly. That publication is
- beyond our reach. But there is one here at home which did the quack’s
- work for him, and took his money for doing it. I suggest that the
- Honorable Silas Harris explain!”
- </p>
- <p>
- “I’m running my paper as a business proposition,”
- growled the baited editor and owner of the ‘Bugle,’ “and
- I’m running it to suit myself and this community.”
- </p>
- <p>
- “You’re running it to suit the crooked and cruel advertisers
- who prey on this community,” retorted the other. “And you’ve
- served them further in the legislature, where you voted to kill the
- patent-medicine bill, last session, in protection of your own profits.
- Good profits, too. One third of all your advertising is medical quackery
- which takes good money out of this town by sheer swindling; money which
- ought to stay in town and be spent on the legitimate local products
- advertised in your paper. If I were a local advertiser, I’d want to
- know why.”
- </p>
- <p>
- “If that’s the case,” remarked Mr. Stanley Gryce, quick
- to catch the point, “I guess you owe my family seven dollars an’
- a half, Silas, and till it’s paid up you can just drop my laundry
- announcement out of your columns.”
- </p>
- <p>
- “I guess I’ll stay out for a spell, too,” supplemented
- Mr. Corson, the hay and feed man. “For a week, my ad’s been
- swamped by Swamp Root so deep you can’t see it.”
- </p>
- <p>
- “While you’re about it,” added a third, “leave me
- out. I’m kinder sick of appearin’ between a poisonous headache
- powder and a consumption dope. Folks’ll be accusin’ me of
- seekin’ trade untimely.” This was greeted with a whoop, for
- the speaker was the local undertaker.
- </p>
- <p>
- “We’ve got a league for Clean Advertising in Worthington,”
- announced Mr. Clyde. “Why not organize something of the kind here?”
- </p>
- <p>
- “Help!” shouted the Honorable Silas, throwing up his hands.
- “Don’t shoot! I holler ‘Enough!’ As soon as the
- contracts are out, I’ll quit. There’s no money in
- patent-medicine advertising any more for the small paper, anyway.”
- </p>
- <p>
- “Well, we’ve done our evening’s chores, I reckon,”
- remarked the chairman. “A motion to adjourn will now be in order.”
- </p>
- <p>
- “Move we adjourn with the chorus of the ‘Hymn of Healing,’”
- piped the wag with the reedy voice, and the audience filed out,
- uproariously and profanely singing:—
- </p>
- <p>
- <br />
- </p>
- <p class="indent15">
- “Ye shall be healed! Ye shall be healed!
- </p>
- <p class="indent20">
- Trust in the gospel advice.
- </p>
- <p class="indent15">
- Cured by the herbs of the wood and the field;
- </p>
- <p class="indent20">
- Healed without money or price.”
- </p>
- <p>
- <br />
- </p>
- <p>
- “Well, young man,” said Grandma Sharpless, coming forward to
- join the Health Master, “you certainly carried out your programme.”
- </p>
- <p>
- “I?” said Dr. Strong, affectionately tucking the old lady’s
- arm under his. “To you the honors of war. I only squelched a quack.
- You taught Bairds-town’s self-coddling womanhood a lesson that will
- go down the generations.”
- </p>
- <p>
- “What I want to know,” said the Mayor, advancing to shake
- hands with Mrs. Sharpless, “is this: what’s a fussybuddy?”
- </p>
- <p>
- “A fussybuddy,” instructed Grandma Sharpless wisely, “is
- a woman who catches a stomach-ache from a patent-medicine almanac. What I
- want to know, Tom Allen, is what you had against the man. I seemed to get
- an inkling that you didn’t exactly like him.”
- </p>
- <p>
- “He’s forgotten me,” chuckled the Mayor, “but I
- haven’t forgotten him. Fifteen years ago he came along here
- horse-doctoring and poisoned a perfectly good mare for me. He won’t
- try to poison this town again in a hurry. You finished him, Mrs.
- Sharpless, you and Dr. Strong.”
- </p>
- <p>
- “What <i>I</i> want to know,” said the Health Master, “is
- how poor old Mr. Huddleston feels about that contribution, now.”
- </p>
- <p>
- A month later he found out. Traveling by trolley one evening, he felt a
- hand on his shoulder, and turned to face Professor Graham Gray.
- </p>
- <p>
- “No hard feelings, I hope,” said the quack with superb
- urbanity. “All in the way of business, I take it. I’d have
- done the same to you, if you’d come butting in on my trade. Say, but
- that old lady was a Tartar! She cooked my goose in Bairdstown. For all
- that, I got an unsolicited testimonial from there two weeks ago that’s
- a wonder. Anonymous, too. Not a word of writing with it to tell who the
- grateful patient might be.”
- </p>
- <p>
- “What was it?” asked Dr. Strong with polite interest.
- </p>
- <p>
- “A twenty-dollar bill. Now, <i>what</i> do you think of that?”
- </p>
- <p>
- When Dr. Strong spoke again—and the Great Gray Benefactor has always
- regarded this as the most inconsequential reply he ever received to a
- plain question—it was after a long and thoughtful pause.
- </p>
- <p>
- “I think,” said he with conviction, “that I’ll
- start in going to church again, next Sunday.”
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0011" id="link2H_4_0011"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- X.—THE HOUSE THAT CAUGHT COLD
- </h2>
- <p class="pfirst">
- <span class="dropcap" style="font-size: 4.00em">“C</span>an you cure
- a cold?” asked Grandma Sharpless.
- </p>
- <p>
- A flare from the soft-coal fire flickered across the library, revealing a
- smile on the Health Master’s face.
- </p>
- <p>
- “Am I a millionaire?” he countered.
- </p>
- <p>
- “Not from your salary as Chinese physician to the Clydes,”
- laughed the head of that family.
- </p>
- <p>
- “If I could cure a cold, I should be, easily, more than that. I’d
- be the foremost medical discoverer of the day.”
- </p>
- <p>
- “Then you can’t cure a cold,” pursued Mrs. Sharpless.
- </p>
- <p>
- “What <i>is</i> a cold?” countered the Health Master in that
- insinuating tone of voice which he employed to provoke the old lady into
- one of those frequent verbal encounters so thoroughly enjoyed by both of
- them.
- </p>
- <p>
- “An ordinary common cold in the head. You know what I mean perfectly
- well, young man. The kind you catch by getting into drafts.”
- </p>
- <p>
- “Oh, <i>that!</i> Well, you see, there’s no such thing.”
- </p>
- <p>
- “No such thing as a cold in the head, Dr. Strong?” said Julia,
- looking up from her book. “Why, we’ve all had ‘em, loads
- of times.”
- </p>
- <p>
- “And Bettina is coming down with one now, if I’m any judge,”
- said Mrs. Sharpless. “She’s had the sniffles all day.”
- </p>
- <p>
- “Let’s hope it isn’t a cold. Maybe it’s only
- chicken-pox or mumps.”
- </p>
- <p>
- “Are you wishing chicken-pox and mumps on my baby?” cried Mrs.
- Clyde.
- </p>
- <p>
- In the three years during which Dr. Strong had been the “Chinese
- physician” of the household, earning his salary by keeping his
- patients well instead of curing them when ill, Mrs. Clyde had never quite
- learned to guard against the surprises which so often pointed the Health
- Master’s truths.
- </p>
- <p>
- “Not by any means; I’m only hoping for the lesser of evils.”
- </p>
- <p>
- “But mumps and chicken-pox are real diseases,” protested
- Clyde.
- </p>
- <p>
- “And you think that a ‘cold,’ as you call it, isn’t.”
- </p>
- <p>
- “Why, no,” said Clyde hesitantly. “I wouldn’t call
- it a disease, any more than I’d call a sprain a broken leg.”
- </p>
- <p>
- “But it is. A very real, serious disease. Its actual name is coryza.”
- </p>
- <p>
- “Bogy-talk,” commented Grandma Sharpless scornfully. “Big
- names for little things.”
- </p>
- <p>
- “Not a little thing at all, as we should all realize if our official
- death-records really dealt in facts.”
- </p>
- <p>
- “Death-records?” said Grandma Sharpless incredulously. “People
- don’t die of colds, do they?”
- </p>
- <p>
- “Hundreds every year; all around us.”
- </p>
- <p>
- “Well, <i>I</i> never hear of it.”
- </p>
- <p>
- “Are you sure? Think back and recall how many of your friends’
- obituary notices include some such sentence as this: ‘Last Thursday
- evening Mr. Smith caught a severe cold, from which he took to his bed on
- Saturday, and did not leave it again until his death yesterday morning?’
- Doesn’t that sound familiar?”
- </p>
- <p>
- “So familiar,” cried Mr. Clyde, “that I believe the
- newspapers keep it set up in type.”
- </p>
- <p>
- “But the newspaper always goes on to say that Mr. Smith developed
- pneumonia or grip or bronchitis, and died of that, not of the cold,”
- objected Mrs. Sharpless.
- </p>
- <p>
- “Oh, yes. In the mortality records poor Smith usually appears under
- the heading of one of the well-recognized diseases. It would hardly be
- respectable to die of a cold, would it?”
- </p>
- <p>
- “He doesn’t <i>die</i> of the cold,” insisted the old
- lady. “He catches the cold and dies of something else.”
- </p>
- <p>
- “If I take a dose of poison,” the Health Master mildly
- propounded, “and fall down and break my neck, what do I die of?”
- </p>
- <p>
- “It’s no parallel,” said Grandma Sharpless. “And
- even if it is,” she added, tacitly abandoning that ground, “we’ve
- always had colds and we always will have ‘em.”
- </p>
- <p>
- “Not with my approval, at least,” remarked the Health Master.
- </p>
- <p>
- “I guess Providence won’t wait for your approval, young man.”
- </p>
- <p>
- “Then you regard coryza as a dispensation of Providence? The
- Presbyterian doctrine of foreordination, applied to the human nose,”
- smiled the physician. “We’re all predestined to the ailment,
- and therefore might as well get out our handkerchiefs and prepare to
- sneeze our poor sinful heads off. Is that about it?”
- </p>
- <p>
- “No, it isn’t! This is a green December and it means a full
- churchyard. We’re in for a regular cold-breeding season.”
- </p>
- <p>
- “Nonsense! Weather doesn’t breed colds.”
- </p>
- <p>
- “What does, then?”
- </p>
- <p>
- “A very mean and lively little germ. He’s rather more
- poisonous than the chicken-pox and mumps variety, although he hasn’t
- as bad a name. In grown-ups he prepares the soil, so to speak, for other
- germs, by getting all through the system and weakening its resistant
- powers, thereby laying it open to the attacks of such enemies as the
- pneumococcus, which is always waiting just around the corner of the tongue
- to give us pneumonia. Or bronchitis may develop, or tonsillitis, or
- diphtheria, or kidney trouble, or indeed almost anything. I once heard an
- eminent lecturer happily describe the coryza bacillus as the bad little
- boy of the gang who, having once broken into the system, turns around and
- calls back to the bigger boys: ‘Come on in, fellers. The door’s
- open.’
- </p>
- <p>
- “With children the coryza-bug makes various trouble without
- necessarily inviting the others in. A great proportion of the serious
- ear-troubles come from colds; all the way from earache to mastoiditis, and
- the consequent necessity of quick operations to save the patient’s
- life. Almost any of the organs may be impaired by the activity of the
- little pest. And yet as intelligent a family as this”—he
- looked around the circle—“considers it a ‘mere cold.’”
- </p>
- <p>
- “Why haven’t you told us before?” asked Mr. Clyde
- bluntly.
- </p>
- <p>
- “A just reproach,” admitted the Health Master. “Not
- having been attacked, I haven’t considered defense—a wretched
- principle in health matters. In fact, I’ve let the little matters of
- life go, too much, in my interest in the bigger.”
- </p>
- <p>
- “But what about Bettina?” said the mother anxiously.
- </p>
- <p>
- “Let’s have her in,” said the Health Master, and the
- six-year-old presently trotted into the room, announcing through a
- somewhat reddened nose, “I’m all stobbed ub; and Katie rubbed
- me with goose-grease, and I don’d wand to take any paregoric.”
- </p>
- <p>
- “Paregoric?” said the physician. “Opium? I guess not.
- Off to bed with you, Toots, and we’ll try to exorcise the demon with
- hot-water bottles and extra blankets.”
- </p>
- <p>
- Following her usual custom of kissing everybody good-night around the
- circle, Bettina held up her arms to her sister, who was nearest.
- </p>
- <p>
- “Stop!” said the Health Master. “No kissing.”
- </p>
- <p>
- “Not even my mamma?” queried the child. “I’m
- afraid not. You remember when Charley had scarlet fever he wasn’t
- allowed even to be very near any of you.”
- </p>
- <p>
- “But scarlet fever is the most contagious of any of the diseases,
- isn’t it?” asked Julia.
- </p>
- <p>
- “Not as contagious as a cold in the head.”
- </p>
- <p>
- “I don’t know how contagious a cold is,” said Grandma
- Sharpless; “but I do know this: once it gets into a house, it goes
- through it like wildfire.”
- </p>
- <p>
- “Then the house ought to be ashamed of itself. That’s sheer
- carelessness.”
- </p>
- <p>
- “Half the kids in our school have got stopped-up noses,”
- contributed Charley.
- </p>
- <p>
- “Why hasn’t the Committee on Schools reported the fact?”
- demanded the Health Master, turning an accusing eye on Julia.
- </p>
- <p>
- “Why—why, I didn’t think of it,” said she. “I
- didn’t think it was anything.”
- </p>
- <p>
- “Oh, you didn’t! Well, if what Charley says is correct, I
- should think your school ought to be put under epidemic regimen.”
- </p>
- <p>
- “You’d have a fine row with the Board of Education, trying to
- persuade them to special action for any such cause as that,”
- remarked Mr. Clyde.
- </p>
- <p>
- “There’s the measure of their intelligence, then,”
- returned the Health Master. “Sickness is sickness, just as surely as
- a flame is fire; and there is no telling, once it’s well started,
- how much damage it may do.”
- </p>
- <p>
- “But a cold is only in the head, or rather, in the nose,”
- persisted Mrs. Sharpless.
- </p>
- <p>
- “That’s where you’re wrong. Coryza is a disease of the
- whole system, and it weakens the whole system. The symptoms are most
- apparent in the nose and mouth: and it is from the nose and mouth that the
- disease is spread. But if you’ve got the cold you’ve got it in
- every corner of your being. You won’t be convinced of its
- importance, I suppose, until I can produce facts and figures. I only hope
- they won’t be producible from this house. But by the end of the
- season I’ll hope to have them. Meantime we’ll isolate
- Bettykin.”
- </p>
- <p>
- Bettina was duly isolated. Meanwhile the active little coryza bacillus had
- got its grip on Mr. Clyde, who for three days attended to his business
- with streaming eyes, and then retired, in the company of various hot-water
- bags, bottles, and foot-warmers, to the sanctuary of his own bedroom,
- where he led a private and morose existence for one week. His general
- manager succeeded to his desk; likewise, to his contaminated pencils,
- erasers, and other implements, whereby he alternately sneezed and
- objurgated himself into the care of a doctor, with the general and
- unsatisfactory result that the balance-sheet of Clyde & Co.,
- Manufacturers, showed an obvious loss for the month—as it happened,
- most unfortunately, an unusually busy month—of some three thousand
- dollars, directly traceable to that unconsidered trifle, a cold in the
- head.
- </p>
- <p>
- “At that you got off cheap,” argued the Health Master.
- </p>
- <p>
- It was three months after the invasion of the Clyde household by Bettina’s
- coryza germ.
- </p>
- <p>
- “I’m glad somebody considers it cheap!” observed Mr.
- Clyde. “Personally I should rather have taken a trip to Europe on my
- share of that three thousand dollars.”
- </p>
- <p>
- “Yet you were lucky,” asserted Dr. Strong. “Bettykin got
- through her earache without any permanent damage. Robin’s attack
- passed off without complications. Your own onset didn’t involve any
- organ more vital than your bank account. And the rest of us escaped.”
- </p>
- <p>
- “Doesn’t it prove what I said,” demanded Grandma
- Sharpless; “that a cold in the head is only a cold in the head?”
- </p>
- <p>
- “‘Answer is No,’ as Togo would put it,” replied
- the Health Master. “In fact, I’ve got proof here of quite the
- opposite, which I desire to present to this gathering.”
- </p>
- <p>
- “This meeting of the Household Protective Association is hereby
- called to order!” announced Mr. Clyde, in the official tones proper
- to the occasion. The children put aside their various occupations and
- assumed a solemn and businesslike aspect which was part of the game.
- “The lone official member will now report,” concluded the
- chairman.
- </p>
- <p>
- “Let the Health Officer of the city report for me,” said Dr.
- Strong, taking a printed leaflet from his pocket. “He is one of
- those rare officials who aren’t afraid to tell people what they don’t
- know, and may not want to know. Listen to what Dr. Merritt has to say.”
- And he read:—
- </p>
- <p>
- “‘The death-rate of the city for the month of February, like
- the rate for December and January, is abnormally high, being a shade over
- ten per cent above the normal for this time of year. While the causes of
- mortality range through the commoner diseases, with a special rise in
- pulmonary troubles, it is evident that the increase must be due to some
- special cause. In the opinion of the Bureau of Health this cause is the
- despised and infectious “cold,” more properly known as coryza,
- which has been epidemic this winter in the city. Although the epidemic
- wave is now receding, its disastrous aftereffects may be looked for in
- high mortality rates for some months. Should a similar onset occur again,
- the city will be asked to consider seriously a thorough school campaign,
- with careful isolation of all suspicious cases.’”
- </p>
- <p>
- “Did you write that, young man?” asked Mrs. Sharpless
- suspiciously.
- </p>
- <p>
- “Why, no; I didn’t <i>write</i> it,” answered the Health
- Master. “I’ll go as far as to admit, however, that Dr. Merritt
- listens politely to my humble suggestions when I offer them.”
- </p>
- <p>
- “Humph! Ten per cent increase. What is that in real figures?”
- </p>
- <p>
- “Twenty-five extra deaths a month,” said Manny Clyde, a
- growing expert on local statistics.
- </p>
- <p>
- “Seventy-five needless deaths for the three months, and more to
- come,” said the Health Master, “besides all the disability,
- loss of time and earning power and strength, and all the pain and
- suffering—which things never get into the vital statistics, worse
- luck! So much to the account of the busy little coryza-bug.”
- </p>
- <p>
- “Can’t the Health Bureau do something?” asked the
- practical Mr. Clyde.
- </p>
- <p>
- “Not much, until its public is better educated,” said Dr.
- Strong wearily. “The present business of a health official is to try
- and beat the fool-killer off from his natural prey with a printed tract.
- It’s quite a job, when you come to consider it.”
- </p>
- <p>
- “What he ought to have, is the club of the law!” said Mr.
- Clyde.
- </p>
- <p>
- “Precisely. The people won’t give it to him. In this household
- we’re better off, since we can make our own laws. Since Betty’s
- attack we’ve tried out the isolation plan pretty effectually; and we’ve
- followed, as well as might be, the rule of avoiding contact with people
- having coryza.”
- </p>
- <p>
- He glanced up at a flamboyant poster which Mrs. Clyde, who had a natural
- gift of draftsmanship, had made in a spirit of mischief, entitling it
- “The Red Nose as a Danger Signal.”
- </p>
- <p>
- “As much truth as fun in that,” he remarked. “But, at
- the best, we can’t live among people and avoid all danger. In fact,
- avoidance is only the outer line of defense. The inner line is symbolized
- by a homely rule, ‘Keep Comfortable.’”
- </p>
- <p>
- “What’s comfort to do with keeping well?” asked Grandma
- Sharpless.
- </p>
- <p>
- “What are your nerves for?” retorted Dr. Strong with his
- quizzical smile.
- </p>
- <p>
- “Young man,” said the old lady plaintively, “did I ever
- ask you a question that you didn’t fire another back at me before it
- was fairly out of my mouth? My nerves, if I let myself have any, wouldn’t
- be for anything except to plague me.”
- </p>
- <p>
- “Oh, those are pampered nerves. Normal nerves are to warn you. They’re
- to tell you whether the little things of life are right with you.”
- </p>
- <p>
- “And if they’re not?” asked Mr. Clyde.
- </p>
- <p>
- “Why, then you’re uncomfortable. Which is to say, there’s
- something wrong; and something wrong means, in time, a lessening of
- vitality, and when you let down your body’s vitality you’re
- simply saying to any germ that may happen along, ‘Come right in and
- make yourself at home.’
- </p>
- <p>
- “Perhaps you remember when the house caught cold, how shocked
- Grandma Sharpless was at my saying that colds aren’t caught in a
- draft. Well, they’re not. Yet I ought to have qualified that. Now,
- what is a draft? Air in motion. If there is one thing about air that we
- thoroughly know, it’s this: that moving air is infinitely better for
- us than still air. Even bad, stale air, if stirred vigorously into motion,
- seems to purify itself and become breathable and good. Now, the danger of
- a draft is that it may mean a sudden change of the body’s
- temperature. Nobody thinks that wind is unhealthful, because when you’re
- out in the wind—which is the biggest and freest kind of a draft—you’re
- prepared for it. If not, your nerves say to you, ‘Move faster; get
- warm.’ It’s the same indoors. If the draft chills you, your
- nerves will tell you so. Therefore, mind your nerves. Otherwise, you’ll
- become specially receptive to the coryza germ and when you’ve caught
- <i>that</i>, you’ll have caught cold.”
- </p>
- <p>
- “I wish,” remarked Mr. Clyde, “that my nerves would tell
- me why I feel so logy every morning. They don’t say anything
- definite. It isn’t indigestion exactly. But I feel slow and inert
- after breakfast, as if my stomach hadn’t any enthusiasm in its job.”
- </p>
- <p>
- “Breakfast is the only meal I don’t have with you, so I don’t
- know,” replied the Health Master, who was a very early riser.
- “But I should say you were eating the wrong things, perhaps.”
- </p>
- <p>
- “How could that be?” said Mrs. Clyde. “Tom has the
- simplest kind of breakfast, and it’s the same every day.”
- </p>
- <p>
- “Well, there you are.” The Health Master’s tone assumed
- that the solution was found.
- </p>
- <p>
- “Where are we?” queried Mr. Clyde. “I’m up in the
- air!”
- </p>
- <p>
- “What is this remarkably regular breakfast?”
- </p>
- <p>
- “Eggs, rolls, and coffee.”
- </p>
- <p>
- “Oh! Eggs every morning?”
- </p>
- <p>
- “Two of them. Medium boiled.”
- </p>
- <p>
- “Not even the method is varied. Same eggs, same preparation every
- morning, seven days a week, four weeks a month, twelve months—”
- </p>
- <p>
- “No. That’s my winter breakfast only.”
- </p>
- <p>
- “Very well; four or five months in the year. No wonder your poor
- stomach gets bored.”
- </p>
- <p>
- “What’s the matter with eggs, Dr. Strong?” inquired
- Manny. “They let us have ‘em, in training.”
- </p>
- <p>
- “Nothing is the matter with two eggs, or twenty. But when you come
- to two hundred, there’s something very obvious the matter—monotony.
- Your stomach is a machine, it’s true, but it’s a human
- machine. It demands variety.”
- </p>
- <p>
- “Then Charles ought to be a model. He wants everything from soup to
- pie.”
- </p>
- <p>
- “A thoroughly normal desire for a growing boy.”
- </p>
- <p>
- “He eats an awful lot of meat,” observed Julia, who was a
- somewhat fastidious young lady. “My Sunday-school teacher calls
- meat-eaters human tigers.”
- </p>
- <p>
- “Oh, that’s too easy a generalization, Junkum,” replied
- the Health Master. “With equal logic she could say that
- vegetable-eaters are human cows.”
- </p>
- <p>
- “But the vegetarians make very strong arguments,” said Mrs.
- Clyde.
- </p>
- <p>
- “A lot of pale-eyed, weak-blooded nibblers!” stated Grandma
- Sharpless. “If meat weren’t good for us, we wouldn’t
- have been eating it all these generations.”
- </p>
- <p>
- “True enough. Perhaps we eat a little too much of it, particularly
- in the warm months. But in winter it’s practically a necessity.”
- </p>
- <p>
- “Some of the big athletes say they’re vegetarians,” said
- Manny.
- </p>
- <p>
- “There are individual cases,” admitted the Health Master;
- “but in the long run it doesn’t work. A vegetarian race is,
- generally speaking, small of stature and build, and less efficient than a
- meat-eating race. The rule of eating is solid food, sound food, plenty of
- it, and a good variety. Give your stomach a fair chance: don’t
- overload it, don’t understock it, and don’t let it get bored.”
- </p>
- <p>
- For some time Miss Bettina had been conducting a quiet and strategic
- advance upon the Health Master, and now by a sudden onslaught she captured
- his knee and, perching herself thereon, put a soft and chubby hand under
- his chin.
- </p>
- <p>
- “You want something, Miss Toodles,” he accused with a
- formidable frown. “None of your wheedling ways with me! Out with it!”
- </p>
- <p>
- “Candy,” said the child, in no way impressed by his severity.
- </p>
- <p>
- “Candy, indeed! When?”
- </p>
- <p>
- “Now. Any time. Lots of it. Lots of sugar, too.”
- </p>
- <p>
- “Betty’s developing <i>such</i> a sweet tooth!” mourned
- her mother. “I have to limit her rigidly.”
- </p>
- <p>
- “Why?”
- </p>
- <p>
- “You wouldn’t let the child stuff herself on sweets all the
- time,” protested Grandma Sharpless, scandalized.
- </p>
- <p>
- “Nor on anything else. But if she craves sweets, why not let her
- have them at the proper time?”
- </p>
- <p>
- “Well, in my day children ate plain food and were thankful.”
- </p>
- <p>
- “Hm! I’m a little dubious about the thankfulness. And in your
- day children died more frequently and more easily than in ours.”
- </p>
- <p>
- “They weren’t pampered to death on candy, anyway!”
- </p>
- <p>
- “Possibly they weren’t pampered quite enough. Take the Cherub,
- here,” he tossed Betty in the air and whisked her to his shoulder.
- “She’s a perfect little bundle of energy, always in motion.
- She needs energy-producing food to keep going, coal for that engine. Sugar
- is almost pure carbon; that is, coal in digestible form. Of course she
- wants sweets. Her little body is logical.”
- </p>
- <p>
- “But isn’t it bad for her teeth?” asked Mrs. Clyde.
- </p>
- <p>
- “No; nor for her last year’s overshoes or her tin dog’s
- left hind leg,” chuckled the Health Master. “Sometimes I
- marvel that the race has survived all the superstitions surrounding food
- and drink.”
- </p>
- <p>
- “In my father’s household,” said Mr. Clyde, “the
- family principle was never to drink anything with meals. The mixture of
- solids and liquids was held to be bad. Another superstition, I suppose.”
- </p>
- <p>
- “At that rate, bread and milk would be rank poison,” said Dr.
- Strong. “Next to food, water has got the finest incrustation of
- old-wives’ warnings. Now, there’s some doubt whether a man
- should eat whenever he wants to. Appetite, in the highly nervous American
- organization, is sometimes tricky. But thirst is trustworthy. The normal
- man is perfectly safe in drinking all the water he wants whenever he wants
- it.”
- </p>
- <p>
- “I can still remember the agonies that I suffered when, as a boy, I
- had scarlet fever, and they would allow me almost no water,” said
- Mr. Clyde.
- </p>
- <p>
- “One of medicine’s direst errors,” said Dr. Strong.
- “Nobody will ever know how much that false and cruel system has
- added to our death-rate in the past. To-day a practitioner who kept water
- from a fever patient—unless there were unusual complications—would
- be properly citable for malpractice. By the way,” he continued,
- “we’re changing our views about feeding in long illnesses.
- Typhoid patients have always been kept down to the lowest possible diet,
- nothing but milk. Now, some of the big hospitals are feeding typhoid
- cases, right through the fever, on foods carefully selected for their heat
- and energy values, with the result that not only has the patient more
- strength to fight the disease, but he pulls through practically free from
- the emaciation which has always been regarded as inevitable.”
- </p>
- <p>
- “Can I have my candy?” inquired Bettina, holding to her own
- point.
- </p>
- <p>
- “If it’s good, sound candy. Now I’m going to utter an
- awful heresy. Generally speaking, and in moderation, what you want is good
- for you.”
- </p>
- <p>
- “Pure anarchy,” laughed Mr. Clyde.
- </p>
- <p>
- “Not at all; the law of the body, always demanding what is best for
- its development.”
- </p>
- <p>
- “Well, I want,” declared Robin, with a sudden energy, “to
- take off these hot, scratchy flannels.”
- </p>
- <p>
- “Too late now,” said the Health Master, “until spring.
- You’ve been wearing them all winter. But another year, if I have my
- way, you won’t have to put them on.”
- </p>
- <p>
- “You’d let him tempt pneumonia by going through a winter with
- light summer underwear?”
- </p>
- <p>
- “Unless you get out an injunction against me,” smiled the
- physician. “Bobs had a pretty tough time of it for the first week
- when he changed to flannels. He’s thin-skinned, and the rough wool
- irritated him pretty badly. In fact, he had a slight fever for two days.
- It isn’t worth that suffering. Besides, he’s a full-blooded
- youngster, and doesn’t need the extra warmth. You can’t dress
- all children alike in material any more than you can dress them all from
- the same pattern.”
- </p>
- <p>
- “Then I want to leave off mine, too,” announced Charles.
- </p>
- <p>
- “Nonsense! You little ruffian, you could wear sandpaper on that skin
- of yours. Don’t talk to me, or next time I see you without your
- overcoat I’ll order a hair shirt for you.”
- </p>
- <p>
- “I’ve never thought much about the children’s clothes,
- except to change between the seasons,” confessed Mrs. Clyde. “I
- supposed that was all there is to it.”
- </p>
- <p>
- “Not wholly. I once knew a man who died from changing his necktie.”
- </p>
- <p>
- “Did he put on a red tie with a pink shirt?” interestedly
- queried Manny, who had reached the age where attire was becoming a vital
- interest.
- </p>
- <p>
- “He changed abruptly from the big puff-tie which he had worn all
- winter, and which was a regular chest-protector, to a skimpy bow, thereby
- exposing a weak chest and getting pneumonia quite naturally. Yet he was
- ordinarily a cautious old gentleman, and shifted the weight of his
- underclothes by the calendar—a rather stupid thing to do, by the
- way.”
- </p>
- <p>
- “On the first of November,” began Grandma Sharpless severely—
- </p>
- <p>
- “Yes, I know,” cut in the Health Master. “Your whole
- family went into flannels whether the thermometer was twenty or seventy.
- And we’ve seen it both, more than once on that date.”
- </p>
- <p>
- “What harm did it ever do them?”
- </p>
- <p>
- “Bodily discomfort. In other words, lessened vitality. Think how
- much nervous wear is suffered by a child itching and squirming in a
- scratchy suit of heavy flannels on a warm day.”
- </p>
- <p>
- “Children can’t be changing from one weight to another every
- day, can they?” asked Mrs. Clyde.
- </p>
- <p>
- “No need of that. But in the fall and spring we can regulate that
- matter a little more by the thermometer, and a little less by the almanac.
- There is also the consideration of controlling heat. Now, Charley, what
- would you think of a man who, in June, say, with the mercury at
- seventy-five, wandered around in a heavy suit and his winter flannels.”
- </p>
- <p>
- “I’d think he was sick,” said the nine-year-old
- promptly, “or else foolish. But what makes you ask me?”
- </p>
- <p>
- “Just by way of calling your attention to the thermometer, which in
- this room stands at seventy-nine. And here we all sit, dressed twenty-five
- per cent warmer than if we were out doors in a June temperature several
- degrees colder. You’re the Committee on Air and Light, Charley. I
- think this matter of heat ought to come within your province.”
- </p>
- <p>
- “And it makes you feel so cold when you go out,” said Julia.
- </p>
- <p>
- “Of course. We Americans live in one of the most trying climates in
- the world, and we add to its rigors by heating our houses like incubators.
- No room over seventy, ought to be the rule.”
- </p>
- <p>
- “It’s hard to work in a cold room,” said Mr. Clyde.
- </p>
- <p>
- “Not when you’re used to it. The Chicago schools that have
- started winter roof classes for sickly children, find that the average of
- learning capacity goes up markedly in the cold, clean air.”
- </p>
- <p>
- “But they can’t be as comfortable,” said Mrs. Clyde.
- </p>
- <p>
- “Much more so. As soon as the children get used to it, they love it,
- and they object strenuously to going back into the close rooms. The body
- grasps and assimilates the truth; the mind responds.”
- </p>
- <p>
- “Well, I like to be comfortable as well as anybody,” said Mrs.
- Sharpless, “but I don’t consider it the chief end of life.”
- </p>
- <p>
- “Not the chief end,” assented Dr. Strong; “the chief
- means.”
- </p>
- <p>
- “Comfort and health,” mused Mrs. Clyde. “It seems a
- natural combination.”
- </p>
- <p>
- “The most natural in the world. Let me put it into an allegory.
- Health is the main line, the broad line, the easy line. It’s the
- simple line to travel, because comfort keeps pointing it out. Essentially
- it is the line of the least resistance. The trouble with most of us is we’re
- always unconsciously taking transfers to the cross-lines. The transfer may
- be Carelessness, or Slothfulness, or Gluttony, or one of the Dissipations
- in food, drink, work or play; or it may be even Egotism, which is
- sometimes a poison: but they all take you to Sick Street. Don’t get
- a transfer down Sick Street. The road is rough, the scenery dismal, and at
- the end is the cemetery.”
- </p>
- <p>
- “That’s the end of all roads,” said Grandma Sharpless.
- </p>
- <p>
- “Then in Heaven’s name,” said the Health Master, “let
- us take the longest and sunniest route and sing as we go!”
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0012" id="link2H_4_0012"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- XI. THE BESIEGED CITY
- </h2>
- <p>
- To Bettina falls the credit of setting the match to the train. That
- lively-minded young lady had possessed herself of a large, red square of
- cardboard, upon which, in the midst of the Clyde family circle, she
- wrought mightily with a paint-brush.
- </p>
- <p>
- “What comes after p in ‘diphtheria,’ Charley?” she
- presently appealed to her next older brother.
- </p>
- <p>
- Charley considered the matter with head aslant. “Another p,”
- he answered, tactfully postponing the evil moment.
- </p>
- <p>
- “It doesn’t look right,” announced the Cherub, after a
- moment’s contemplation. “Dr. Strong, how do you spell ‘diphtheria’?”
- </p>
- <p>
- “I? Why, Toots, I spell it with a capital, but leave off the final
- x,” replied the Health Master cheerfully. “What kind of a game
- are you playing? Quarantining your dolls?”
- </p>
- <p>
- “It isn’t a game.” Betty could be, on occasion, quite a
- self-contained young person.
- </p>
- <p>
- “What is it, then, if I’m not prying too far into personal
- matters?”
- </p>
- <p>
- “It’s for Eula Simms to put on her house.”
- </p>
- <p>
- “The Simmses <i>will</i> be pleased,” remarked Julia.
- </p>
- <p>
- “They ought to be,” said Betty complacently. “I don’t
- suppose they can afford a regular one like the one we put up when Charley
- had scarlet fever, two years ago. And Eula’s big sister’s got
- diphtheria,” she added quite casually.
- </p>
- <p>
- “What’s that?” The Health Master straightened up sharply
- in his chair. “How do you know that, Twinkles?”
- </p>
- <p>
- “Eula told me across the fence this morning. She’s excused
- from school. Three other houses on the street have got it, too. I’m
- going to make placards for them.”
- </p>
- <p>
- “And do the work in play that the Health Department ought to be
- doing in the deadliest earnest! What on earth is Dr. Merritt thinking of?”
- And he went to the telephone to call up the Health Officer and find out.
- </p>
- <p>
- “We’re due for a bad diphtheria year, too,” observed
- Grandma Sharpless, whose commentaries on practical matters, being always
- the boiled-down essence of first-hand observation, carried weight in the
- household. “I’ve noticed that it swings around about once in
- every five or six years. And it was six years ago we had that bad
- epidemic.”
- </p>
- <p>
- “Then there is the influenza epidemic of last spring to consider,”
- said Mrs. Clyde. “Dr. Strong told us then that we’d have to
- pay for that for months. So, I suppose, the city is still in a weakened
- condition and easy soil for diphtheria or any other epidemic.”
- </p>
- <p>
- “There’s measles already in our school,” said Julia.
- “That’ll help, too.”
- </p>
- <p>
- “Why haven’t you reported it, Junkum?” asked her father.
- “You’re Chairman of the Committee on School Conditions of the
- Clyde Household Protective Association.”
- </p>
- <p>
- “We only found out to-day,” said Bobs, “when they told
- us maybe school would close.”
- </p>
- <p>
- “Three years I’ve been President of the Public Health League,”
- remarked Mr. Clyde with a wry face, “and nothing has happened. Now
- that I’m just about retiring I hope there isn’t going to be
- serious trouble. What does the Health Department say, Strong?” he
- inquired, turning as the Health Master entered.
- </p>
- <p>
- “Something very wrong there. Merritt won’t talk over the
- ‘phone. Wants me to come down.”
- </p>
- <p>
- “This evening?”
- </p>
- <p>
- “Yes. He’s ill, himself, and badly worried. What do <i>you</i>
- think?”
- </p>
- <p>
- “It looks like some skullduggery,” declared Mr. Clyde,
- borrowing one of his mother-in-law’s expressive words. “Is it
- possible that reports of diphtheria are being suppressed, and that is why
- the infected houses are not placarded?”
- </p>
- <p>
- “If it is, we’re in for trouble. As I told you, when I
- undertook the Chinese job of keeping this household in health,”
- continued the Health Master, addressing the family, “I can’t
- reliably protect a family in a community which doesn’t protect
- itself. There are too many loopholes through which infection may
- penetrate. So the Protective Association, in self-defense, may have to
- spur up the city to its own defense. First, though, I’m going over
- the throats of this family and take cultures.”
- </p>
- <p>
- “You don’t think,” began the mother anxiously, “that
- the children—”
- </p>
- <p>
- “No; I don’t think they’ve got it. But the
- bacteriological analysis will show.”
- </p>
- <p>
- “I hate to have it done,” said Mrs. Clyde, shuddering. “It
- seems so—so inviting of trouble.”
- </p>
- <p>
- “Superstition,” said Dr. Strong, smiling. “Aren’t
- you just as anxious to find out that they <i>haven’t</i> got the
- infection as that they have? Come on, Bettykin; you’re first.”
- And, having prepared his material, he swabbed the throats of the whole
- company, after which he took the cultures with him to Dr. Merritt.
- </p>
- <p>
- It was late when he returned, but he went direct to Mr. Clyde’s
- room.
- </p>
- <p>
- “It’s worse than I thought, Clyde,” said he. “We’re
- in the first stage of a bad epidemic. The reports have been suppressed by
- Mullins, the Deputy Health Officer.”
- </p>
- <p>
- “What did he do that for?”
- </p>
- <p>
- “To cover his own inefficiency. He is City Bacteriologist, also, and
- the law requires him, in time of epidemic, to make bacteriological
- analyses. He doesn’t know how. So he simply pigeonholed the case
- reports as they came in.”
- </p>
- <p>
- “How did such a rascal ever get the job?” asked Clyde.
- </p>
- <p>
- “Political pull. The most destructive of all the causes of death
- which never get into the mortality records,” said Dr. Strong
- bitterly.
- </p>
- <p>
- “How many cases?”
- </p>
- <p>
- “Three or four hundred, at least. It’s got a good start. And
- more than that of measles. While he was in the business of suppressing,
- Mullins threw a lot of measles reports aside, too. I don’t like the
- prospect.”
- </p>
- <p>
- “The first thing to do,” decided Mr. Clyde, with customary
- energy, “is to get Dr. Mullins out. I’ll call an emergency
- meeting of the Public Health League to-morrow. By the way, Julia has some
- matters to report from school.”
- </p>
- <p>
- “Well, suppose we call an emergency meeting of our own of the
- Household Protective Association for to-morrow evening,” suggested
- Dr. Strong. “Since we’re facing an epidemic, we may as well
- fortify the youngsters as soundly as possible.”
- </p>
- <p>
- Directly after dinner on the following evening the Association was called
- to order by Mr. Clyde, presiding. It was a full meeting except for
- Maynard, who had not returned for dinner. First Dr. Strong reported that
- the cultures from the throats of the family had turned out “negative.”
- </p>
- <p>
- “So we don’t have to worry about that,” he remarked.
- </p>
- <p>
- Whereupon Mrs. Clyde and her mother drew long breaths of relief.
- </p>
- <p>
- “And now for the Committee on School Conditions,” said Mr.
- Clyde.
- </p>
- <p>
- “All I’ve heard of in our school is measles,” announced
- Julia. “There’s a lot of the boys and girls away.”
- </p>
- <p>
- “No diphtheria?” asked Mr. Clyde.
- </p>
- <p>
- “I asked Miss Brown that at recess, and she looked queer and said,
- ‘None that we know of.’ But I heard of some cases in the
- Academy; so I told Manny.”
- </p>
- <p>
- “Why Manny?” asked Mrs. Clyde.
- </p>
- <p>
- “He’s Chairman of the Committee on Milk, and the Bliss
- children from our dairy go to the Academy.”
- </p>
- <p>
- “That explains why Maynard isn’t here, then,” said the
- grandmother. “I suppose he’s gone out to the farm.”
- </p>
- <p>
- “Yes. He took the interurban trolley out, to make sure that they’d
- be careful about keeping the children away from the dairy.”
- </p>
- <p>
- “Good team-work, Junkum,” approved the presiding officer.
- </p>
- <p>
- “And I asked Mary and Jim Bliss to come around to-morrow to see Dr.
- Strong and have him look at their throats.”
- </p>
- <p>
- “You ought to be drawing a salary from the city, young lady,”
- said the Health Master warmly. “You may have stopped a milk-route
- infection; one of the hardest kind to trace down.”
- </p>
- <p>
- “They’re talking of closing school after to-morrow,”
- concluded the girl.
- </p>
- <p>
- “The very worst thing they could do,” declared Dr. Strong.
- </p>
- <p>
- “The very best, I should think,” controverted Grandma
- Sharpless, who never hesitated to take issue with any authority, pending
- elucidation of the question under discussion. “If you group a lot of
- children close together it stands to reason they’ll catch the
- disease from each other.”
- </p>
- <p>
- “Not unless you group them too close. Arm’s length is the
- striking distance of a contagious disease. <i>There’s</i> a truth
- for all of us to remember all the time.”
- </p>
- <p>
- “If it <i>is</i> a truth,” challenged Mrs. Sharpless. “One
- of the surest and one of the most important,” averred the Health
- Master. “The only substance that carries the contagion of diphtheria
- or measles is the mucus from the nose or throat of an infected person. As
- far as that can be coughed or sneezed is the danger area. Of course, any
- article contaminated with it is dangerous also. But a hygienically
- conducted schoolroom is as safe a place as could be found. I’d like
- to run a school in time of epidemic. I’d make it a distributing
- agency for health instead of disease.”
- </p>
- <p>
- “How would you manage that?”
- </p>
- <p>
- “By controlling and training the pupils hygienically. Don’t
- you see that school attendance offers the one best chance of keeping track
- of such an epidemic, among the very ones who are most liable to it, the
- children? Diphtheria is contagious in the early stages, as soon as the
- throat begins to get sore, and before the patient is really ill. Just now
- there is an indeterminate number of children in every one of our schools
- who have incipient diphtheria. What is the one important thing to do about
- them?”
- </p>
- <p>
- “Find out who they are,” said Julia quickly. “Exactly.
- If you close school to-morrow and scatter the scholars far and wide in
- their homes, how are we going to find out this essential fact? In their
- own homes, with no one to watch their physical condition, they will go on
- developing the illness unsuspected for days, maybe, and spread it about
- them in the process of development. Whereas, if we keep them in school
- under a system of constant inspection, we shall discover these cases and
- surround them with safeguards. Why, if a fireman should throw dynamite
- into a burning house and scatter the flaming material over several blocks,
- he’d be locked up as insane. Yet here we propose to scatter the fire
- of contagion throughout the city. It’s criminal idiocy!”
- </p>
- <p>
- “If we could only be sure of controlling it in the schools,”
- said Grandma Sharpless, still doubtful.
- </p>
- <p>
- “At least we can do much toward it. As a matter of fact the best
- authorities are very doubtful whether diphtheria is a ‘school
- disease,’ anyway. There is more evidence, though not conclusive,
- that measles is.”
- </p>
- <p>
- “Surely we don’t have to consider measles now, in the face of
- the greater danger.”
- </p>
- <p>
- “Most emphatically we do. For one thing, it will increase the
- diphtheria rate. A child weakened by measles is so much the more liable to
- catch any other disease which may be rife. Besides, measles spreads so
- rapidly that it often kills a greater total than more dangerous illnesses.
- We must prepare for a double warfare.”
- </p>
- <p>
- “At the Public Health League meeting,” said Mr. Clyde, “the
- objections to closing the schools came from those who feared that an
- official acknowledgment that the city had an epidemic would hurt business.”
- </p>
- <p>
- “A viciously wrong reason for being right,” said the Health
- Master. “By the way, I suppose that Dr. Mullins will be Acting
- Health Officer, now that Merritt is unfortunately out of it. Merritt went
- to the hospital in collapse after the session of the Board of Education at
- which he appeared, to argue for keeping the schools open.”
- </p>
- <p>
- “No,” said Clyde. “We’ve blocked Mullins off. But
- it’s the next step that is troubling me. What would you do, Strong,
- if you were in control?”
- </p>
- <p>
- “Put a medical inspector in every school,” answered Dr. Strong
- instantly. “Send home every child with the snuffles or an inflamed
- throat. And send with him full warning and instructions to the parents.
- Have daily inspection and instruction of all pupils.”
- </p>
- <p>
- “Can you make school children understand?”
- </p>
- <p>
- “Why not? It is merely a matter of telling them repeatedly: ‘Keep
- your fingers and other objects away from your mouth and nose. Wash your
- hands frequently. Brush your teeth and rinse your mouth well. And keep
- your distance. Remember, that the striking distance of disease is arm’s
- length.’ Then I would break class every hour, throw open every
- window, and march the children around for five minutes. This for the sake
- of improved general condition. Penalize the pupils for any violation of
- hygienic regulations. Hygienic martial law for war-time.”
- </p>
- <p>
- “Good!” applauded Mr. Clyde. “So much for the schools.
- What about the general public?”
- </p>
- <p>
- “Educate them to the necessity of watching for danger signals; the
- running nose, the sore throat, the tiny pimples on the inside of the mouth
- or cheek which are the first sign of measles. Above all, furnish free
- anti-toxin. Make it free to all. This is no time to be higgling over
- pennies.”
- </p>
- <p>
- “I don’t like the principle of coddling our citizens by giving
- to those who can afford to pay.”
- </p>
- <p>
- “Better coddled citizens than dead children. Unless you give out
- free anti-toxin, physicians to families where every dollar counts will
- say, ‘Oh, it may not be diphtheria. We’ll wait and see, and maybe
- save the extra dollars.’ Diphtheria doesn’t wait. It strikes.
- Then there is the vitally important use of anti-toxin as a preventive. To
- render a whole family immune, where there is exposure from a known case of
- diphtheria, is expensive at the present rates, but is the most valuable
- expedient known. It is so much easier to prevent than to cure.”
- </p>
- <p>
- “All right; I give in. What else?”
- </p>
- <p>
- “Education, education, education; always education of the public,
- till the last flame is stamped out. Get the press, first; that is the most
- direct and far-reaching agency. Then organize public meetings, lectures,
- addresses in churches and Sunday schools, talks wherever you can get
- people together to listen. That is what I’d do.”
- </p>
- <p>
- “Go ahead and do it, then.”
- </p>
- <p>
- “Easily said,” smiled the Health Master. “Who am I, to
- practice what I preach?”
- </p>
- <p>
- “Provisional Health Officer of Worthington,” came the quick
- answer. “I have the Mayor’s assurance that he will appoint you
- to-morrow if you will take the job.”
- </p>
- <p>
- “I’ll do it,” said the Health Master, blinking a little
- with the suddenness of the announcement, but speaking unhesitatingly,
- “on two conditions: open schools and free anti-toxin.”
- </p>
- <p>
- “I’ll get that arranged with the Mayor. Meantime, you have
- unlimited leave of absence as Chinese physician to the Clyde household.”
- </p>
- <p>
- “But the Household Protective Association will have to back me,”
- said Dr. Strong, as the meeting broke up. “I can’t get along
- without you.”
- </p>
- <p>
- Swiftly and terribly moves an epidemic, once it has gained headway. And
- silence and concealment had fostered this onset from the first. Despite
- the best efforts of the new Health Officer, within a week the streets of
- the city were abloom with the malign flower of the scarlet for diphtheria
- and the yellow for measles.
- </p>
- <p>
- “First we must find out where we stand,” Dr. Strong told his
- subordinates; and, enlisting the services of the great body of physicians,—there
- is no other class of men so trained and inspired to altruistic public
- service as the medical profession,—he instituted a house-to-house
- search for hidden or undiscovered cases. From the best among his
- volunteers he chose a body of auxiliary school inspectors, one for every
- school, whom he held to their daily régime with military rigor.
- </p>
- <p>
- “But my patients are dying while I am looking after a roomful of
- healthy children,” objected one of them.
- </p>
- <p>
- “You can save twenty lives by early detection of the disease, in the
- time it takes to save one by treatment,” retorted the
- disciplinarian. “In war the individual must sometimes be sacrificed.
- And this is war.”
- </p>
- <p>
- The one bright spot in the early days of the battle was Public School
- Number Three which the twins and Bettina attended. The medical inspector
- who had this assignment was young, intelligent, and an enthusiast. Backed
- by Dr. Strong, and effectively aided by the Clyde children, he enforced a
- system which brought prompt results. In every instance where a pupil was
- sent home under suspicion,—and the first day’s inspection
- brought to light three cases of incipient diphtheria, and fifteen which
- developed into measles, besides a score of suspicious symptoms,—Julia,
- or Robin Clyde, or one of the teachers went along to deliver printed
- instructions as to the defense of the household, and to explain to the
- family the vital necessity of heeding the regulations until such time as
- the physician could come and determine the nature of the ailment. Within a
- week, amidst growing panic and peril, Number Three was standing like an
- isle of safety. After that time, not a single new case of either disease
- developed from exposure within its limits, and in only two families
- represented in the school was there any spread of contagion.
- </p>
- <p>
- “It’s the following-up into the house that does it,”
- said Dr. Strong, at an early morning meeting of the Household Protective
- Association (he still insisted on occasional short sessions, in spite of
- the overwhelming demands on his time and energies, on the ground that
- these were “the only chances I get to feel the support of full
- understanding and sympathy”), “that and the checking-up of the
- three carriers we found.”
- </p>
- <p>
- “What’s a carrier?” asked Bettina, who had an
- unquenchable thirst for finding out things.
- </p>
- <p>
- “A carrier, Toodlekins, is a perfectly well person who has the germs
- of disease in his throat. Why he doesn’t fall ill himself, we don’t
- know. He can give the disease to another person just as well as if he were
- in the worst stages of it himself. Every epidemic develops a number of
- carriers. One of the greatest arguments for inspection is that it brings
- to light these people, who constitute the most difficult and dangerous
- phase of infection, because they go on spreading the disease without being
- suspected. Now, I’ve got ours from Number Three quarantined. If I
- could catch every carrier in town, I’d guarantee to be in control of
- the situation in three weeks.”
- </p>
- <p>
- “Our reports show over twenty of them discovered and isolated,”
- said Mrs. Clyde, who had turned her abounding energies to the organization
- of a corps of visiting nurses.
- </p>
- <p>
- “Perhaps I’d better say something about carriers in my next
- talk,” said Grandma Sharpless, whose natural gift as a ready and
- convincing speaker, unsuspected by herself as well as her family until the
- night when she had met and routed the itinerating quack on his own
- platform, was now being turned to account in the campaign for short talks
- before Sunday schools and club gatherings.
- </p>
- <p>
- “Develop it as part of the arm’s-length idea,” suggested
- the Health Master. “Any person may be a carrier and therefore a
- peril on too close contact. Tell ‘em that in words of one syllable.”
- </p>
- <p>
- “Never use any other kind when I mean it,” answered Mrs.
- Sharpless. “What about that party at Mrs. Ellery’s, Manny?”
- </p>
- <p>
- “I’ve got that fixed,” replied Maynard Clyde, who had
- been acting as general factotum for the household in its various lines of
- endeavor. “Mrs. Ellery gave a party to our crowd Friday night,”
- he explained to Dr. Strong, “and Monday one of the Ellery girls came
- down with diphtheria.”
- </p>
- <p>
- “What have you done about it?” asked the Health Master.
- </p>
- <p>
- “Notified all the people who were there. That was easy. The trouble
- is that a lot of the fellows have gone back to college since: to Hamilton,
- Michigan, Wisconsin, Harvard, Columbia,—I suppose there were a dozen
- colleges represented.”
- </p>
- <p>
- “And you think that’s too wide a field for the follow-up
- system?” asked his father.
- </p>
- <p>
- “Why, no,” said the boy thoughtfully. “I figured that
- starting a new epidemic would be worse than adding to an old one. So I
- went to Mrs. Ellery and got a list of her guests, and I wrote to every
- college the fellows have gone back to, and wrote to the fellows
- themselves. They probably won’t thank me for it.”
- </p>
- <p>
- “They ought to give you a life-saving medal each,” declared
- Dr. Strong. “As for the situation here”—his face
- darkened—“we’re not making any general headway. The
- public isn’t aroused, and it won’t be until we can get the
- newspapers to take up the fight. The thing that discourages me is that
- they won’t help. I don’t understand it.”
- </p>
- <p>
- “Don’t you? I do,” said Clyde grimly. “Their
- advertisers won’t let ‘em print anything about it. As I told
- you in the matter of closing the schools, business is frightened. The
- department stores, theaters, and other big advertisers are afraid that the
- truth about the epidemic would scare away trade. So they are compelling
- the papers to keep quiet.”
- </p>
- <p>
- “Idiots!” cried Dr. Strong. “Suppressing news is like
- suppressing gas. The longer you do it, the more violent the inevitable
- explosion. But when I called on the editors, they didn’t say
- anything to me about the advertising pressure. It was, ‘We should be
- glad to help in any way, Dr. Strong. But an alarmist policy is not for the
- best interests of Worthington; and the good of our community must always
- be the first consideration.’—Bah! The variations I’ ve
- heard on that sickening theme today! The ‘Press,’ the ‘Clarion,’
- the ‘Evening News,’ the ‘Telegram, the ‘Observer’—all
- of ‘em.”
- </p>
- <p>
- “You didn’t mention the ‘Star,’” said
- Grandma Sharpless.
- </p>
- <p>
- “That rag? It’s against everything decent and for everything
- rotten in this town,” said Clyde.
- </p>
- <p>
- “When I need a danger signal,” observed the old lady with her
- most positive air, “I’ll wave any kind of rag. The ‘Star’
- has circulation.”
- </p>
- <p>
- “Yes,” admitted the Health Master, “and among the very
- class we want to reach. But what’s the use?”
- </p>
- <p>
- “I don’t know,” said Mrs. Sharpless. “But I’m
- going to find out.”
- </p>
- <p>
- One hour later she walked into the editorial sanctum of Mr. “Bart”
- Snyder, editor, proprietor, and controlling mind of as “yellow”
- a sheet as ever subsisted on a combination of enterprise, real
- journalistic ability, and blackmail. Mr. Snyder sat in a perfect slump of
- apparent languor, his body sagging back into his tilted chair, one foot
- across his desk, the other trailing like a broken wing along the floor,
- his shrewd, lined face uplifted at an acute angle with the cigar he was
- chewing, and his green hat achieving the most rakish effect possible to a
- third slant. His brilliant gray eyes were narrowed into a hard twinkle as
- he surveyed his visitor.
- </p>
- <p>
- “Siddown,” he grunted, and shoved a chair toward her with the
- grounded foot.
- </p>
- <p>
- Grandma Sharpless did not “siddown.” Instead she marched over
- to a spot directly in front of him, halted, and looked straight into the
- hard, humorous face.
- </p>
- <p>
- “Bartholomew Snyder,” said she crisply, “I knew you when
- you were a boy. I knew your mother, too. She was a decent woman. Take off
- that hat.”
- </p>
- <p>
- The Snyder jaw fell so unpremeditatedly that the Snyder cigar dropped upon
- the littered floor. One third of a second later, the Snyder foot descended
- upon it (and it was a twenty-cent cigar, too) as the Snyder chair reverted
- to the perpendicular, and the Snyder hat came off. The Snyder countenance
- quivered into articulation and therefrom came a stunned, “Well, I’ll
- be—”
- </p>
- <p>
- “No, you don’t! Not in <i>my</i> presence,” cut in his
- visitor. “Now, you listen.”
- </p>
- <p>
- “I’m listening,” he assured her in a strangled murmur.
- </p>
- <p>
- She seated herself and threw a quality of rigidity into her backbone
- calculated to impress if not actually to appeal. “I want your help,”
- she said.
- </p>
- <p>
- “Fine, fat way you’ve got of opening up a request for a favor,”
- he retorted, recovering himself somewhat, and in a particularly
- discouraging voice. But the shrewd old judge of human nature before him
- marked the little pursing at the corners of the mouth. “I’ll
- bet I know what it is.”
- </p>
- <p>
- “I’ll bet all the money I’ve got in the bank and my best
- gold tooth thrown in you don’t,” was the prompt retort.
- </p>
- <p>
- “There’s a sporting proposition, all right,” cried the
- editor in great admiration. “I thought you was going to ask me to
- let up on the city administration now you’ve got one of the fat jobs
- in the family, with your Dr. Strong.”
- </p>
- <p>
- “It’s a good thing you don’t have to make guesses for a
- living,” returned his caller scornfully. “Pitch into the
- administration as hard as you like. I don’t care. All I want is for
- you to print the news about this diphtheria epidemic.”
- </p>
- <p>
- “Is that all?” There was a profound sardonicism in the final
- word.
- </p>
- <p>
- “Come to think of it, it isn’t. I want you to print some
- editorials, too, telling people how to take care of themselves while the
- disease is spreading.”
- </p>
- <p>
- “Anything more?”
- </p>
- <p>
- “Well, you might do the same thing about the measles epidemic.”
- </p>
- <p>
- “Harr-rr-rr!” It was a singular growl, not wholly compounded
- of wrath and disgust. “Doc Strong send you here?”
- </p>
- <p>
- “No; he didn’t!”
- </p>
- <p>
- “Don’t bite me. I believe you.”
- </p>
- <p>
- “Will you publish some articles?”
- </p>
- <p>
- “Look-a-here, Mrs. Sharpless; the ‘Star’ is a business
- proposition. Its business is to make money for me. That’s all it’s
- here for. People say some pretty tough things about me and the paper.
- Well, we’re pretty tough. We can stand ‘em. Let ‘em
- talk, so long as I get the circulation and the advertising and the cash.
- Now, you want me to print something for you. Come down to brass tacks;
- what is there in it for me?”
- </p>
- <p>
- “A chance to be of some real use to your city for once in your life,”
- answered Grandma Sharpless mildly. “Isn’t that enough?”
- </p>
- <p>
- Bart Snyder threw back his head and laughed immoderately. “Say, I
- like you,” he gurgled. “You’ve got nerve. Me a good
- Samaritan! It’s so rich, I’m half a mind to go you, if it wasn’t
- for losing the advertising. Wha’ d’ ye want me to say, anyway,
- just for curiosity and cussedness?”
- </p>
- <p>
- “Just give the people plain talk,” explained the visitor.
- “Talk to ‘em in your editorials as if you had ‘em by the
- buttonhole. Say to them: ‘Do you want to get diphtheria? Well, you
- don’t need to. It’s just as easy to avoid it as to have it.
- Are you anxious to have measles in your house? It’s for you to
- decide. All you need is to take reasonable care against it. Infectious
- disease only kills foo—careless people.’”
- </p>
- <p>
- “Let it go at ‘fools,’” interjected Mr. Snyder,
- smiting his thigh. “Go on.”
- </p>
- <p>
- “Then I’d give them simple, straight advice; tell them how to
- recognize the early symptoms; how and where to get anti-toxin. And I’d
- scare ‘em, too. I’d tell ‘em there are five thousand
- cases of the two diseases in town, and there will be ten thousand in a
- week unless something is done.”
- </p>
- <p>
- Up rose the editor-proprietor, kicked over his own chair, whirled Mrs.
- Sharpless’s chair with its human burden to the desk, thrust a pencil
- into her hand, and slapped down a pad before her.
- </p>
- <p>
- “Write it,” he adjured her.
- </p>
- <p>
- “Who? Me?” cried Mrs. Sharpless, her astonishment momentarily
- overwhelming her grammar. “Bless you, man! I’m no writer.”
- </p>
- <p>
- “Talk it, then, and make your pencil take down the talk. I’ll
- be back in a minute.”
- </p>
- <p>
- That minute stretched to a good half-hour, during which period Grandma
- Sharpless talked to her pencil. When Mr. Snyder returned, he had with him
- a mournful-looking man who, he explained occultly, “holds down our
- city desk.”
- </p>
- <p>
- “This is our new Health Editor,” chuckled Snyder, indicating
- Mrs. Sharpless. “How many cases did you say there were in town, ma’am?”
- </p>
- <p>
- “Five thousand or more.”
- </p>
- <p>
- The city editor whistled whisperingly. “Where do you get that?”
- he asked.
- </p>
- <p>
- “From Dr. Strong.”
- </p>
- <p>
- “That’s news,” said the desk man. “I didn’t
- suppose it was half so bad. If only we dared print it!”
- </p>
- <p>
- “No other paper in town dares,” suggested the visitor
- insinuatingly.
- </p>
- <p>
- “Makes it all the more news,” remarked Snyder. “What if
- we played it up for a big feature, eh?”
- </p>
- <p>
- “Advertisers,” said the city editor significantly.
- </p>
- <p>
- “Let ‘em drop out. They’ll come back quick enough, when
- we’ve shown up one or two and told why they quit us. And think of
- the splash we can make! Only paper in the city that dares tell the truth.
- We’ll rub that into our highly respectable rivals. I’ll make
- you a proposition,” he added, turning to his caller.
- </p>
- <p>
- “Make it.”
- </p>
- <p>
- “You know I’ve hammered at Tom Clyde pretty hard. I don’t
- cotton to that saintly, holier-than-thou reform bunch at all. Well, let
- Clyde come into the ‘Star’ with a signed statement as
- President of the Public Health League, and we’ll make it the basis
- of a campaign that will rip this town wide open for a couple of weeks. I’d
- like to see him in my paper, after all the roasting we’ve handed
- him.” And the malicious face wrinkled into another grin.
- </p>
- <p>
- “You’ve bought a bargain,” stated Mrs. Sharpless.
- “The statement will be ready to-night. And another from Dr. Strong
- for good measure.”
- </p>
- <p>
- “Fine business!” ejaculated the “Star’s”
- owner. “Not open to a reasonable offer in the newspaper game, are
- you?” he added, laughing. “No? Well, I’m sorry.”
- </p>
- <p>
- “Would there be any use in my seeing the editors of the other
- papers?” asked Mrs. Sharpless.
- </p>
- <p>
- “Watch them fall in line,” was the grim response. “Before
- we’ve been out a day, they’ll be tumbling over each other to
- make the dear, deluded public believe that they’re the real pioneers
- in saving the city from the deadly germ.”
- </p>
- <p>
- “Well, here are my notes, if you can make anything out of them.”
- </p>
- <p>
- “Eh? Notes?” said the newspaper man, who had been glancing at
- the sheets over Mrs. Sharp-less’s shoulder. “Oh—ah. Yes,
- of course. All right. Glad to have metcher,” he added, politely
- ushering her to the door. “I’ll send a reporter up for the
- statements at eight o’clock.”
- </p>
- <p>
- “Thank you very much, Bartholomew Snyder,” said Grandma
- Sharpless, shaking hands.
- </p>
- <p>
- “Not a bit of it! Thanks the other way. You’ve given me a good
- tip in my own game. Watch me—us—wake ‘em up to-morrow.”
- </p>
- <p>
- Only the combined insistence of Grandma Sharpless and diplomacy of the
- Health Master overrode Mr. Clyde’s angry objections to “going
- into that filthy sheet” when the matter was broached to him that
- evening. For the good of the cause he finally acceded. And next morning
- the “Star” was a sight! It blazed in red captions. It squirmed
- and wriggled with illustrations of alleged germs. It shrieked in
- stentorian headlines. If the city had been beset by all the dogs of war,
- it couldn’t have blared more martial defiance against the enemy. It
- held its competitors up to infinite scorn and derision as mean-spirited
- shirks and cowards, and slathered itself with fulsome praises as the only
- original prop of truth and righteousness. And, as the centerpoint and core
- of all this, flaunted-the statement and signature of the Honorable Thomas
- Clyde, President of the Worthington Public Health League—with
- photograph. The face of Mr. Clyde, as he confronted this outrage upon his
- sensibilities at the breakfast table, was gloom itself until he turned to
- the editorial page. Then he emitted a whoop of glee. For there,
- double-leaded and double-headed was a Health Column, by “Our Special
- Writer, Grandma Sharpless, the Wisest Woman in Worthington. She will
- contribute opinions and advice on the epidemic to the ‘Star’
- exclusively.” (Mr. Snyder had taken a chance with this latter
- statement.)
- </p>
- <p>
- “Let me see,” gasped the old lady, when her son-in-law made
- known the cause of his mirth. Then, “They’ve published that
- stuff of mine just as I wrote it. I didn’t dream it was for print.”
- </p>
- <p>
- “That’s what makes it so bully,” said the Health Master.
- “You’ve got the editorial trick of confidential, convincing,
- man-to-man talk down fine. What’s more, you’ll have to keep it
- up, now. Your friend, Snyder, has fairly caught you. Well, we need an
- official organ in the household.”
- </p>
- <p>
- Vowing that she couldn’t and wouldn’t do it, nevertheless the
- new “editor” began to think of so many things that she wanted
- to say that, each day, when a messenger arrived from the “Star”
- with a polite request for “copy,” there was a telling column
- ready of the Health Master’s wisdom, simplified and pointed by
- Grandma Sharpless’s own pungent, crisp, vigorous, and homely style.
- Thanks largely to this, the “Star” became the mouthpiece of an
- anti-epidemic campaign which speedily enlisted the whole city.
- </p>
- <p>
- But the “yellow” was not to have the field to itself. Once the
- cat was out of the bag, the other papers not only recognized it as a cat
- with great uproar, but, so to speak, proceeded to tie a can to its tail
- and pelt it through the streets of the city. As a matter of fact, no
- newspaper wishes to be hampered in the publishing of legitimate news; and
- it was only by the sternest threats of withdrawal of patronage that the
- large advertisers had hitherto succeeded in coercing the press of
- Worthington. Further coercion was useless, now that the facts had found
- their way into type. With great unanimity and an enthusiasm none the less
- genuine for having been repressed, the papers rushed into the breach. The
- “Clarion” organized an Anti-Infection League of School
- Children, with officers and banners. The “Press” “attended
- to” the recreant Dr. Mullins so fiercely that, notwithstanding his
- pull, he resigned his position in the Health Department because of “breakdown
- due to overwork in the course of his duties,” and ceased to trouble,
- in official circles. Enterprising reporters of the “Observer”
- caused the arrest of thirty-five trolley-car conductors for moistening
- transfers with a licked thumb, and then got the street-car company to
- issue a new form of transfer inscribed across the back, “Keep me
- away from your Mouth.” It fell to the “Evening News” to
- drive the common drinking-cup out of existence, after which it instituted
- reforms in soda fountains, restaurants, and barber shops, while the
- “Telegram” garnered great glory by interspersing the
- inning-by-inning returns of the baseball championship with bits of counsel
- as to how to avoid contagion in the theater, in the street, in travel, in
- banks, at home, and in various other walks of life. But the “Star”
- held foremost place, and clinched it with a Sunday “cut-out”
- to be worn as a badge, inscribed “Hands Off, Please, Until It’s
- Over.” All of which, while it sometimes verged upon the absurd,
- served the fundamentally valuable purpose of keeping the public in mind of
- the peril of contact with infected persons or articles.
- </p>
- <p>
- Slowly but decisively the public absorbed the lesson. “Arm’s
- length” became a catch-phrase; a motto; a slogan. People came slowly
- to comprehend the methods by which disease is spread and the principles of
- self-protection.
- </p>
- <p>
- And as knowledge widened, the epidemic ebbed, though gradually. Serious
- epidemics are not conquered or even perceptibly checked in a day. They are
- like floods; dam them in one place and they break through your defenses in
- another. Inexplicable outbreaks occur just when the tide seems to have
- turned. And when victory does come, it may not be ascribable to any
- specific achievement of the hygienic forces. The most that can be said is
- that the persevering combination of effort has at last made itself felt.
- </p>
- <p>
- The red placards began to disappear; many of them, alas! only after the
- sable symbol of death had appeared beneath them. Dr. Strong and his
- worn-out aides found time to draw breath and reckon up their accounts in
- human life. The early mortality had been terrific. Of the cases which had
- developed in the period of suppression, before antitoxin was readily
- obtainable, more than a third had died.
- </p>
- <p>
- “Nobody will ever be indicted for those murders,” said Dr.
- Strong to Mr. Clyde grimly. “But we have the satisfaction of knowing
- what can really be done by prompt work. Look at the figures after the free
- anti-toxin was established.”
- </p>
- <p>
- There was a drop in the death rate, first to twenty per cent, then to ten,
- and, in the ebb stage of the scourge, to well below five.
- </p>
- <p>
- “How many infections we’ve prevented by giving anti-toxin to
- immunize exposed persons, there’s no telling,” continued Dr.
- Strong. “That principle of starting a back-fire in diphtheria,—it’s
- exactly like starting a back-fire in a prairie conflagration,—by
- getting anti-toxin into the system in time to head off the poison of the
- disease itself, is one of the two or three great achievements of medical
- science. There isn’t an infected household in the city today, I
- believe, where this hasn’t been done. The end is in sight.”
- </p>
- <p>
- “Then you can go away and get a few days’ rest,” said
- Grandma Sharpless, who constituted herself the Health Master’s own
- health guardian and undiplomaed medical adviser, and to whom he habitually
- rendered meek obedience; for she had been watching with anxiety the
- haggard lines in his face.
- </p>
- <p>
- “Not yet,” he returned. “Measles we still have with us.”
- </p>
- <p>
- “Decreasing, though,” said Mrs. Clyde. “Our nurses
- report a heavy drop in new cases and a big crop of convalescents.”
- </p>
- <p>
- “It is those convalescents that we must watch. I don’t want a
- generation of deaf citizens growing up from this onset.”
- </p>
- <p>
- “But can you prevent it if the disease attacks the ears?”
- asked Clyde.
- </p>
- <p>
- “Almost certainly. We’ve got to inspect every child who has or
- had measles in this epidemic, and, where the ear-drum is shiny and
- concave, we will puncture it, by a very simple operation, which saves
- serious trouble in ninety per cent of the cases, at least. But it means
- constant watchfulness, for often the infection progresses without pain.”
- </p>
- <p>
- “At the same time your inspectors will watch for other
- after-effects, then,” suggested Mrs. Sharpless.
- </p>
- <p>
- “Exactly. It’s my own opinion that nearly all the serious
- diseases of the eye, ear, liver, kidney, heart, and so on in early middle
- age are the late remote effects of what we carelessly call the lesser
- diseases of childhood. It is only a theory as yet; though some day I think
- it will be proved. At any rate, we know that a serious and pretty definite
- percentage of all deafness follows measles; and we are going to carry this
- thing through far enough to prevent that sequel and to turn over a
- reasonably cleaned-up situation to Dr. Merritt.”
- </p>
- <p>
- “He’s out of danger, by the way,” said Mrs. Clyde,
- “and will be back at his desk in a fortnight.”
- </p>
- <p>
- “Well; he’ll have an easier job henceforth,” prophesied
- Mr. Clyde. “He’s got an enlightened city to watch over. And he
- can thank you for that, Strong.”
- </p>
- <p>
- “He can thank the Clyde family,” said Dr. Strong with feeling.
- “I could have done little without you back of me.”
- </p>
- <p>
- “It’s been interesting to extend the principles of our
- Household Protective Association to the larger world,” smiled Clyde.
- “Beyond our own city, too, in one case. Manny has had a letter from
- the Professor of Hygiene at Hamilton College, where he enters next year,
- thanking him on behalf of the faculty for his warning about young Hyland
- who was exposed to diphtheria at the Ellery party. He went back to
- Hamilton a few days after and was starting in to play basketball, which
- would have been decidedly dangerous for his team mates; but the
- authorities, after getting Manny’s letter, kept him out of the
- gymnasium, and kept a watch on him. He developed the disease a week later;
- but there has been no infection from him.”
- </p>
- <p>
- “There’s direct result,” approved Dr. Strong. “That’s
- what I call spreading the gospel.”
- </p>
- <p>
- “Grandma’s our real revivalist, at that,” said Julia.
- “The children at Number Three pay more attention to her column than
- they do to what the teachers tell them. The principal told us that it was
- the greatest educational force for health that Worthington had ever known.”
- </p>
- <p>
- “Only reflected wisdom from you, young man,” said Grandma
- Sharpless to the Health Master. “Thank goodness, I’m through
- with it. I’m so sick of it that I can’t look at writing
- materials without wanting to cut the ink bottle’s throat with my
- penholder. Bart Snyder has let me off. What’s more, he sent me a
- check for $250. Pretty handsome of him. But I’m going to send it
- back.”
- </p>
- <p>
- “Why waste good money, grandma?” drawled Mr. Clyde.
- </p>
- <p>
- “You wouldn’t have me keep it, would you, for doing that work?”
- </p>
- <p>
- “Who said anything about keeping it? But don’t feed it back to
- Bart Snyder. Why not contribute it to the Public Health League? It’s
- always got a handsome deficit.”
- </p>
- <p>
- “In graceful recognition of my having a son-inlaw as president of
- it, I suppose.”
- </p>
- <p>
- “I’m not president any more. My term was up last night. They
- didn’t honor me with a reelection,” said Mr. Clyde, with a
- rather too obvious glumness, which, for once, escaped the sharp old lady.
- </p>
- <p>
- “The slinkums!” she cried. “After all the time and work
- you’ve given to it!”
- </p>
- <p>
- “Well,” said the ex-incumbent philosophically, “there’s
- one comfort. They’ve put a better man in my place.”
- </p>
- <p>
- “No such a thing,” declared his mother-in-law, with vehement
- partisanship. “They couldn’t find one. Who was it?”
- </p>
- <p>
- “Give you one guess.”
- </p>
- <p>
- “Was it you, young man?” queried she, fixing the Health Master
- with a baleful eye.
- </p>
- <p>
- “Oh, no; a better man than I,” he hastened to assure her.
- </p>
- <p>
- “Well, in the name of sakes, who, then?”
- </p>
- <p>
- “You,” said Mr. Clyde, grabbing the old lady by both shoulders
- and giving her a vigorous kiss. “Unanimously elected amidst an
- uproar of enthusiasm, as the ‘Star’ puts it. Here it is, on
- the first column of the front page.”
- </p>
- <p>
- For the first time in the history of the Clyde household, the senior
- member thereof gave way to an unbridled license of speech, in the presence
- of the family.
- </p>
- <p>
- “Well, I vum!” said Grandma Sharpless.
- </p>
- <p>
- <br /><br />
- </p>
- <hr />
- <p>
- <a name="link2H_4_0013" id="link2H_4_0013"> </a>
- </p>
- <div style="height: 4em;">
- <br /><br /><br /><br />
- </div>
- <h2>
- XII. PLAIN TALK
- </h2>
- <p class="pfirst">
- <span class="dropcap" style="font-size: 4.00em">“W</span>hat do you
- find so interesting in that paper, Strong?” asked Mr. Thomas Clyde,
- from his place in the corner of the big living-room.
- </p>
- <p>
- Dinner was just finished in the Clyde household, and the elders were
- sitting about, enjoying the easy and intermittent talk which had become a
- feature of the day since the Health Master had joined the family. From
- outside, the play of lively voices, above the harmonized undertones of a
- strummed guitar, told how the children were employing the after-dinner
- hour. Dr. Strong let the evening paper drop on his knees.
- </p>
- <p>
- “Something that has set me thinking,” he said.
- </p>
- <p>
- “Don’t you ever give that restless mind of yours a vacation,
- young man?” inquired Grandma Sharpless, looking up from her game of
- solitaire.
- </p>
- <p>
- “All that is good for it. Perhaps you’d like to share this
- problem, and thus relieve me of part of the responsibility.”
- </p>
- <p>
- “Do go on, if you’ve found anything exciting,” besought
- Mrs. Clyde, glancing up with her swift, interrogating smile. “The
- paper seemed unusually dull to me.”
- </p>
- <p>
- “Because you didn’t read quite deep enough into it, possibly.”
- He raised the journal, folded it neatly to a half-page, and holding it
- before his eyes, began smoothly:—
- </p>
- <p>
- “Far, far away, as far as your conscience will let you believe, in
- the Land of Parables—”
- </p>
- <p>
- “Wait a minute,” interrupted Mr. Clyde. “That ‘Land
- of Parables’ sounds as if we were going to have some Improving
- Information.” He regarded his friend and adviser with a twinkling
- eye. “Ought the children to miss this?”
- </p>
- <p>
- “That is for you to decide later,” said the Health Master
- gravely. And he resumed:—
- </p>
- <p>
- “Far, far away, as far as conscience will let you believe, in the
- Land of Parables, there once stood a prosperous and self-contented city.
- Men lived therein by rule and rote. Only what their fathers before them
- had believed and received did they believe and receive. ‘As it hath
- been, so it is now and ever must and shall be,’ was the principle
- whereby their lives were governed. Therefore they endured, without hope as
- without complaint, the depredations of a hideous Monster who preyed upon
- them unceasingly.
- </p>
- <p>
- “So loathsome was this Monster that the very thought of him was held
- to taint the soul. His name was sealed away from the common speech. Only
- the boldest men spoke of him, and then in paraphrases and by
- circumlocutions. Fouled, indeed, was the fame of the woman who dared so
- much as confess to a knowledge of his existence.
- </p>
- <p>
- “From time to time the wise and strong men of the city banded
- together and sallied forth to drive back other creatures of prey as they
- pressed too hard upon the people. Not so with the Monster. Because of the
- ban of silence no plan could be mooted, no campaign formulated to check
- his inroads. So he grew great and ever greater, and his blood hunger
- fierce and ever more fierce, and his scarlet trail wound in and out among
- the homes of the people, manifest even to those eyes which most sedulously
- sought to blind themselves against it.
- </p>
- <p>
- “Seldom did the Monster slay outright. But where his claws clutched
- or his fangs pierced, a slow venom crept through the veins, and life was
- corroded at its very wellsprings. Nor was this the worst. Once the blight
- fell upon one member of a household, it might corrupt, by hidden and
- subtle ways, the others and innocent, who knew not of the curse
- overhanging them.
- </p>
- <p>
- “Upon the foolish, the reckless, and the erring the Monster most
- readily fastened himself. But man nor woman nor child was exempt.
- Necessity drove young girls, struggling and shuddering, into the Monster’s
- very jaws. The purity of a child or of a Galahad could not always save
- from the serpent-stroke which sped from out the darkness.”
- </p>
- <p>
- “One moment, Strong,” broke in Mr. Clyde. “You’ve
- read this before?”
- </p>
- <p>
- “I know what is in it, if that is what you mean. Why?”
- </p>
- <p>
- “Nothing,” hesitated the other, glancing toward his wife and
- her mother. “Only, I suspect it isn’t going to be pleasant.”
- </p>
- <p>
- “It isn’t pleasant. It’s true.”
- </p>
- <p>
- Grandma Sharpless laid down her cards. “Let him go on, Tom,”
- she said decisively. “We have no ban of silence in this house.”
- </p>
- <p>
- At a nod from Clyde, the Health Master continued:—
- </p>
- <p>
- “Always the taboo of silence hedged the Monster about and protected
- him; and men secretly revolted against it, yet were restrained from speech
- by the fear of public dishonor. So, in time, he came to have a Scarlet
- Court of Shame, with his retinue of slaves, whose duty it was to procure
- victims for his insatiate appetite. But this service availed his servitors
- nothing in forbearance, for, sooner or later, his breath of fiery venom
- blasted and withered them, one and all.
- </p>
- <p>
- “One refuge only did the people seek against the Monster. At every
- doorpost of the city stood a veiled statue of the supposed Goddess and
- Protectress of the Household, worshiped under the name of <i>Modesty</i>,
- and to her the people appealed for succor and protection. Also they
- invoked her vengeance against such as spoke the name of the Monster, and
- bitter were the penalties wrought upon these in her name. Nevertheless
- there arose martyrs whose tongues could not be silenced by any fear.
- </p>
- <p>
- “One was a brave priest who stood in his pulpit unashamed and spoke
- the terrible truth of the Monster, bidding his hearers arise and band
- themselves together and strike a blow for their homes and their dear ones.
- But the people hurried forth in dread, and sought refuge before the Veiled
- Idol; and the priest’s words rang hollow in the empty tabernacle;
- and his church was deserted and crumbled away in neglect, so that the
- fearful said:—
- </p>
- <p>
- “‘Behold the righteous wrath which follows the breaking of the
- prescribed silence.’
- </p>
- <p>
- “Again, a learned and pious physician and healer gathered the young
- men about him in the marketplace to give them solemn warning against the
- Monster and his scarlet slaves. But his words returned upon himself, and
- he was branded with shame as one who worshiped not the Veiled Goddess, and
- was presently driven forth from his own place into the wilderness.
- </p>
- <p>
- “Then there came into the hall of the City Fathers a woman with
- disheveled hair and tear-worn cheeks, who beat upon her breast and cried:—“‘Vengeance,
- O Wise and Great Ones! My son, my little son went to the public baths, and
- the venom of the Monster was upon the waters, and my son is blind forever.
- What will ye do, that others may not suffer my grief?’
- </p>
- <p>
- “And the Wise and Great Ones spoke together and said:—
- </p>
- <p>
- “‘Surely this woman is mad, that she thus fouls her lips.’
- And they drove her out of their presence.
- </p>
- <p>
- “From among their own number there came a terror and a portent. For
- their Leader, who had been stricken in youth, but thought himself to have
- thrown off the toils of the Monster, rose in his place and spoke in a
- voice that piped and shook:—
- </p>
- <p>
- “‘Because no man taught me in my unripe days, I strayed into
- the paths of the Scarlet One. For the space of a generation I hoped; but
- now the clutch is upon me again, and I die. See to it, O my Fellows, that
- our youth no longer perish in their ignorance.’
- </p>
- <p>
- “So he passed out from the place of honor; and the strength of his
- mind and his body was loosened until he died. But, rather than violate the
- taboo, the Wise and Great Ones gave a false name to his death, and he was
- buried under a graven lie.
- </p>
- <p>
- “Finally there came to the Council Hall one with the fire of
- martyrdom in his eyes.
- </p>
- <p>
- “‘Though I perish,’ he said, ‘I and mine, yet will
- I speak the truth for once. My daughter I have given in marriage, and the
- Monster has entered into the house of her marriage, and from henceforth
- she must go, a maimed creature, sexless and childless, to the end of her
- days. Shame upon this city, that it endures such shame; for my daughter is
- but one of many.’
- </p>
- <p>
- “‘The shame be yours,’ replied the Fathers, ‘that
- you bring scandal upon your own. Go forth into exile, in the name of the
- Veiled Goddess, <i>Modesty</i>, beneath whose statue we meet.’
- </p>
- <p>
- “But the man strode forward, and with a violent hand plucked the
- veil from the statue.
- </p>
- <p>
- “‘Not the Protectress of Homes,’ he cried, ‘but
- the ally of the Monster. Not the Goddess, <i>Modesty</i>, but her sham
- sister, <i>Prudery</i>. Down with false gods!’
- </p>
- <p>
- “So saying, he threw the idol to the ground, where it was shattered
- into a thousand pieces. With those pieces the Fathers stoned him to death.
- </p>
- <p>
- “But in many households that night there was a baring of the Veiled
- Idol. And ever, behind the folds, was revealed not the pure gaze of the
- True Goddess, but the simper and leer of <i>Prudery</i>, mute accomplice
- of <i>Shame</i>.
- </p>
- <p>
- “Thus did the city awake. Fearfully it gathered its forces;
- tremblingly it prepared its war upon the Monster. But the Monster is
- intrenched. Its venom runs through the blood of the people, poisoning it
- from generation to generation, so that neither the grandsons nor the
- great-grandsons of those who stoned the martyr to the False Goddess shall
- escape the curse. The Prophet has said it: ‘Even unto the third and
- the fourth generations.’
- </p>
- <p>
- “<i>De te fabula narratur</i>; of you is the fable narrated.
- </p>
- <p>
- “The Land of Parables is your country.
- </p>
- <p>
- “The stricken city is your city.
- </p>
- <p>
- “The Monster coils at your doorway, lying in wait for your loved
- ones; and no prudence, no precaution, no virtue can guard them safely
- against his venom so long as the Silence of Prudery holds sway.”
- </p>
- <p>
- Dr. Strong let the newspaper fall on his lap, and looked slowly from face
- to face of the silent little group.
- </p>
- <p>
- “Need I tell you the name of the destroyer?” he asked.
- </p>
- <p>
- “Not me,” said Mrs. Clyde in a low tone. “It is a
- two-headed monster, isn’t it?”
- </p>
- <p>
- The Health Master nodded. “And because we all fear to utter the
- words ‘venereal disease,’ our children grow up in the peril of the
- Monster whose two allies are Vice and Ignorance.”
- </p>
- <p>
- “One editor in this town, at least, has some gumption,”
- commented Grandma Sharpless, peering over her spectacles at the sheet
- which Dr. Strong had let fall. “Which paper is it?”
- </p>
- <p>
- “None, if you must know. The fact is, I read that allegory into the
- newspaper, not out of it.”
- </p>
- <p>
- “Then it was your own?” asked Mrs. Clyde. “Such as it
- is, mine own. But the inspiration came from this headline.” He
- pointed to a legend in heavy type:—
- </p>
- <h3>
- DIVORCE IN THE INSIDE SET
- </h3>
- <h3>
- AFTER SEX MONTHS OF MARRIAGE, MRS. BARTLEY STARR
- </h3>
- <h3>
- SEEKS FREEDOM—NATURE OF CHARGES NOT MADE PUBLIC
- </h3>
- <p>
- “Do you know what is back of it, Strong?” asked Clyde.
- </p>
- <p>
- “The ruin of a life. Bartley Starr has been a ‘rounder.’
- With the curse of his vices upon him he married a young and untaught girl.”
- He repeated with slow significance a passage from the allegory. “The
- Monster entered into the house of her marriage, and from henceforth she
- must go, a maimed creature, sexless and childless, to the end of her days.”
- </p>
- <p>
- “Oh, no, no!” burst out Mrs. Clyde. “Not poor little,
- lovely, innocent Margaret Starr!”
- </p>
- <p>
- “Too innocent,” retorted the Health Master. “And more
- than innocent; ignorant.”
- </p>
- <p>
- “But Bartley Starr!” said Mr. Clyde. “Who would have
- supposed him such a scoundrel? And with his bringing-up, too!”
- </p>
- <p>
- “The explanation lies in his bringing-up.”
- </p>
- <p>
- “Nonsense! Henry Starr is as upright a man and as good a father as
- you can find in Worthington.”
- </p>
- <p>
- “The former, perhaps. Not the latter, certainly. He is a worshiper
- of the False Veiled Goddess, I suspect. Hence Bartley’s tragedy.”
- </p>
- <p>
- “Do you blame Bartley’s viciousness upon his father?”
- demanded Mrs. Clyde.
- </p>
- <p>
- “In part, at least. I happen to know a good deal about this case.
- Bartley got his sex-education or miseducation from chance talk at school.
- He took that to college with him, and there, unguided, fell into vicious
- ways. I don’t suppose his father ever had a frank talk with him in
- his life. And I judge that little Mrs. Starr’s mother never had one
- with her, either. Look at the result!”
- </p>
- <p>
- “But boys find out about such things some way,” said Mr. Clyde
- uneasily.
- </p>
- <p>
- “Some way? What way? And from whom? How much has Manny found out?”
- </p>
- <p>
- “I don’t know,” said Manny’s father.
- </p>
- <p>
- “Why don’t you know?” persisted the Health Master
- relentlessly. “You are his father, and, what is more, his friend.”
- </p>
- <p>
- “Why must Manny know?” cried Mrs. Clyde. “Surely my son
- isn’t going to wallow in that sort of foulness.”
- </p>
- <p>
- “Pray God he is not!” said Grandma Sharpless, turning her old,
- shrewd, kind face, the eyes bright and soft with feeling, toward her
- daughter. “But, oh, my dear, my dear, the bitterest lesson we
- mothers have to learn is that our children are of the common flesh and
- blood of humanity.”
- </p>
- <p>
- “Manny is clean-minded and high-spirited,” said Strong.
- “But not all of his companions are. Not a month ago I heard one of
- the older boys in his class assuring some of his fellows, in the terms of
- the most damnable lie that ever helped to corrupt youth, ‘Why, it
- ain’t any worse than an ordinary cold.’”
- </p>
- <p>
- “That was a stock phrase of the young toughs when I was a boy,”
- said Mr. Clyde. “So it still persists, does it?”
- </p>
- <p>
- “Any worse than an ordinary cold?” repeated Mrs. Clyde,
- looking puzzled. “What did he mean?”
- </p>
- <p>
- “Gonorrhoea,” said Dr. Strong.
- </p>
- <p>
- Mrs. Clyde winced back and half-rose from her chair.
- </p>
- <p>
- “Are you going?” asked the Health Master rather ‘grimly.
- “Must I be mealy-mouthed on this subject? Here I am, trying to tell
- you something of the most deadly import, and am I to choose perfumed words
- and pick rose-tinted phrases?”
- </p>
- <p>
- “Speak out, Strong,” said the head of the house. “I’ve
- been rather expecting this.”
- </p>
- <p>
- “First, then: you need not worry about Manny. I talked to him, long
- ago.”
- </p>
- <p>
- “But he’s only a boy, still,” said Mrs. Sharpless
- involuntarily.
- </p>
- <p>
- “He enters college this fall. And I’ve made sure that he won’t
- take with him the ‘no worse than a cold’ superstition about a
- disease which has wrecked the lives of thousands of Bartley Starrs.”
- </p>
- <p>
- “But I thought that Starr’s was the—the other and worse
- form,” said Mr. Clyde.
- </p>
- <p>
- “Plain talk,” adjured the Health Master. “You thought it
- was syphilis?”
- </p>
- <p>
- “Yes.”
- </p>
- <p>
- “And you thought syphilis worse than gonorrhoea?”
- </p>
- <p>
- “Surely!”
- </p>
- <p>
- “Well, it isn’t. I’ll explain that in detail presently.
- Just now—”
- </p>
- <p>
- “Do I have to hear all of this,” appealed Mrs. Clyde, with a
- face of piteous disgust.
- </p>
- <p>
- “Well, <i>I</i> told Manny,” said the Health Master in
- measured tones. “Must I be the one to tell Julia, too?”
- </p>
- <p>
- “Julia!” cried the mother. “Tell Julia?”
- </p>
- <p>
- “Some one must tell her.”
- </p>
- <p>
- “That child?”
- </p>
- <p>
- “Fourteen years old, and in high school. Last year there were ten
- known cases of venereal disease among the high-school girls.” *
- </p>
-<pre xml:space="preserve">
- * These and the following instances are based on actual and
- established medical findings.
-</pre>
- <p>
- “How horrible!”
- </p>
- <p>
- “Bad enough. I have known worse elsewhere. In a certain small city
- school, several years ago, it was discovered that there was an epidemic of
- vice which involved practically the whole school. And it was discovered
- only when venereal disease broke out. Our school authorities are just
- beginning to learn that immorality must be combated by watchfulness and
- quarantine, just as contagious disease must.”
- </p>
- <p>
- “How was the outbreak in our high school found out?” asked
- Grandma Sharpless.
- </p>
- <p>
- “In a curious and tragic way. One of the boys developed a sudden and
- serious inflammation of the eyes. At first the ophthalmologist to whom he
- went was puzzled. Then he began to suspect. A bateriological analysis
- showed that it was a case of gonorrhoeal infection. It was by a hair’s
- breadth that the less infected eye was saved. The sight of the other is
- lost. Examination showed that the disease was confined to the eyes. By a
- careful bit of medical detective work, the physician and the principal of
- the high school determined that the infection came from the use of a
- bath-towel in the house of a fellow-pupil where the patient had spent two
- or three nights. This pupil was examined and found to have a fully
- developed case, which he had concealed, in fear of disgrace. Consequently,
- the poison is now so deep-seated in him that it may be years before he is
- cured. He made a confession implicating a girl in the class above him. A
- rigid investigation followed which brought the other cases to light.”
- </p>
- <p>
- “I shall take Julia out of that school at once,” said Mrs.
- Clyde, half-crying.
- </p>
- <p>
- “No,” controverted the Health Master gently. “I shouldn’t
- do that. In the complex life of a city like this, it is impossible to
- shelter a girl completely and permanently. Better armor her with
- knowledge. Besides, the danger in the school, being discovered, is
- practically over now. In time, and using this experience as a lever with
- the school authorities, we hope to get a course of lectures on hygiene
- established, including simple sex-instruction. Meantime this must be
- carried on by the mothers and fathers.”
- </p>
- <p>
- “But what am I to say to Julia?”
- </p>
- <p>
- “That is what I am going to tell you,” replied the Health
- Master, “and look to you to pass on the truth in terms too plain to
- admit of any misunderstanding. First, does she know what womanhood and
- motherhood mean?”
- </p>
- <p>
- “Not yet, I think. She seems so young. And it’s so hard to
- speak of those things. But I thought I would try to explain to her some
- day.”
- </p>
- <p>
- “Some day? At once! How can you think her too young? She has already
- undergone the vital change from childhood to womanhood, and without so
- much as a word of warning or reassurance or explanation as to what it
- means.”
- </p>
- <p>
- “Not quite without,” put in Grandma Sharpless quietly.
- </p>
- <p>
- “Good!” approved the Health Master. “But be sure that
- the explanation is thorough. Tell her the significance of sex and its
- relation to reproduction and life. If you don’t, be sure that others
- will. And their version may well be in terms which would make a mother
- shudder to hear.”
- </p>
- <p>
- “Who would tell her?” asked Mrs. Clyde.
- </p>
- <p>
- “Her playmates. Do you think that girls don’t talk of the
- mysteries as much as boys? If so, you’re sadly in error. The first
- essential is that she should understand truly and wisely what it means to
- be a woman. That is fundamental. And now for the matter of venereal
- disease. I am going to lay certain facts before you all, and you can hand
- on to the children such modifications as you deem best.
- </p>
- <p>
- “First, gonorrhoea, because it is the worse of the two. That is not
- the accepted notion, I know: but the leading specialists one by one have
- come around to the view, that, by and large, it does more damage to
- humanity than the more greatly dreaded syphilis. For one thing, it is much
- more widespread. While there are no accurate statistics covering the field
- in general, it is fairly certain that forty per cent of all men over
- thirty-five in our larger cities have had the disease at some time.”
- </p>
- <p>
- “That doesn’t seem possible,” broke in Mr. Clyde.
- </p>
- <p>
- “Not to you, because you married early, and your associations have
- been largely with family, home-loving men. But ask any one of the
- traveling salesmen in your factory his view. Your traveling man is the
- Ulysses of modern life, ‘knowing cities and the hearts of men.’
- I think that you’ll find that compared with the ‘commercial’
- view, my forty per cent is optimistic.”
- </p>
- <p>
- “But it is easily curable, isn’t it?” asked Mrs. Clyde,
- insensibly yielding to the Health Master’s matter-of-fact tone, and
- finding, almost insensibly, that her interest in the hygienic problem had
- overcome her shamed reluctance to speak of it.
- </p>
- <p>
- “Often in the early stages. But it is very uncertain. And once
- firmly fixed on the victim, it is one of the most obstinate and
- treacherous of diseases. It may lie dormant for months or even years,
- deceiving its victim into thinking himself wholly cured, only to break out
- again in full conflagration, without warning.
- </p>
- <p>
- “This is the history of many ruined marriages. Only by the most
- searching tests can a physician make certain that the infection is stamped
- out. Probably no disease receives, on the average, such harmful treatment
- by those who are appealed to to cure it. The reason for this is that the
- young man with his first ‘dose’—that loathsome, light
- term of description!—is ashamed to go to his family physician, and
- so takes worthless patent medicines or falls into the hands of some
- ‘Men’s Specialist’ who advertises a ‘sure cure’
- in the papers. These charlatans make their money, not by skillful and
- scientific treatment, of which they know nothing, nor by seeking to effect
- a cure, but by actually nourishing the flame of the disease, so as to keep
- the patient under their care as long as possible, all the time building up
- fat fees for themselves. If they were able, as they claim, to stop the
- infection in a few days at a small fee, they couldn’t make money
- enough to pay for the scoundrelly lies which constitute their
- advertisements. While they are collecting their long-extended payments
- from the victim, the infection is spreading and extending its roots more
- and more deeply, until the unfortunate may be ruined for life, or even
- actually killed by the ravages of the malignant germs.”
- </p>
- <p>
- “I didn’t suppose that it was ever fatal,” said Clyde.
- </p>
- <p>
- “Oh, yes. I’ve seen deaths in hospitals, of the most agonizing’
- kind. But it is by virtue of its byproducts, so to speak, that gonorrhoea
- is most injurious and is really more baneful to the race than syphilis.
- The organism which causes it is in a high degree destructive to the eyes.
- Newborn infants are very frequently infected in this way by gonorrhoeal
- mothers. Probably a quarter of all permanent blindness in this country is
- caused by gonorrhoea. The effect of the disease upon women is disastrous.
- Half of all abdominal operations on married women, excluding appendicitis,
- are the results of gonorrhoeal infection from their husbands. A large
- proportion of sterility arises from this cause. A large proportion of the
- wives of men in whom the infection has not been wholly eradicated pay the
- penalty in permanently undermined health. And yet the superstition endures
- that ‘it’s no worse than a bad cold.’”
- </p>
- <p>
- “There is no such superstition about syphilis, at least,”
- remarked Clyde.
- </p>
- <p>
- “No. The very name is a portent of terror, and it is well that it
- should be so. The consequence is that the man who finds himself afflicted
- takes no chances, as a rule. He goes straight to the best physician he can
- find, and obeys orders under terror of his life. Thus and thus only, he
- often is cured. Terrible as syphilis is, there is this redeeming feature:
- we can tell pretty accurately when the organism which causes it is
- eliminated. Years after the disease itself is cured, however, the victim
- may be stricken down by the most terrible form of paralysis, resulting
- from it.”
- </p>
- <p>
- “Isn’t the Ehrlich treatment regarded as a sure cure?”
- asked Mrs. Sharpless.
- </p>
- <p>
- “No cure is sure. Salvarsan, skillfully administered, is as near a
- specific as any known form of treatment. But we don’t know whether
- it has any effect at all upon locomotor ataxia or general paralysis, the
- after effects, which may destroy the patient fifteen or twenty years after
- the actual disease has been cured. All locomotor ataxia and all general
- paralysis come from syphilis. And these diseases are not only incurable,
- but are as nearly a hell on earth as poor humanity is ever called upon to
- endure. Of course, you know that a man who is base enough to marry with
- syphilis dooms his children. Fortunately seventy-five or eighty per cent
- of the offspring of such marriages die in infancy or early childhood. The
- rest grow up deficient in mind or body or both. Upwards of ten per cent of
- all insanity is syphilitic in its origin.
- </p>
- <p>
- “Both venereal diseases are terribly contagious. Innocence is no
- protection. Syphilis may be contracted from a drinking-cup or
- eating-utensil, or from the lips of an infected person having an open sore
- on the mouth. Gonorrhoea is spread by towels, by bathtubs, or from
- contaminated toilets. No person, however careful, is immune from either of
- the ‘red plagues.’ And yet the public is just beginning to be
- educated to the peril.”
- </p>
- <p>
- “Why wouldn’t that be a good topic for the Woman’s Club
- to discuss?” asked Grandma Sharpless.
- </p>
- <p>
- “Splendid!” said Dr. Strong. “That is, if they would
- allow you to talk about it.”
- </p>
- <p>
- “<i>Allow</i> me!” The old lady’s firm chin tilted up
- sharply. “Who’s going to put the ban of silence on me?”
- </p>
- <p>
- “Nobody, I dare say, if you make up your mind to speak,”
- replied Dr. Strong, smiling. “But some will probably try. Would you
- believe that, only a short time since, a professor of hygiene in one of
- our leading universities had to abandon a course of lectures to the
- students because the wives of the faculty and trustees objected to his
- including venereal diseases in his course? And a well-known lecturer, who
- had been invited to speak on health protection before a list of colleges,
- suffered the indignity of having the invitation withdrawn because he
- insisted that he could not cover the ground without warning his hearers
- against the twin pestilences of vice.”
- </p>
- <p>
- “Are the colleges so greatly in need of that sort of warning?”
- asked Mrs. Clyde.
- </p>
- <p>
- “Subsequent records obtained from some of the protesting
- institutions showed that one third of the students had at some time been
- infected.”
- </p>
- <p>
- “I’m glad you’ve told my boy,” said Mrs. Clyde,
- rising. “I’ll talk to my girls.”
- </p>
- <p>
- “And I to the women,” said Mrs. Sharpless. “Then I’d
- better make a list, for both of you, of the literature on the subject
- which you will find useful,” said the Health Master. “I’ll
- give it to you later.” *
- </p>
-<pre xml:space="preserve">
- * The list of publications on the sex problem and venereal
- disease recommended by the Health Master to the Clyde family
- was as follows:—
-
- Published by the California Social Hygiene Society, Room
- 256, U.S. Custom House, San Francisco, Calif.: The Four Sex
- Lies, When and How to Tell the Children, A Plain Talk with
- Girls about their Health and Physical Development. Published
- by the Detroit Society for Sex Hygiene, Wayne Co. Medical
- Society Building, Detroit, Mich.: To the Girl who does not
- Know, A Plain Talk with Boys. Published by the Chicago
- Society of Social Hygiene, 305 Reliance Building, Chicago,
- Ill: Self Protection, Family Protection, Community
- Protection. Published by the Maryland Society for Social
- Hygiene, 15 East Pleasant Street, Baltimore, Md.: The So-
- Called Sexual Necessity in Man, The Venereal Diseases.
- Published by the American Federation for Sex Hygiene, 105
- West 40th St., N.Y. City: List of Publications of the
- Constituent Societies, The Teaching of Sex Hygiene, Sex
- Instruction as a Phase of Social Education. Published by the
- Society of Sanitary and Moral Prophylaxis: The Sex Problem,
- Health and the Hygiene of Sex.
-</pre>
- <p>
- For a time after the women had left, the two men sat silent.
- </p>
- <p>
- “Strong,” said Mr. Clyde presently, “who is Bartley
- Starr’s physician?”
- </p>
- <p>
- “Dr. Emery.”
- </p>
- <p>
- “Why didn’t he warn him not to marry?”
- </p>
- <p>
- “He did. He positively forbade it.”
- </p>
- <p>
- “And Starr married that young girl in the face of that prohibition?”
- </p>
- <p>
- “He thought he was cured. Dr. Emery couldn’t say positively
- that he wasn’t. He could only beg him to wait another year. Starr
- hadn’t the courage—or the principle; he feared scandal if he
- postponed the wedding. So he disregarded the warning and now the scandal
- is upon him with tenfold weight.”
- </p>
- <p>
- “Isn’t there any law for such cases?”
- </p>
- <p>
- “Not in this state. Indiana requires that parties to a marriage
- swear to their freedom from venereal disease and certain other ailments.
- Other states have followed suit. Every state ought to.”
- </p>
- <p>
- “Why didn’t Dr. Emery go to the girl’s father, then?”
- </p>
- <p>
- “Because of our damnable law,” returned the Health Master with
- a sudden and rare access of bitterness.
- </p>
- <p>
- “You mean that the law forbids?”
- </p>
- <p>
- “It holds the physician liable for any professional confidence
- violated.” Dr. Strong rose and paced up and down the room, talking
- with repressed energy. “Therein it follows medical ethics in its
- most conservative and baneful phase. The code of medical conduct provides
- that a physician is bound to keep secret all the private affairs of a
- patient, learned in the course of practice. One body, the American
- Institute of Homoeopathy, has wisely amended its code to except those
- cases where ‘harm to others may result.’ That amendment was
- passed with particular reference to venereal disease.”
- </p>
- <p>
- “What about contagious disease?” asked Mr. Clyde. “Doesn’t
- the law require the physician to report diphtheria, for instance, and thus
- violate the patient’s confidence?”
- </p>
- <p>
- “Certainly it does. All schools recognize that principle of
- protection to the public. Yet, in the case of syphilis or gonorrhoea, when
- the harm to the public health is far greater than from any ‘reportable’
- disease except tuberculosis, the physician must hold his peace, though he
- sees his patient pass out of his hands bearing fire and sword and poison
- to future generations. There’s the Ban of Silence in its most
- diabolical form!”
- </p>
- <p>
- Mr. Clyde regarded his household physician keenly. “I’ve never
- before seen you so stirred,” he observed.
- </p>
- <p>
- “I’ve reason to be stirred.” The Health Master whirled
- suddenly upon his friend and employer. “Clyde, you’ve never
- questioned me as to my past.”
- </p>
- <p>
- “No.”
- </p>
- <p>
- “Have you never wanted it cleared up?”
- </p>
- <p>
- “No.”
- </p>
- <p>
- “You’ve always been willing to take me on trust?”
- </p>
- <p>
- “Yes.”
- </p>
- <p>
- “And I appreciate it. But now I’m going to tell you how I
- happened to come to you, a broken and ruined man.”
- </p>
- <p>
- “Think it over, Strong,” advised Mr. Clyde. “Don’t
- speak now. Not that it would make any difference to me. I know you. If you
- were to tell me that you had committed homicide, I’d believe that it
- was a necessary and justifiable homicide.”
- </p>
- <p>
- “Suicide, rather,” returned the other with a mirthless laugh;
- “professional suicide. I’ll speak now, if you don’t
- object.”
- </p>
- <p>
- “Go ahead, then, if it will ease your mind.”
- </p>
- <p>
- “I’m a lawbreaker, Clyde. I did, years ago, what you thought
- Emery should have done. I deliberately violated the profession’s Ban
- of Silence. The man was my patient, in the city where I had built up a
- good high-class practice. He had contracted gonorrhoea and I had treated
- him for a year. The infection seemed to be rooted out. But I knew the
- danger, and when he told me that he was engaged to be married, to a girl
- of my own set and a valued friend, I was horror-stricken. I pleaded,
- argued, and finally threatened. It was no use. He was the spoiled child of
- a wealthy family, impatient of any thwarting. One day the suspicions of
- the girl’s mother were aroused. She came to me in deep distress. I
- told her the truth. The engagement was broken. The man did not bring suit
- against me, but his family used their financial and social power to
- persecute and finally drive me out of the city, a nervous wreck. That’s
- my history.”
- </p>
- <p>
- “You could have protected yourself by telling the true facts,”
- suggested Clyde. .
- </p>
- <p>
- “Yes: but that would have been an unforgivable breach of confidence.
- The public had no right to the facts. The girl’s family had.”
- </p>
- <p>
- “Then they should have come to your rescue with the truth.”
- </p>
- <p>
- “I bound them to secrecy.”
- </p>
- <p>
- Slowly Mr. Clyde rose, walked over, picked up the paper with the staring
- headlines, folded it, laid it on the table, and, in passing the physician,
- set a hand, as if by chance, upon his shoulder. From so undemonstrative a
- man the action meant much.
- </p>
- <p>
- “So,” he said with affectionate lightness, “my Chinese
- physician had been fighting dragons before he ever came to us; worse
- monsters than he’s been called upon to face, since. That was a
- splendid defeat, Strong.”
- </p>
- <p>
- “A bitter one,” said the Health Master; “and by the same
- old Monster, in another manifestation that we’ve been fighting here.
- We’ve downed him now and again, you and I, Clyde. But he’s
- never killed: only scotched. He’s the universal ally of every ill
- that man hands on to man, and we’ve only to recognize him under the
- thousand and one different forms he assumes to call him out to battle
- under his real name.”
- </p>
- <p>
- “And that is?” inquired Clyde.
- </p>
- <p>
- “Ignorance,” said the Health Master.
- </p>
- <h3>
- THE END
- </h3>
- <div style="height: 6em;">
- <br /><br /><br /><br /><br /><br />
- </div>
-
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You may copy it, give it away or re-use it under the terms +of the Project Gutenberg License included with this eBook or online +at <a href="https://www.gutenberg.org">www.gutenberg.org</a>. If you +are not located in the United States, you will have to check the laws of the +country where you are located before using this eBook. +</div> +<div style='display:block; margin-top:1em; margin-bottom:1em; margin-left:2em; text-indent:-2em'>Title: The Health Master</div> +<div style='display:block; margin-top:1em; margin-bottom:1em; margin-left:2em; text-indent:-2em'>Author: Samuel Hopkins Adams</div> +<div style='display:block;margin:1em 0'>Release Date: August 2, 2018 [eBook #57543]<br /> +[Most recently updated: April 14, 2021]</div> +<div style='display:block;margin:1em 0'>Language: English</div> +<div style='display:block;margin:1em 0'>Character set encoding: UTF-8</div> +<div style='display:block; margin-left:2em; text-indent:-2em'>Produced by: David Widger</div> +<div style='margin-top:2em;margin-bottom:4em'>*** START OF THE PROJECT GUTENBERG EBOOK THE HEALTH MASTER ***</div> + +<h1>THE HEALTH MASTER</h1> + +<h2 class="no-break">By Samuel Hopkins Adams</h2> + +<h3>Associate Fellow of the American Medical Association</h3> + +<h4>Boston And New York Houghton Mifflin Company</h4> + +<h3>1913</h3> + +<div class="chapter"> + +<p> +<i>To George W. Goler, M.D., a type of the courageous, unselfish, and +far-sighted health official, whom the enlightened and progressive city of +Rochester, N. Y., hires to keep it well, on the “Chinese plan,” +this book is inscribed, with the hope that it may, by exercising some influence +in the hygienic education of the public, aid the work which he and his fellow +guardians of the public health are so laboriously and devotedly performing +throughout the nation.</i> +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2>Contents</h2> + +<table summary="" style=""> + +<tr> +<td> <a href="#pref01">INTRODUCTORY NOTE</a></td> +</tr> + +<tr> +<td> <a href="#chap01">I. THE CHINESE PLAN PHYSICIAN</a></td> +</tr> + +<tr> +<td> <a href="#chap02">II. IN TIME OF PEACE</a></td> +</tr> + +<tr> +<td> <a href="#chap03">III. REPAIRING BETTINA</a></td> +</tr> + +<tr> +<td> <a href="#chap04">IV. THE CORNER DRUG-STORE</a></td> +</tr> + +<tr> +<td> <a href="#chap05">V. THE MAGIC LENS</a></td> +</tr> + +<tr> +<td> <a href="#chap06">VI. THE RE-MADE LADY</a></td> +</tr> + +<tr> +<td> <a href="#chap07">VII. THE RED PLACARD</a></td> +</tr> + +<tr> +<td> <a href="#chap08">VIII. HOPE FOR THE HOPELESS</a></td> +</tr> + +<tr> +<td> <a href="#chap09">IX. THE GOOD GRAY DOCTOR</a></td> +</tr> + +<tr> +<td> <a href="#chap10">X. THE HOUSE THAT CAUGHT COLD</a></td> +</tr> + +<tr> +<td> <a href="#chap11">XI. THE BESIEGED CITY</a></td> +</tr> + +<tr> +<td> <a href="#chap12">XII. PLAIN TALK</a></td> +</tr> + +</table> + +<h2><a name="pref01"></a>INTRODUCTORY NOTE</h2> + +<p> +To dogmatise on questions of medical practice is to invite controversy and +tempt disaster. The highest wisdom of to-day may be completely refuted by +to-morrow’s discovery. Therefore, for the simple principles of disease +prevention and health protection which I have put into the mouth of my Health +Master, I make no claim of finality. In support of them I maintain only that +they represent the progressive specialized thought of modern medical science. +So far as is practicable I have avoided questions upon which there is serious +difference of belief among the authorities. Where it has been necessary to +touch upon these, as, for example, in the chapter on methods of isolation in +contagious diseases, a question which arises sooner or later in every +household, I have advocated those measures which have the support of the best +rational probability and statistical support. +</p> + +<p> +Not only has the book been prepared in consultation with the recognized +authorities on public health and preventive medicine, but every chapter has +been submitted to the expert criticism of specialists upon the particular +subject treated. My own ideas and theories I have advanced only in such +passages as deal with the relation of the physician and of the citizen to the +social and ethical phases of public health. To the large number of medical +scientists, both public and private, whose generous aid and counsel have made +my work possible, I gratefully acknowledge my debt. My thanks are due also for +permission to reprint, to the <i>Delineator</i>, in which most of the chapters +have appeared serially; to <i>Collier’s Weekly</i>, and to the +<i>Ladies’ Home Journal</i>. +</p> + +<p> +The Author. +</p> + +<hr /> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap01"></a>I.<br /> +THE CHINESE PLAN PHYSICIAN</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">T</span>HE eleven-o’clock +car was just leaving Monument Square when Mr. Thomas Clyde swung aboard with an +ease and agility worthy of a younger and less portly man. Fortune favored him +with an unoccupied seat, into which he dropped gratefully. Just in front of him +sprawled a heavy-shouldered young man, apparently asleep. Mr. Clyde was +unfavorably impressed both by his appearance and by the manner of his +breathing, which was as excessive as it was unusual. As the car swung sharply +around a curve the young man’s body sagged at the waist, and lopped over +toward the aisle. Before Mr. Clyde’s restraining hand could close upon +his shoulder, he had tumbled outward to the floor, and lay quiet, with upturned +face. There was a stir through the car. +</p> + +<p> +“The horrid drunken creature!” exclaimed a black-clad woman +opposite Mr. Clyde. “Why do they allow such people on the cars?” +</p> + +<p> +The conductor hurried forward, only to find his way blocked by a very tall, +slender man who had quietly stepped, from a seat next the window, over an +intervening messenger boy and the box he was carrying. The new arrival on the +scene of action stooped over the prostrate figure. One glance apparently +satisfied him. With a swift, sharp motion he slapped the inert man forcefully +across the cheek. The sound of the impact was startlingly loud. The senseless +head rolled over upon the left shoulder, only to be straightened out by another +quick blow. A murmur of indignation and disgust hummed and passed, and the +woman in black called upon the conductor to stop the assault. But Mr. Thomas +Clyde, being a person of decision and action, was before the official. He +caught the assailant’s arm as it swung back again. +</p> + +<p> +“Let him alone! What do you mean by beating a helpless man that +way!” +</p> + +<p> +“Do you know more about this affair than I do?” The crisp query was +accompanied by a backward thrust of the tall man’s elbow which broke Mr. +Clyde’s hold, and—smack! smack!—the swift double blow rocked +the victim’s head again. This time the man groaned. The car was in an +uproar. Mr. Clyde instantly and effectively pinned the tall man’s elbows +from behind. Some one pulled the bell, and the brakes ground, throwing those +forward who had pressed into the aisle. Against this pressure, Mr. Clyde, aided +by the conductor, began dragging his man backward. The stranger was helpless to +resist this grip; but as he was forced away he perpetrated a final atrocity. +Shooting out one long leg, he caught the toe of his boot under the outstretched +man’s jawbone and jerked the chin back. This time, the object of the +violence not only groaned, but opened his eyes. +</p> + +<p> +“I’ll have you in jail for that!” panted Mr. Clyde, his +usually placid temper surging up. +</p> + +<p> +Other passengers began to lift the victim. +</p> + +<p> +“Drop him!” snapped the tall man, with such imperative +decisiveness, that the helping hands involuntarily retracted. “Let him +lie, you fools! Do you want to kill him?” +</p> + +<p> +Misgivings beset and cooled Mr. Thomas Clyde. He had now reached the rear +platform, still holding in his powerful and disabling grasp the unknown man, +when he heard a voice from an automobile which had been halted by the abrupt +stop of the car. +</p> + +<p> +“Can I be of any help?” +</p> + +<p> +“Dr. Magruder!” exclaimed Mr. Clyde, “come in here, will you, +and look at a sick man?” +</p> + +<p> +As the doctor stepped aboard, the captive with a violent wrench freed himself +from Mr. Clyde’s relaxing hold and dropped from the platform into the +darkness. Dr. Magruder forced his way through the crowd, took one look at the +patient, and, right and left, struck him powerfully across the cheeks time and +again, until the leaden-lidded eyes opened again. There was a quick recourse to +the physician’s little satchel; then— +</p> + +<p> +“All right,” said the doctor cheerfully. “He’ll do now. +But, my friend, with that heart of yours, you want to sign the pledge or make +your will. It was touch and go with you that time.” +</p> + +<p> +Waiting to hear no more, Mr. Thomas Clyde jumped from the rear step and set off +at a rapid pace, looking about him as he ran. He had not gone a block when he +saw, by the radiance of an electric light, a tall figure leaning against a tree +in an attitude of nerveless dejection. The figure straightened up. +</p> + +<p> +“Don’t try to man-handle me again,” advised the man, +“or you may meet with a disappointment.” +</p> + +<p> +“I’ve come to apologize.” +</p> + +<p> +“Very well,” returned the other coolly; “I appreciate it. +Many a fool wouldn’t go even so far.” Mr. Clyde smiled. “I +own to the soft impeachment. From what Dr. Magruder said I judge you saved that +fellow from the hospital.” +</p> + +<p> +“I judge I did—no thanks to you! You’ve a grip like a +vise.” +</p> + +<p> +“Yes; I keep in good training,” said the other pleasantly. “A +man of my age has to, if he is to hold up his work.” He looked +concernedly at the stranger who had involuntarily lapsed against the tree +again. “See here,” he added, “I don’t believe +you’re well.” +</p> + +<p> +“No; I don’t believe I am,” answered the tall man in +uncompromising tones; “but I do believe that it is peculiarly my own +affair whether I am or not.” +</p> + +<p> +“Nonsense! Man, your nerves are on the jump. You used yourself up on that +chap in the street car. Come across to my club and take something to brace you +up.” +</p> + +<p> +People usually found it hard to resist Mr. Clyde’s quiet persuasiveness. +The stranger, after a moment of consideration, smiled. +</p> + +<p> +“Begin with a fight and end with a drink?” he asked. +“That’s a reversal of the usual process. If your cuisine runs to a +cup of hot milk as late as this, I’d be glad to have it.” +</p> + +<p> +As they entered the club, Mr. Clyde turned to his guest. +</p> + +<p> +“What name shall I register?” +</p> + +<p> +The stranger hesitated. “Strong,” he said finally. +</p> + +<p> +“Dr. Strong?” +</p> + +<p> +“Well—yes—Dr. Strong if you will.” +</p> + +<p> +“Of what place?” +</p> + +<p> +“Any place—Calcutta, Paris, Mexico City, Philadelphia, Rio. +I’ve tried ‘em all. I’m a man without a country, as I am +without a profession.” He spoke with the unguarded bitterness of shaken +nerves. +</p> + +<p> +“Without a profession! But you said ‘Doctor.’” +</p> + +<p> +“A title isn’t a profession,” returned the guest shortly. +</p> + +<p> +Turning that over in his mind, Mr. Clyde led the way to a quiet table in the +corner of the diningroom, where he gave his order. Observing that his new +acquaintance was <i>distrait</i>, he swung into the easy conversational flow of +a cultured man of the world, at the same time setting his keen judgment of men +to work upon the other. There was much there to interest a close observer. The +face indicated not much over thirty years; but there were harsh lines in the +broad and thoughtful forehead, and the hair that waved away from it was +irregularly blotched with gray. The eyes, very clear and liquid, were marred by +an expression of restlessness and stress. The mouth was clear-cut, with an +expression of rather sardonic humor. Altogether it was a face to remark and +remember; keen, intellectual, humorous, and worn. Mr. Thomas Clyde decided that +he liked the man. +</p> + +<p> +“You’ve been a traveler, Doctor?” he asked. +</p> + +<p> +“Yes. I’ve seen life in many countries—and death.” +</p> + +<p> +“And traced the relations between them, I suppose?” +</p> + +<p> +“Oh, I’ve flashed my little pin-point lantern at the Great Darkness +in the fond hope of discovering something,” returned the other cynically. +</p> + +<p> +“In a way, I’m interested in those matters,” continued Mr. +Clyde. “They’ve organized a Public Health League here, and made me +president of it. More from finance than fitness,” he added, humorously. +</p> + +<p> +“Finance has its part, too,” said the other. “Give me +millions enough and I’ll rid any city of its worst scourge, +tuberculosis.” +</p> + +<p> +“Then I wish to Heaven you had the millions to spend here in Worthington! +We’re in a bad way. Two years ago we elected a reform administration. The +Mayor put in a new Health Officer and we looked for results. We’ve had +them—the wrong kind. The death rate from tuberculosis has gone up +twenty-five per cent, and the number of cases nearly fifty per cent since he +took office.” +</p> + +<p> +“You don’t say so!” said the stranger, showing his first +evidence of animation. “That’s good.” Mr. Clyde stared. +“You think so? Then you’ll undoubtedly be pleased to learn that +other diseases are increasing almost at the same rate: measles, scarlet fever, +and so on.” +</p> + +<p> +“Fine!” said Dr. Strong. +</p> + +<p> +“And finally, our general mortality rate has gone up a full point. We +propose to take some action regarding it.” +</p> + +<p> +“Quite right. You certainly ought to.” Something in his +guest’s tone made Mr. Clyde suspicious. “What action would you +suggest, then? he asked. +</p> + +<p> +“A vote of confidence in your Health Officer.” +</p> + +<p> +“You propose that we indorse the man who is responsible for a marked rise +in our mortality figures?” +</p> + +<p> +“Certainly.” +</p> + +<p> +“In the name of all that’s absurd, why?” +</p> + +<p> +“Let me answer that by another question. If disease appears in your +household, do you want your doctor to conceal it or check it?” +</p> + +<p> +Mr. Clyde took that under advisement. “You mean that this city has been +concealing its diseases, and that Dr. Merritt, our new Health Officer, is only +making known a condition which has always existed?” he asked presently. +</p> + +<p> +“Haven’t you just told me so?” +</p> + +<p> +“When did I tell you anything of the sort?” The younger man smiled. +“That’s five questions in a row,” said he. “Time for an +answer. You said that deaths from tuberculosis had increased twenty-five per +cent since the new man came in.” +</p> + +<p> +“Well?” +</p> + +<p> +“You’re wrong. Tuberculosis doesn’t increase in sudden leaps. +It isn’t an epidemic disease, rising and receding in waves. It’s +endemic, a steady current.” +</p> + +<p> +“But look at the figures. Figures don’t lie, do they?” +</p> + +<p> +“Usually, in vital statistics,” was the imperturbable reply. +“In this case, probably not. That is, they don’t lie to me. +I’m afraid they do to you.” Mr. Clyde looked dubiously at the +propounder of this curious suggestion and shook his head. +</p> + +<p> +“Don’t get it?” queried Dr. Strong. “Perhaps you recall +the saying of Thoreau—I think it the profoundest philosophical thought of +the New World—that it takes two to tell the truth, one to speak and one +to hear it.” +</p> + +<p> +“You mean that we’ve misinterpreted the figures? Why, they’re +as plain as two and two.” +</p> + +<p> +“Truth lies behind figures, not in them,” said Dr. Strong. +“Now, you’re worried because of a startling apparent swelling of +the tuberculosis rate. When you find that sort of a sudden increase, it +doesn’t signify that there’s more tuberculosis. It signifies only +that there’s more knowledge of tuberculosis. You’re getting the +disease more honestly reported; that’s all. Dr. Merritt—did you say +his name is?—has stirred up your physicians to obey the law which +requires that all deaths be promptly and properly reported, and all new cases +of certain communicable diseases, as well. Speaking as a doctor, I should say +that, with the exception of lawyers, there is no profession which considers +itself above the law so widely as the medical profession. Therefore, your +Health Officer has done something rather unusual in bringing the doctors to a +sense of their duty. As for reporting, you can’t combat a disease until +you know where it is established and whither it is spreading. So, I say, any +health officer who succeeds in spurring up the medical profession, and in +dragging the Great White Plague out of its lurking-places into the light of day +ought to have a medal.” +</p> + +<p> +“What about the other diseases? Is the same true of them?” +</p> + +<p> +“Not to the same extent. No man can tell when or why the epidemic +diseases—scarlet fever, measles, whooping-cough, and +diphtheria—come and go. By the way, what about your diphtheria death rate +here?” +</p> + +<p> +“That is the exception to the rule. The rate is decreasing.” +</p> + +<p> +Dr. Strong brought his hand down flat on the table with a force which made his +cup jump in its saucer. “And your misnamed Public Health League proposes +to take some action against the man who is shown, by every evidence +you’ve suggested thus far, to be the right man in the right place!” +</p> + +<p> +“How does the diphtheria rate show in his favor any more than the other +death rates against him?” +</p> + +<p> +“Because diphtheria is the one important disease which your medical +officer can definitely control, and he seems to be doing it.” +</p> + +<p> +“The only important one? Surely smallpox is controllable?” +</p> + +<p> +“Smallpox is the poisoned arrow of the fool-killer. It is controllable; +but it isn’t important, except to fools and anti-vaccination +bigots.” +</p> + +<p> +Mr. Thomas Clyde softly rubbed his cleanshaven chin, a sign and token with him +that his mind was hard at work. +</p> + +<p> +“You’re giving me a new view of a city in which I’ve lived +for the first and last forty-five years of my life,” he said presently. +“Are you familiar with conditions here?” +</p> + +<p> +“Never have been here before, and have no reason to suppose that I shall +ever return. Traveling at night is too much for me, so I stopped over to have a +look at a town which has been rather notorious among public health officials +for years.” +</p> + +<p> +“Notorious!” repeated Mr. Clyde, his local pride up in arms. +</p> + +<p> +“For falsifying its vital statistics. Your low mortality figures are a +joke. Worthington has been more jeered at, criticized, and roasted by various +medical conventions than any other city in the United States.” +</p> + +<p> +“Why, I’ve never seen anything of that sort in the papers.” +</p> + +<p> +Dr. Strong laughed. “Your newspapers print what you want to read; not +what you don’t want to read. They follow the old adage, ‘What you +don’t know won’t hurt you.’ It’s a poor principle in +matters of hygiene.” +</p> + +<p> +“So one might suppose,” returned the host dryly. “Still you +can scarcely expect a newspaper to run down its own city. I’ve known +business to suffer for a year from sensational reports of an epidemic.” +</p> + +<p> +The other grunted. “If a pest of poisonous spiders suddenly bred and +spread in Worthington, the newspapers would be full of it, and everybody would +commend the printing of the facts as a necessary warning and safeguard. But +when a pest of poisonous germs breeds and spreads, Business sets its finger to +its lips and says, ‘Hush!’ and the newspapers obey. You’re a +business man, I assume, Mr. Clyde? Frankly, I haven’t very much sympathy +with the business point of view.” +</p> + +<p> +He rose and pushed his chair back. +</p> + +<p> +“Wait a moment,” said the other. “Sit down. I have something +that may be of importance to suggest to you. It occurs to me that Worthington +would be the better for having a man with your ideas as a citizen. Now, +supposing the Public Health League should offer you—” +</p> + +<p> +“I am not at present in medical practice,” broke in the other. +</p> + +<p> +“Even at that, I was thinking that you would be of use as an advisory +physician and scientific lookout.” +</p> + +<p> +For a moment, the other’s face brightened, an indication which Mr. Clyde +was quick to note. But instantly the expression of eagerness died out. +</p> + +<p> +“Ten hours a day?” said Dr. Strong. “It couldn’t be +done properly in less time. And I’m a mere nervous wreck, bound for the +scrap-heap.” +</p> + +<p> +“Would you mind,” said Mr. Clyde very gently, “telling me +what’s wrong? I’m not asking without a purpose.” +</p> + +<p> +Dr. Strong held out his long arms before him. “I’m a surgeon +without a right hand, and a bacteriologist without a left.” The sinewy +and pale hands shook a little. “Neuritis,” he continued. “One +of the diseases of which we doctors have the most fear and the least +knowledge.” +</p> + +<p> +“And with the loss of your occupation, general nervous collapse?” +asked Mr. Clyde. Being himself a worker who put his heart into his work, he +could guess the sterile hopelessness of spirit of the man banned from a chosen +activity. +</p> + +<p> +Dr. Strong nodded. “I may still be fit for the lecture platform as a +dispenser of other men’s knowledge. Or perhaps I’ll end up as +medical watchdog to some rich man who can afford that kind of pet. Pleasing +prospect, isn’t it, for a man who once thought himself of use in the +world?” +</p> + +<p> +“Good idea,” said Mr. Clyde quietly. “Will you try the +position with my family?” +</p> + +<p> +The other stared in silence at his questioner. +</p> + +<p> +“Just consider my situation for a moment. As you know, I’m a +layman, interested in, but rather ignorant of, medical subjects. As wealth goes +in a city of one hundred and fifty thousand population, I’m a rich man. +At any rate, I can afford a considerable outlay to guard against sickness. In +the last five years I suppose disease has cost my household ten thousand +dollars in money, and has cost me, in worry and consequent incapacity for work, +ten times that amount. Even at a large salary you would doubtless prove an +economy. Come, what do you say?” +</p> + +<p> +“You know absolutely nothing of me,” suggested the other. +</p> + +<p> +“I know that you are a man of quick and correct judgment, for I saw you +in action.” The other smiled. “You are, for reasons which are your +own, not very expansive, as to your past professional career. I’m content +with that attitude of yours, and I’m quite satisfied to base my offer on +what I have been able to judge from your manner and talk. Without boasting, I +may say that I have built up a great manufacturing plant largely on my judgment +of men. I think I need you in my business of raising a family.” +</p> + +<p> +“How much of a family?” +</p> + +<p> +“Five children, their mother and their grandmother. I may warn you at +once that you’ll have a jealous rival in Grandma. She’s the +household guardian, and pretty ‘sot’ in her ideas. But the +principal thing is for you to judge me as I’ve judged you, and determine +whether we could work out the plan together.” +</p> + +<p> +Dr. Strong set his chin in one thin, cupped hand and gazed consideringly upon +the profferer of this strange suggestion. He saw a strong-built, clear-skinned +man, whose physical aspect did not suggest the forty-five years to which he had +owned. Mr. Clyde recommended himself at first sight by a smooth-voiced ease of +manner, and that unostentatious but careful fitness of apparel which is, +despite wise apothegms to the contrary, so often an index of character. Under +the easy charm of address, there was unobtrusively evident a quick +intelligence, a stalwart self-respect, and a powerful will. +</p> + +<p> +Yet, the doctor noted, this man had been both ready and fair in yielding his +judgment, under the suggestion of a new point of view. Evidently he could take +orders as well as give them. +</p> + +<p> +“Well,” said Mr. Clyde, “have you appraised me?” +</p> + +<p> +The weary eyes of the other twinkled a little. “Physically you disclose +some matters plainly enough, if one wishes to show off in the Sherlock Holmes +manner. For instance, you’ve recently been in the tropics; your eyesight +is better than your hearing, you drink lightly if at all, and don’t use +tobacco in any form; you’ve taken up athletics—handball +principally—in recent years, as the result of a bad scare you got from a +threatened paralytic attack; and your only serious illness since then has been +typhoid fever.” +</p> + +<p> +Mr. Clyde laughed outright. “If you had started our acquaintance that +way,” he said, “I’d have thought you a fortune-teller. Part +of it I can follow. You noticed that I kept my left ear turned, of course; and +the fact that my nose shows no eyeglass marks would vouch for my eyesight. Did +you judge me a non-smoker because I forgot to offer you a cigar—which +deficiency I’ll gladly make up now, if it isn’t too late.” +</p> + +<p> +“Partly that—no, thank you. I’m not allowed to +smoke—but principally because I noticed you disliked the odor of my hot +milk. It is offensive, but so faint that no man without a very keen sense of +smell would perceive it across a table; no tobacco-user preserves his sense of +smell to any such degree of delicacy. As for the drink, I judged that from your +eyes and general fitness.” +</p> + +<p> +“And the handball, of course, from my ‘cushioned’ +palms.” +</p> + +<p> +“Obviously. A man at the heart of a great business doesn’t take up +violent indoor exercise without some special reason. Such a reason I saw on the +middle finger of your left hand.” +</p> + +<p> +Holding up the telltale member, Mr. Clyde disclosed a small dark area at the +side of the first joint. +</p> + +<p> +“Leaky fountain-pen,” he remarked. +</p> + +<p> +“As you are right-handed naturally, but write with your left hand, +it’s clear that you’ve had an attack of writer’s +paralysis—” +</p> + +<p> +“Five years ago,” put in Mr. Clyde. +</p> + +<p> +“And that your doctor made good use of the salutary scare it gave you, to +get you to take up regular exercise.” +</p> + +<p> +“And, incidentally, to cut out my moderate, occasional cocktail. Now, as +to the tropics and the typhoid?” +</p> + +<p> +“The latter is a guess; the former a certainty. Under your somewhat +sparse long hair in front there is an outcropping of very fine hairs. Some +special cause exists for that new growth. The most likely cause, at your age, +is typhoid. As you’ve kept in good training, it isn’t likely that +you’d have had any other serious ailment recently. On that I took a +chance. The small scars at the back of your ears could be nothing but the marks +of that little pest of the tropics, the <i>bête rouge</i>. I’ve had him +dug out of my skin and I know something of him.” +</p> + +<p> +“Right on every count,” declared Mr. Clyde. “You’ve +given me cumulative proof of your value to me. I’ll tell you. Forget +formalities. Let me ‘phone for a cab; we’ll go to your hotel, get +your things, and you come back with me for the night. In the morning you can +look the ground over, and decide, with the human documents before you, whether +you’ll undertake the campaign.” +</p> + +<p> +The younger man smiled a very pleasant and winning smile. “You go +fast,” said he. “And as in all fast motion, you create a current in +your direction. Certainly, if I’m to consider your remarkable plan +I’d best see the whole family. But there’s one probable and perhaps +insurmountable obstacle. Who is your physician?” +</p> + +<p> +“Haven’t such a thing in the house, at present,” said Mr. +Clyde lightly. Then, in a graver tone, “Our old family physician died six +months ago. He knew us all inside and out as a man knows a familiar +book.” +</p> + +<p> +“A difficult loss to replace. Knowledge of your patient is half the +battle in medicine. You’ve had no one since?” +</p> + +<p> +“Yes. Six weeks ago, my third boy, Charley, showed signs of fever and we +called a distant cousin of mine who has a large practice. He felt quite sure +from the first that it was diphtheria; but he so managed matters that we had no +trouble with the officials. In fact, he didn’t report it at all, though I +believe it was a very light case of the disease.” +</p> + +<p> +Dr. Strong’s eyes narrowed. “At the outset, I’ll give you two +bits of advice, gratis, Mr. Clyde. First, don’t ever call your +doctor-cousin again. He’s an anarchist.” +</p> + +<p> +“Just what do you mean by that?” +</p> + +<p> +“It’s plain enough, isn’t it? Anarchist, I said: a man who +doesn’t believe in law when it contravenes his convenience.” +</p> + +<p> +Mr. Clyde rubbed his chin again. “Hum,” he remarked. “Well! +the second gift of advice?” +</p> + +<p> +“That you either respect the law yourself or resign the presidency of the +Public Health League.” A distinct spot of red appeared on each of the +elder man’s smooth cheeks. “Are you trying to provoke me to a +quarrel?” he asked brusquely. +</p> + +<p> +Then his expression mollified. “Or are you testing me?” +</p> + +<p> +“Neither. I’m giving you my best and most honest advice. If you +expect me to do as your substitute physician did, to guard your household in +violation of the law which tries to protect the whole public equally, +you’ve got the wrong man, and your boasted judgment has gone +askew,” was the steady reply. +</p> + +<p> +Mr. Clyde turned and left the room. When he returned his hand was outstretched. +</p> + +<p> +“I’ve taken three swallows of cold air, and sent for a cab,” +he said. “Shake hands. I think you and I will be friends. +Only—train me a little gently at the outset. You’ll come with +me?” +</p> + +<p> +“Yes,” said Dr. Strong, and the two men shook hands. +</p> + +<p> +During the drive Mr. Clyde expounded the virtues and characteristics of his +native city to his new acquaintance, who was an excellent listener. Long +afterward he found Dr. Strong acting on remembered and shrewdly analyzed +information given in that first long talk. When they reached the big, rambling, +many-windowed house which afforded the growing Clyde family opportunity to +grow, the head of the household took his guest to an apartment in one of the +wings. +</p> + +<p> +“These two rooms are yours,” he said. “I hope you’ll be +like Coleridge who came to visit with one satchel and stayed five years.” +</p> + +<p> +“That remains to be seen to-morrow,” said Dr. Strong. “By the +way, as I usually read myself to sleep, you might leave me some of your local +health reports. Thus I can be looking the ground over.” +</p> + +<p> +“All I’ve got you’ll find on the shelf over the desk. +Good-night!” +</p> + +<p> +Being of that type of man who does his thinking before and not after a +decision, Mr. Thomas Clyde arose in the morning with an untroubled mind as to +his new venture in household economics. Voices from the library attracted him +thither, as he came downstairs, and, entering, he beheld his guest hedged in a +corner by the grandmother of the Clyde household. +</p> + +<p> +“Don’t tell me, young man,” the old lady was saying, in her +clear, determined voice. “You’ve not slept well for ages! I know +that kind of an eye.” +</p> + +<p> +“Mrs. Sharpless has been diagnosing my case, Mr. Clyde,” called the +guest, with a rather wry smile. +</p> + +<p> +“You stay here for a while,” said she vigorously, “and +I’ll cocker you up. I don’t believe you even eat properly. Do +you?” +</p> + +<p> +“Maybe not,” admitted the young man. “We doctors are +sometimes less wise for ourselves than for others.” +</p> + +<p> +“Oh! So you’re a doctor?” asked the grandmother with a +shrewd, estimating glance. +</p> + +<p> +“Dr. Strong is, I hope, going to stay with us awhile,” explained +her son-in-law. +</p> + +<p> +“Good!” said Mrs. Sharpless. “And I’ll take care of +him.” +</p> + +<p> +“It’s a strong inducement,” said Dr. Strong gracefully. +“But I want a little more material on which to base a decision.” +</p> + +<p> +“Between us Grandma and I ought to be able to answer any +questions,” said Mr. Clyde. +</p> + +<p> +“About sickness, then, in the family. I’ve already introduced +myself to Mrs. Clyde and questioned her; but her information isn’t +definite.” +</p> + +<p> +“Myra seldom is,” observed Mr. Clyde. “It’s part of her +charm. But Grandma Sharpless has been keeping a daybook for years. Everything +that’s ever happened, from the cat’s fits to the dressmaker’s +misfits, is in that series. I’ve always thought it might come in handy +sometime.” +</p> + +<p> +“Just the thing!” said Dr. Strong heartily. “Will you bring +it, Mrs. Sharpless? I hope you’ve included your comment on events as well +as the events themselves.” +</p> + +<p> +“My opinions are generally pronounced enough so that I can remember +‘em, young man,” returned Mrs. Sharpless, as she departed for the +desired volumes. +</p> + +<p> +“That last remark of yours sounded a little like making fun of +Grandma,” suggested Mr. Clyde, as the door closed after her. +</p> + +<p> +“Far from it,” retorted Dr. Strong quickly. “Can’t you +see that she’s a born diagnostician? She’s got the sixth sense +sticking out all over her. Women more often have it than men. When a doctor has +it, and sometimes when he’s only able to counterfeit it, he becomes great +and famous.” +</p> + +<p> +“Now that you speak of it, I remember my wife’s saying that when +she was a girl and lived in the country, her mother was always being sent for +in cases of illness.” +</p> + +<p> +Dr. Strong nodded. “Heretical though it is to say so, I would rather have +the diagnosis of such a woman, in an obscure case, than of many a doctor. She +learns in the school of experience.” +</p> + +<p> +Here, Mrs. Sharpless returned, carrying several diaries. +</p> + +<p> +“These go five years back,” said she. “You’ll find +‘em pretty complete. We’ve had our fair share of trouble; measles, +whooping-cough,—I thought Betsy was going to bark her poor little head +off,—mumps, and chicken-pox. I nursed ‘em through, myself.” +</p> + +<p> +“All of them?” +</p> + +<p> +“All of ‘em didn’t have all the things because Tom Clyde sent +the rest away when one of ‘em came down. All nonsense, I say. Better let +‘em get it while they’re young, and have done with it.” +</p> + +<p> +“One of the worst of the old superstitions,” said Dr. Strong +quietly. +</p> + +<p> +“Don’t tell me, young man! Doctor or no doctor, you can’t +teach me about children’s diseases. There isn’t any of those measly +and mumpy ones that I’m afraid of. Bobs <i>did</i> scare me, though, with +that queer attack of his.” +</p> + +<p> +“Bobs,” explained Mr. Clyde, “is Robin, one of the +eight-year-old twins.” +</p> + +<p> +“Tell me about the attack.” +</p> + +<p> +“When <i>was</i> it?” said the grandmother, running over the leaves +of a selected diary. “Oh, here it is. Last March. It was short and sharp. +Only lasted three days; but the child had a dreadful fever and pretty bad +cramps.” +</p> + +<p> +“Anything else?” +</p> + +<p> +“Why, yes; though that idiot of a cousin of Tom’s snubbed me when I +told him about it. The boy seemed kind of numb and slow with his hands for some +time after.” +</p> + +<p> +“And now?” So sharp came the question that Mr. Clyde glanced at the +speaker, not without apprehension. +</p> + +<p> +“Nothing left of it that I can see.” +</p> + +<p> +“What had you in mind?” asked Mr. Clyde of the doctor, curiously. +</p> + +<p> +“Speaking technically, anterior poliomyelitis.” Grandma Sharpless +laughed comfortably. “I’ve noticed that a very long name like that +usually means a sore toe or a pimple behind your ear. It’s the short +names that bring the undertaker.” +</p> + +<p> +“Shrewdly said, but exception noted,” said Dr. Strong. +</p> + +<p> +“As for Bobs, I remember two cases I saw at Clinton years ago, like that +attack of his. One of ‘em never walked afterward, and the other has a +shriveled hand to this day.” +</p> + +<p> +Dr. Strong nodded. “To come down nearer to English, that’s +infantile paralysis, one of the mysteries of medicine. I’ll tell you some +things about it some day. Your Bobs had a narrow escape.” +</p> + +<p> +“You’re sure it is an escape?” asked the father anxiously. +</p> + +<p> +“If Mrs. Sharpless is satisfied that there’s no trace left, I +am.” +</p> + +<p> +“Come in to breakfast,” said Mrs. Clyde, entering the room with a +child attached to either hand. She was a tall, fair woman with the charm of +fresh coloring and regular features, large, intelligent eyes, and a somewhat +restless vigor and vitality. That her husband and children adored her was +obvious. One had to look twice to perceive that she was over thirty; and even a +careful estimate did not suggest her real age of thirty-seven. +</p> + +<p> +During the introductory meal, Dr. Strong talked mostly to her, but he kept +watching the children. And when it was over, he went to his study and made an +inventory, in the order of age. +</p> + +<p class="letter"> +GRANDMA SHARPLESS;<br /> +<i>Probably 70; sound and firm as a good apple; ought to live to be 90. Medical +demands, none.</i><br /> +<br /> +MR. CLYDE;<br /> +<i>45; sturdy, restrained, active, phlegmatic: Tends to over-concentration; his +own best physician.</i><br /> +<br /> +MRS. CLYDE;<br /> +<i>35; possibly more. Quick-witted, nervously active; eager, perhaps a little +greedy of enjoyment. Somewhat intemperate; probably in eating, possibly in the +use of tea or candy. An invariably loving mother; not invariably a wise one.</i><br /> +<br /> +MAYNARD, <i>otherwise</i> “MANNY” CLYDE;<br /> +<i>14 years old; rangy, good-tempered, intelligent boy with a good physical +equipment.</i> (<i>Note: watch his eyes.</i>)<br /> +<br /> +ROBIN, <i>alias</i> BOBS <i>and</i> JULIA (<i>mysteriously</i>) JUNKUM;<br /> +<i>8-year old twins; Bobs, quick and flashing like his mother; Julia, demure, +thoughtful, a little lethargic, and with much of her father s winning quality +of friendliness.</i> (<i>Note: test Bobs for reflexes. Watch Julia's habits of +play.</i>)<br /> +<br /> +CHARLES;<br /> +<i>Aged 7; strong rough-and-tumble urchin, the particular pet of his grandmother.</i> +(<i>Note: watch his hand motions.</i>)<br /> +<br /> +BETTINA, <i>alias variously</i> BETSY, TOOTS, TWINKLES, <i>and the</i> CHERUB;<br /> +<i>4 years old; a Duck</i> [here the human side of the doctor broke through], +<i>though a little spoiled by her father.</i> (<i>Note: a mouth-breather; the +first case to be considered.</i>)<br /> +<br /> +ADDENDUM;<br /> +<i>Various servants, not yet identified or studied; but none the less members of +our household community.</i> +</p> + +<p> +This catalogue Dr. Strong put away, with Grandma Sharpless’s day books, +for further notation and amplification. Then he made three visits: one to the +Health Bureau, one to the Water Department, and one to the City +Engineer’s office, where he spent much time over sundry maps. It was +close upon dinner-time when he returned, and immediately looked up Mr. Clyde. +</p> + +<p> +“Well?” said that gentleman. +</p> + +<p> +“Assuming that I accept your offer it should be understood that I’m +only a guardian, not, a physician.” +</p> + +<p> +“Meaning—” +</p> + +<p> +“That I shall expect, in emergency, to call in such physicians or others +as I consider best equipped for the particular task.” +</p> + +<p> +“Very well. But why that phrase ‘or others’?” +</p> + +<p> +“I’ve suggested before that I am a heretic. In certain instances I +might want an osteopath, or, if I were dealing with a sick soul causing a sick +body, I might even send for a Christian Scientist.” +</p> + +<p> +“You have a refreshingly catholic breadth of view.” +</p> + +<p> +“I’m trying to map out for you, a rich man, as good treatment as a +very poor man would have in a hospital—that is, the best technical advice +for every hygienic emergency that may arise—plus some few extensions of +my own. Now we come to what is likely to prove the stumbling-block.” +</p> + +<p> +“Set it up.” +</p> + +<p> +“If I’m to take this job, I must be the autocrat, in so far as my +own department is concerned. As you know, a city health official’s powers +are arbitrary. He can burn your house down; he can imprison you; he can +establish a military régime; he can override or undo the laws which control the +ordinary procedure of life. Hygienic law, like martial law, supersedes rights +in crises. You are asking me to act as health officer of your house. If +I’m to do my work, I must have full sway, and I shall expect you to see +that every member of your household obeys my orders—except,” he +added, with a twinkle, “Grandma Sharpless. I expect she’s too old +to take orders from any one. Diplomacy must be my agent with her.” +</p> + +<p> +Mr. Clyde pondered. “That’s a pretty wide authority you’re +asking.” +</p> + +<p> +“Yes, but I shall use it only in extreme cases. I shall deal extensively +in advice and suggestion, which you may take or leave as you choose. But an +order will mean a life or death matter.” +</p> + +<p> +“Agreed. Now, as to terms—” +</p> + +<p> +“Let the terms go, until we see how much I can save you. Meantime, +don’t overestimate what I undertake to do. Suppose you just run through +the roster of what you consider the danger points, and I’ll tell you how +far I can promise anything.” +</p> + +<p> +“First, then, tuberculosis, of course.” +</p> + +<p> +“Practical immunity from that, as long as you maintain your present +standards of life.” +</p> + +<p> +“Typhoid fever. As I told you, we’ve had one visitation.” +</p> + +<p> +“There’s no reason why you should ever have another if the children +will take ordinary precautions.” +</p> + +<p> +“Diphtheria?” +</p> + +<p> +“We can’t guarantee the youngsters against getting it, though we +can do something to protect them. And if they do get it, we can be pretty +certain of pulling them through.” +</p> + +<p> +“Scarlet fever and measles?” +</p> + +<p> +“Why not add whooping-cough and influenza? The former kills as many +people as either scarlet fever or measles, and the latter twice as many. +They’re all in the same category; medical science is pretty near helpless +against their onset. You and your family may be as rigidly careful as they +will; if the family next door, or a family at the farthermost end of the town, +is careless, we’re as likely as not to suffer for their sins. All that I +can promise, then, is hope against the occurrence of these diseases, and the +constant watchfulness, when they come, which they call for but don’t +always get.” +</p> + +<p> +“Cancer?” +</p> + +<p> +“Eternal vigilance, again; so that, if it does come, we may discover it +in time.” +</p> + +<p> +“Let me see,” mused Mr. Clyde; “what else is there? +Oh—nervous and functional disorders.” +</p> + +<p> +“Functional disorders mean, usually, either a bad start, or the heritage +of some disease like scarlet fever or grippe, or excess or carelessness in +living. I think your household is free from them; and it should remain free. As +for nervous ailments, they commonly mean lack of self-discipline. It may be +overindulgence in work”—he glanced down at his right +hand—“or it may be overindulgence in play.” His glance +wandered significantly to the doorway, through which the voice of Mrs. Clyde +could be heard. “By the way, you’ve left out the greatest destroyer +of all—perhaps because you’re beyond the danger point.” +</p> + +<p> +“Tuberculosis is the greatest destroyer, isn’t it?” +</p> + +<p> +“Not numerically. It is beaten out by the death record of intestinal +poisoning in the very young. Your flock has run the gamut and come through with +undiminished vitality. Two of them, however, are running life’s race +under a handicap”—the father’s eyelids went +up—“which I’ll take up shortly, when I’ve fully +determined the causes. They can be repaired, one readily, the other in time. +Finally, I hope to be able to teach them the gospel of the sound, clean mind in +the sound, clean body. In a desert I might guarantee immunity from most of the +ills that flesh is heir to. Amid the complexities of our civilization, disease +and death are largely social; there is no telling from what friend the poison +may come. No man can safeguard his house. The most he can hope for is a measure +of protection. I can offer you nothing more than that, under our +compact.” +</p> + +<p> +“That is enough,” returned Mr. Clyde. He took from his inner pocket +a folded paper, which he handed over to the young man. “There’s the +contract, duly signed. Come in, Grandma.” +</p> + +<p> +Mrs. Sharpless, entering the door, stopped on seeing the two men. +</p> + +<p> +“Business, Tom?” she asked. +</p> + +<p> +“Business that you’re interested in,” said her son-in-law, +and briefly outlined his plan. +</p> + +<p> +Grandma Sharpless shook a wise gray head. “I’m glad you’re +going to stay, young man,” said she. “You need looking after. But +as for the scheme, I don’t hold much with these new-fangled +notions.” +</p> + +<p> +“Perhaps it isn’t as new-fangled as you suppose,” returned +the head of the household. “I’ve just given Dr. Strong a contract, +and where do you suppose I got it?” +</p> + +<p> +“That lawyer man of yours, probably,” said Mrs. Sharpless. +</p> + +<p> +“Well, he looked it over and made sure it was sound in American law. But +essentially it’s a copy of a medical contract in force before Hippocrates +ever rolled a pill. It’s the old logical Chinese form, whereby the +doctor’s duty is prescribed as warding off sickness, not curing it. Is +that old-fashioned enough for you, grandma?” +</p> + +<p> +“Chinese! My land!” said the old lady. “What do they know +about sickness?” +</p> + +<p> +“They know the one most important fact in all medical practice, +ma’am,” said Dr. Strong, “that the time for locking the +stable door is before the horse is stolen, and that an ounce of prevention is +worth a pound of cure.” +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap02"></a>II.<br /> +IN TIME OF PEACE</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">“H</span>ow is the +Chinese plan working?” asked Mr. Thomas Clyde, stretching himself on the +lounge in Dr. Strong’s study. +</p> + +<p> +One week before, the doctor had been officially installed, on the Oriental +principle of guarding the Clyde household against intruding sickness. In that +time he had asked few questions. But Mr. Clyde, himself a close observer, noted +the newcomer’s quietly keen observation of the children, and sometimes of +Mrs. Clyde, as they met at mealtime. He had remarked, too, that the nervous +tension of the man was relaxing; and guessed that he had found, in his new and +unique employment, something of that panacea of the troubled soul, congenial +work. Now, having come to Dr. Strong’s wing of the house by request, he +smilingly put his question, and was as smilingly answered. +</p> + +<p> +“Your Chinese physician has been making what the Chinese call a +‘go-look-see.’ In other but less English terms, a +reconnaissance.” +</p> + +<p> +“In what department?” +</p> + +<p> +“Earth, air, and water.” The other waved an inclusive hand. +</p> + +<p> +“Any results?” +</p> + +<p> +“Oh, all kinds. Preliminary report now ready. I’d like to make it a +sort of family conference.” +</p> + +<p> +“Good idea! I’ll send for Mrs. Clyde and Grandma Sharpless.” +</p> + +<p> +“Children out of town?” inquired Dr. Strong suggestively. +</p> + +<p> +“Of course not. Oh, I see. You want us all. Servants, too?” +</p> + +<p> +“The cook certainly. She should be very important to our council of war. +Perhaps we might leave the rest till later.” +</p> + +<p> +They gathered in the spacious study; and Grandma Sharpless glanced round +approvingly. +</p> + +<p> +“It’s like family prayers,” she commented. +</p> + +<p> +“Concerted effort <i>is</i> a sort of prayer, if it’s +honest,” said Dr. Strong gravely. “I’ve never had much of an +opinion of the man who gets up in meeting to beg the Lord for sound health for +himself and family and then goes home and sleeps with all his windows +closed.” +</p> + +<p> +“There are no closed windows in this house,” said Grandma Sharpless +emphatically. “I see to that, having been brought up on fresh air +myself.” +</p> + +<p> +“You show it,” returned the doctor pleasantly. +</p> + +<p> +“And I’ve noticed that this house breathes deep at night, through +plenty of open windows. So I can save my own breath on that topic. Just now I +want to talk milk.” +</p> + +<p> +“All our milk comes from my farm,” said the head of the family. +“Cows are my hobby. You ought to see the place, Strong; it’s only +ten miles out.” +</p> + +<p> +“I have seen the place.” +</p> + +<p> +“What do you think of it?” +</p> + +<p> +“I think you’d better get your milk somewhere else for a +while.” +</p> + +<p> +“Why, Dr. Strong!” protested Mrs. Clyde. “There isn’t a +woman among my friends who doesn’t envy me our cream. And the milk keeps +sweet—oh, for days, doesn’t it, Katie?” +</p> + +<p> +“Yes’m,” replied the cook. “Three days, or even four, +in the ice-box.” +</p> + +<p> +“Doesn’t that show it’s pure?” asked Mrs. Clyde +triumphantly. +</p> + +<p> +Dr. Strong shook his head. “Hardly proof,” he said. “Really +clean milk will keep much longer. I have drunk milk from the Rochester +municipal supply that was thirteen days old, and as sweet as possible. And that +was in a hot August.” +</p> + +<p> +“Thirteen days old! I’d be ashamed to tell it!” declared +Grandma Sharpless, with so much asperity that there was a general laugh, in +which the doctor joined. +</p> + +<p> +“I shouldn’t care to try it with your milk. It is rich, but it +isn’t by any means pure. Eternal vigilance is the price of good milk. I +don’t suppose you inspect your farm once a month, do you, Mr. +Clyde?” +</p> + +<p> +“No; I leave that to the farmer. He’s an intelligent fellow. +What’s wrong?” +</p> + +<p> +“Scientifically speaking, from 300,000 to 500,000 bacteria per cubic +centimeter.” +</p> + +<p> +“Do we drink all those things when we have a glass of milk, Dr. +Strong?” inquired “Manny” Clyde, the oldest boy. +</p> + +<p> +“Four or five times that many for every teaspoonful,” said the +doctor. “But it isn’t as bad as it sounds, Manny. One hundred +thousand is considered a fairly safe allowance, though <i>very</i> good +milk—the kind I drank when it was thirteen days old—may contain +only two or three thousand. When the count runs up to half a million or so, it +shows that some kind of impurity is getting in. The bacteria in your milk may +not be disease germs at all; they may all be quite harmless varieties. But +sooner or later, if dirt gets into milk, dangerous germs will get in with it. +The high count is a good danger signal.” +</p> + +<p> +“If Bliss, the farmer, has been allowing dirt to get into the milk, +he’ll find himself out of a place,” said Mr. Clyde decisively. +</p> + +<p> +“Don’t be too hard on him,” advised the doctor. “His +principal fault is that he’s getting the milk dirty trying to keep it +clean. He is washing his cans with water from an open well near the barnyard. +The water in the well is badly contaminated from surface drainage. That would +account for the high number of bacteria; that and careless milking.” +</p> + +<p> +“And on that account you advise me to give up the milk?” asked Mr. +Clyde. +</p> + +<p> +“Only temporarily. There are other more immediate considerations. For one +thing, there are both diphtheria and typhoid near by, and the people on the +farm are in contact with them. That’s dangerous. You see, milk under +favorable conditions is one of the best cultures for germs that is known. They +flourish and multiply in it past belief. The merest touch of contamination may +spread through a whole supply, like fire through flax. One more thing: one of +your cows, I fear, is tuberculous.” +</p> + +<p> +“We might pasteurize, I suppose,” suggested Mrs. Clyde anxiously. +</p> + +<p> +Dr. Strong returned a decisive negative. “Pasteurized milk is better than +poisoned milk,” he said; “but it’s a lot worse than good raw +milk. Pasteurizing simply means the semi-cooking of all the varieties of germs, +good and bad. In the process of cooking, some of the nutritive quality is lost. +To be sure, it kills the bad germs, but it also kills the good ones.” +</p> + +<p> +“Do you mean that some of the germs are actually useful?” asked +Mrs. Clyde. +</p> + +<p> +“Very useful, in certain rôles. For example, the lactic acid bacteria +would be unpopular with you, Mrs. Clyde, because they are responsible for the +souring of milk. But they also perform a protective work. They do their best to +destroy any bacilli of disease which may invade their liquid home. Now, when +you pasteurize, you kill all these millions of defenders; and any hostile germs +that come along afterward and get into the milk, through dust or other mediums, +can take possession and multiply without hindrance. Therefore pasteurized milk +ought to be guarded with extra care after the process, which it seldom is. I +once visited a large pasteurizing plant which made great boasts of its purity +of product, and saw flies coming in from garbage pail and manure heap to +contaminate the milk in the vats; milk helpless to protect itself, because all +its army of defense had been boiled to death.” +</p> + +<p> +“If we are allowed neither to use our farm milk raw nor to pasteurize it, +what shall we do with it?” inquired Mr. Clyde. +</p> + +<p> +“Full directions are in there,” answered Dr. Strong, pointing to an +envelope on his desk. “If you’ll look over what I’ve written, +and instruct your farmer to follow it out, you’ll have milk that is +reasonably good. I’ll go further than that; it will be even good enough +to give to the babies of the tenements, if you should have any left +over.” +</p> + +<p> +Mr. Thomas Clyde proceeded to rub his chin, with some degree of concentration, +whereby Dr. Strong knew that his hint had struck in. +</p> + +<p> +“Meantime,” said Mrs. Clyde, with a trace of sarcasm, “do you +expect us to live on condensed milk?” +</p> + +<p> +“Not at all; on certified milk.” +</p> + +<p> +“What’s that mean?” asked Miss Julia, who had a thirst for +information. +</p> + +<p> +“What’s a certificate, Junkum?” retorted the doctor. +</p> + +<p> +“That’s what I get when I pass my examinations.” +</p> + +<p> +“Right! Well, milk coming from a farm that passes all its examinations +gets a certificate from the Medical Society, which keeps a pretty constant +watch over it. The society sees that all the cattle are tested for tuberculosis +once in so often; that the cows are brushed off before milking; that the +milking is done through a cloth, through which no dirt or dust can pass, into a +can that has been cleaned by steam—not by contaminated water—so +that no germs will remain alive in it; then cooled and sealed up and delivered. +From the time the milk leaves the cow until it comes on your table, it +hasn’t touched anything that isn’t germ-proof. That is the system I +have outlined in the paper for your farmer.” +</p> + +<p> +“It sounds expensive,” commented Mrs. Clyde. +</p> + +<p> +“Yes; that is the drawback. Certified milk costs from fifteen to twenty +cents a quart. But when you consider that nearly half the dead babies were +poisoned by bad milk it doesn’t seem so expensive, does it?” +</p> + +<p> +“All very well for us,” said Mr. Clyde thoughtfully. “We can +afford it. But how about the thousands who can’t?” +</p> + +<p> +“There’s the pity of it. Theoretically every city should maintain a +milk standard up to the requirements of the medical certification, and allow no +milk to be sold which falls short of that. It’s feasible, and it could be +done at a moderate price if we could educate the farmer to it. +Copenhagen’s milk supply is as good as the best certified milk in this +country, because the great Danish Milk Company cooperates with the farmer, and +doesn’t try to make huge profits; and its product sells under five cents +a quart. But, to answer your question, Mr. Clyde: even a family of very +moderate means could afford to take enough certified milk for the baby, and it +would pay in doctor’s bills saved. Older children and grown-ups +aren’t so much affected by milk.” +</p> + +<p> +“I’ll go out to the farm to-morrow,” said Mr. Clyde. +“What’s next?” +</p> + +<p> +“Water, Mr. Clyde. I’ve found out where you got your typhoid, last +summer.” +</p> + +<p> +“Pooh! I could have told you that,” said Mrs. Sharpless. +“There was sewer-gas in the house. It smelled to heaven the day before he +was taken down.” +</p> + +<p> +“Isn’t it curious how our belief in ghosts sticks to us!” +commented the doctor, chuckling,—“malaria rising from swamps; +typhoid and diphtheria rising in sewer-gas; sheeted specters rising from +country graveyards—all in the same category.” Grandma Sharpless +pushed her spectacles up on her forehead, a signal of battle with her. +“Do you mean to tell me, young man, that there’s no harm in +sewer-gas?” +</p> + +<p> +“Far from it! There’s harm enough in sewer-gas, but no germs. The +harm is that the gas reduces vitality, and makes one more liable to disease +attack. It’s just as true of coal-gas as of sewer-gas, and more true of +ordinary illuminating gas than either. I’d much rather have bad plumbing +in the house than even a small leak in a gas-pipe. No, Mrs. Sharpless, if you +waited all day at the mouth of a sewer, you’d never catch a germ from the +gas. Moreover, typhoid doesn’t develop under ten days, so your odorous +outbreak of the day before could have had nothing to do with Mr. Clyde’s +illness.” +</p> + +<p> +“Perhaps you’ll give us <i>your</i> theory,” said the old +lady, with an elaboration of politeness which plainly meant, “And +whatever it is, I don’t propose to believe it.” +</p> + +<p> +“Not mine, but the City Water Commissioner’s. Mr. Clyde’s +case was one of about eighty, all within a few weeks of each other. They were +all due to the criminal negligence of a city official who permitted the river +supply, which isn’t fit to drink and is used only for fire pressure, to +flood into the mains carrying the drinking supply.” +</p> + +<p> +“Then why didn’t the whole city get typhoid?” asked Mr. +Clyde. +</p> + +<p> +“Because only a part of the system was flooded by the river water. The +problem of the city’s experts was to find out what part was being +contaminated with this dilute sewage. When the typhoid began to appear, the +Health Department, knowing the Cypress supply to be pure, suspected milk. Not +until a score of cases, showing a distribution distinct from any milk supply, +had appeared, was suspicion directed to the water supply. Then the officials of +the Water Department and Health Department tried a very simple but highly +ingenious test. They dumped a lot of salt into the intake of the river supply, +and tested hydrant after hydrant of the reservoir supply, until they had a +complete outline of the mixed waters. From that it was easy to ascertain the +point of mixture, and stop it.” +</p> + +<p> +“Our river water is always bad, isn’t it?” said Mr. Clyde. +“Last summer I had to keep Charley away from swimming-school because the +tank is filled from the river, and two children got typhoid from swallowing +some of it.” +</p> + +<p> +“All foolishness, I say,” announced the grandmother. “Better +let ‘em learn to swim.” +</p> + +<p> +“Can’t you swim at all?” asked Dr. Strong, turning to the +seven-year-old. +</p> + +<p> +“I went five strokes once,” said Charley. “Hum-m-m! Any other +swimming-school near by?” +</p> + +<p> +“No.” +</p> + +<p> +“And are the children about water at all?” Dr. Strong asked the +mother. +</p> + +<p> +“Well; there are the canal and the river both near us, you know.” +</p> + +<p> +“Then it comes down to this,” said the doctor. “The liability +of typhoid from what water Charley would swallow in the tank isn’t very +great. And if he should get it, the chances are we could pull him through. With +the best care, there should be only one chance in fifty of a fatal result. But +if Charley falls in the canal and, not knowing how to swim, is drowned, why, +that’s the end of it. Medical science is no good there. Of two dangers +choose the lesser. Better let him go on with the swimming, Mrs. Clyde.” +</p> + +<p> +“Well!” said Grandma Sharpless, +“I—I—I—swanny!” This was extreme profanity for +her. “Young man, I’m glad to see for once that you’ve got +sense as well as science!” +</p> + +<p> +“Do you consider the Cypress supply always safe to drink? Several times +it has occurred to me to outfit the house with filters,” said Mr. Clyde. +</p> + +<p> +“No need, so long as the present Water Department is in office,” +returned Dr. Strong. “I might almost add, no use anyway.” +</p> + +<p> +“Isn’t filtered water good?” asked Manny. “They have it +at the gymnasium.” +</p> + +<p> +“No house filter is absolutely sure. There’s just one way to get a +guaranteeable water: distill it. But I think you can safely use the city +supply.” +</p> + +<p> +“What next, the water problem being cleared up?” asked Mr. Clyde. +</p> + +<p> +“By no means cleared up. Assuming that you are reasonably safeguarded at +home, you’re just as likely—yes, even more likely—to pick up +typhoid somewhere else.” +</p> + +<p> +“Why more likely?” +</p> + +<p> +“For some mysterious reason a man accustomed to a good water supply is +the easiest victim to a bad. Pittsburg, for many years the most notorious of +American cities for filthy drinking, is a case in point. Some one pointed out +that when Pittsburg was prosperous, and wages high, the typhoid rate went up; +and when times were hard, it went down. Dr. Matson, of the Health Bureau, +cleared up that point, by showing that the increase in Pittsburg’s +favorite disease was mainly among the newcomers who flocked to the city when +the mills were running full time, to fill the demand for labor. An old resident +might escape, a new one might hardly hope to. Dr. Matson made the interesting +suggestion that perhaps those who drank the diluted sewage—for that is +what the river water was—right along, came, in time, to develop a sort of +immunity; whereas the newcomer was defenseless before the bacilli.” +</p> + +<p> +“Then a man, in traveling, ought to know the water supply of every city +he goes to. How is he to find out?” +</p> + +<p> +“In your case, Mr. Clyde, he’s to find out from his Chinese +doctor,” said the other smiling. “I’m collecting data from +state and city health boards, on that and other points. Air will now come in +for its share of attention.” +</p> + +<p> +Young Manny Clyde grinned. “What’s the use, Dr. Strong?” he +said. “Nothing to breathe but air, you know.” +</p> + +<p> +“True enough, youngster; but you can pick your air to some extent, so +it’s worth while to know where it’s good and where it’s bad. +Take Chicago, for instance. It has a very high pneumonia rate, and no wonder! +The air there is a whirling mass of soot. After breathing that stuff a while, +the lungs lose something of their power to resist, and the pneumococcus +bacillus—that’s the little fellow that brings pneumonia and is +always hanging about, looking for an opening in unprotected breathing +apparatus—gets in his deadly work. Somewhere I’ve seen it stated +that one railroad alone which runs through Chicago deposits more than a ton of +cinders per year on every acre of ground bordering on its track. Now, no man +can breathe that kind of an atmosphere and not feel the evil effects. Pittsburg +is as bad, and Cincinnati and Cleveland aren’t much better. We save on +hard coal and smoke-consumers, and lose in disease and human life, in our +soft-coal cities. When I go to any of them I pick the topmost room in the +highest hotel I can find, and thus get above the worst of it.” +</p> + +<p> +“Don’t tell me that New York is unfit to breathe in!” said +Mrs. Clyde, with a woman’s love for the metropolis. +</p> + +<p> +“Thus far it’s pretty clean. The worst thing about New York is that +they dry-sweep their streets and throw all the dust there is right in your +face. The next worst is the subway. When analysis was made of the tube’s +air, the experimenters were surprised to find very few germs. But they were +shocked to find the atmosphere full of tiny splinters of steel. It’s even +worse to breathe steel than to breathe coal.” +</p> + +<p> +“Any railroad track must be bad, then,” said Mr. Clyde. +</p> + +<p> +“Not necessarily. A steam railroad track runs mostly in the open, and +that great cleaner, the wind, takes care of most of the trouble it stirs up. By +the way, the cheaper you travel, the better you travel.” +</p> + +<p> +“That sounds like one of those maxims of the many that only the few +believe,” remarked Mrs. Clyde. +</p> + +<p> +“You won’t practice it, but you can safely believe it,” +retorted the doctor. “The atmosphere in a day coach is always better than +in a parlor car, because there’s an occasional direct draft through. As +for a sleeping-car,—well, I never get into one without thinking of the +definition in ‘Life’s’ dictionary: +‘Sleeping-Car—An invention for the purpose of transporting bad air +from one city to another.’” +</p> + +<p> +“The poor railroads!” chuckled Mr. Clyde. “They get blamed +for everything, nowadays.” +</p> + +<p> +“It may not be the Pullman Company’s fault that I don’t sleep +well in traveling, but they are certainly to blame for clinging to a type of +conveyance specially constructed for the encouragement of dirt and disease. +Look at the modern sleeping-car: heavy plush seats; soft hangings; thick +carpets; fripperies and fopperies all as gorgeous, vulgar, expensive, tawdry, +and filthy as the mind of man can devise. Add to that, windows hermetically +sealed in the winter months and you’ve got an ideal contrivance for the +encouragement of mortality. Never do I board a sleeper without a stout hickory +stick in my suit-case. No matter how low the temperature is, I pry the window +of my lower berth open, and push the stick under.” +</p> + +<p> +“And sleep in that cold draft!” cried Mrs Clyde. +</p> + +<p> +“My dear Mrs. Clyde,” replied the doctor suavely, “will you +tell me the difference between a draft and a wind?” +</p> + +<p> +“Is it a conundrum?” +</p> + +<p> +“No; but I’ll answer it for you. A draft is inside a house; a wind +outside. You’re not afraid of wind, are you?” +</p> + +<p> +“Of course not.” +</p> + +<p> +“Then to you an air-current is like a burglar. It’s harmless enough +outside the room, but as soon as it comes through a window and gets into the +room, it’s dangerous.” +</p> + +<p> +“Sound common sense!” put in Granny Sharpless. “Young man, I +believe you’re older than you look.” +</p> + +<p> +“I’m old enough to know that pure air is better than foul warm air, +anyway. Here; I want you youngsters to understand this,” he added, +turning to the children. “When the blood has circulated through the +system, doing all the work, it gets tired out and weak. Then the lungs bring +air to it to freshen it up, and the oxygen in the air makes it strong to fight +against disease and cold. But if the air is bad, the blood becomes half +starved. So the man who breathes stuffy, close air all night hasn’t given +his blood the right supply. His whole system is weakened, and he ‘catches +cold,’ not from too much air, but too little.” +</p> + +<p> +“It’s often struck me,” said Mr. Clyde, “that I feel +better traveling in Europe than in America. Yet our Pullmans are supposed to be +the best in the world.” +</p> + +<p> +“The worst!” declared Dr. Strong forcefully. “The best in +luxuries, the worst in necessities. The only real good and fairly sanitary cars +operated by the Pullman Company, outside of the high-priced stateroom variety, +are the second class transcontinentals, the tourist cars. They have straw seats +instead of plush; light hangings, and, as a rule, good ventilation. If I go to +the Pacific Coast again, it will be that way.” +</p> + +<p> +There was a pause, in which rose the clear whisper of Bobs, appealing to his +mentor, Julia, for information. +</p> + +<p> +“Say, Junkum, how did we get so far away from home?” +</p> + +<p> +“High time we came back, isn’t it, Bobs?” approved the +doctor. “Well, suppose we return by way of the school-house. All of you +go to Number Three but Betsey, don’t you?” +</p> + +<p> +“And I’m go-un next year,” announced that young lady. +</p> + +<p> +“Perhaps not,” said Mrs. Clyde. “Don’t you think, +Doctor, that children are liable to catch all sorts of things in the public +schools?” +</p> + +<p> +“Unquestionably.” +</p> + +<p> +“More so than in private schools, aren’t they?” +</p> + +<p> +“Hum! Well, yes; since they’re brought into contact with a more +miscellaneous lot of comrades.” +</p> + +<p> +“Which is exactly why I have insisted on our sticking to the regular +schools,” put in Mr. Clyde, with the air of quiet decisiveness. “I +want our children to be brought up like other children!” The mother shook +her head dubiously. “I wish I were sure it is the right place for +them.” +</p> + +<p> +“You ought to be sure. I might even say—if you will forgive the +implied criticism—that you ought to be surer than you are.” +</p> + +<p> +Alarmed at his tone, the mother leaned forward. “Is there anything the +matter at Number Three?” +</p> + +<p> +“Several things. Nothing that you need worry about immediately, however. +I’ve been talking with some of the teachers, and found out a few points. +Charley’s teacher, for instance, tells me that she has a much harder time +keeping the children up to their work in the winter term than at other +times.” +</p> + +<p> +“I remember Charley’s tantrums over his arithmetic, last +winter,” said Grandma Sharpless. +</p> + +<p> +“My head felt funny. Kinder thick,” defended Charley. +</p> + +<p> +“That is bad,” said Dr. Strong, “very bad. I’ve +reported the teacher in that grade to Dr. Merritt, the Health Officer.” +</p> + +<p> +“Reported teacher?” said Charley, his eyes assuming a prominence +quite startling. “What for?” +</p> + +<p> +“Starving her grade.” +</p> + +<p> +Mrs. Clyde fairly bounced in her chair. “Our children are not supposed to +eat at school, Dr. Strong.” +</p> + +<p> +“Starving her grade,” continued the doctor, “in the most +important need of the human organism, air.” +</p> + +<p> +“How do you reach that conclusion?” +</p> + +<p> +“Evidence and experience. I remember in my college days that the winter +term was considered to be the most difficult in every year. The curriculum +didn’t seem to show it, but every professor and every undergraduate knew +it. Bad air, that’s all. The recitation rooms were kept tightly closed. +The human brain can’t burn carbon and get a bright flame of intelligence +without a good draft, and the breathing is the draft. Now, on the evidence of +Charley’s teacher, when winter comes percentages go down, although the +lessons are the same. So I asked her about the ventilation and found that she +had a superstitious dread of cold.” +</p> + +<p> +“I remember Miss Benn’s room,” said Julia thoughtfully. +“It used to get awful hot there. I never liked that grade anyway, and +Bobs got such bad deportment marks.” +</p> + +<p> +“Both of the twins had colds all the winter they were in that +room,” contributed Grandma Sharpless. +</p> + +<p> +Up went Dr. Strong’s hands, the long fingers doubled in, in a curious +gesture which only stress of feeling ever drove him to use. +</p> + +<p> +“‘When will the substitute mothers and fathers who run our schools +learn about air!” he cried. “Air! It’s the first cry of the +newly born baby. Air! It’s the last plea of the man with the death-rattle +in his throat. It’s the one free boon, and we shut it out. If I’m +here next winter, I think I’ll load up with stones and break some +windows!” +</p> + +<p> +“Lemme go with you!” cried Charley, with the eagerness of +destruction proper to seven years. “On the whole, Charley,” replied +the other, chuckling a little, “perhaps it’s better to smash +traditions. Not easier, but better.” +</p> + +<p> +“But you wouldn’t have them study with all the windows open on a +zero day!” protested Mrs. Clyde. +</p> + +<p> +“Wouldn’t I! Far rather than choke them in a close room! Why, in +Chicago, the sickly children have special classes on the roof, or in the yards, +all through the cold weather. They study in overcoats and mittens. And they +<i>learn</i>. Not only that, but they thrive on it.” +</p> + +<p> +Mr. Clyde was rubbing his chin hard. “Perhaps our school system +isn’t all I bragged,” he observed. +</p> + +<p> +“Not in all respects. You still stick to that relic of barbarism, the +common drinking-cup, after filtering your water. That’s a joke!” +</p> + +<p> +“I don’t see the point,” confessed Mr. Clyde. “Whom is +the joke on?” +</p> + +<p> +“All of you who pay for the useless filters and then settle +doctors’ bills for the disease spread by the drinking-cups. Don’t +you understand that in the common contagious diseases, the mouth is the danger +point? Now, you may filter water till it’s dry, but if in drinking it you +put your lips to a cup soiled by the touch of diseased lips, you’re in +danger. We think too much of the water and too little of what contains it. +I’ve seen a school in Auburn, New York, and I’ve seen a golf course +at the Country Club in Seattle, where there isn’t a glass or cup to be +found; and they have two of the best water supplies I know. A tiny fountain +spouts up to meet your lips, and your mouth touches nothing but the running +water. The water itself being pure, you can’t possibly get any infection +from it.” +</p> + +<p> +“Can you get me a report on that for the Board of Education?” asked +Mr. Clyde. +</p> + +<p> +“It’s already here,” said Dr. Strong quietly. “That is +part of my Chinese job of watch-dog. One other matter. A teacher in another +grade, at Number Three, with whom I talked, stood with a pencil, which she had +taken from one of her scholars, pressed to her lips. While we talked she gave +it back to the child.” +</p> + +<p> +“Well, land sakes!” said Grandma Sharpless, “where’s +the harm? I suppose the poor girl was clean, wasn’t she?” +</p> + +<p> +“How do I know? How does anybody know? There is a case on record where a +teacher carried the virulent bacilli of diphtheria in her throat for three +months. Suppose she had been careless about putting her lips to the various +belongings of the children. How many of them do you suppose she would have +killed with the deadly poison?” +</p> + +<p> +“Didn’t she know she had diphtheria?” asked Junkum, +wide-eyed. +</p> + +<p> +“She hadn’t, dear. She was what we call a ‘carrier’ of +disease. For some reason which we can’t find out, a ‘carrier’ +doesn’t fall ill, but will give the disease to any one else as surely as +a very sick person, if the germs from the throat reach the throat or lips of +others.” +</p> + +<p> +“Some lectures on hygiene might not be amiss in Number Three,” said +Mr. Clyde. +</p> + +<p> +“That’s what medical school inspectors are for—to teach the +teachers. The Board of Education should be getting it started.” +</p> + +<p> +“What are you doing over there, Twinkles?” said Mr. Clyde to +Bettina, who had slipped from his knee and was sliding her chubby fist along +the window-pane. +</p> + +<p> +The child looked around. “Thwat that fly,” she explained with +perfect seriousness. +</p> + +<p> +“She has heard the other children talking about the fly-leaflets that +have been scattered around. Where’s the fly, Toodles?” +</p> + +<p> +“Up they-arr,” replied Bettina, pointing to a far corner of the +pane where a big “green-bottle” bumped its head against the glass. +“Come down, buzzy fly.” +</p> + +<p> +“Now, where,” cried Mrs. Clyde, in despair, “do you suppose +that wretched creature came from? I’m so particular always to keep the +rooms screened and darkened.” +</p> + +<p> +“Please’m, it might have come from the kitchen,” suggested +Katie. “There’s a plenty of ‘em there.” +</p> + +<p> +“And before that it came from your next-door neighbor’s +manure-heap,” added Dr. Strong. “That particular kind of fly breeds +only in manure. The fact is that the fly is about the nastiest thing alive. +Compared to it, a hog is a gentleman, and a vulture an epicure. It loves filth, +and unhappily, it also loves clean, household foods. Therefore the path of its +feet is direct between the two—from your neighbor’s stable-yard to +your dinner-table.” +</p> + +<p> +“Disgusting!” cried Mrs. Clyde. +</p> + +<p> +“Worse than disgusting: dangerous,” returned Dr. Strong, unmoved by +her distaste. “A fly’s feet are more than likely to be covered with +disease-bearing matter, which he leaves behind him.” +</p> + +<p> +“Something ought to be done about Freeman’s manure-heap, next door. +I’ll see to it,” announced Mr. Clyde. +</p> + +<p> +“Doubtless you could report him for maintaining a nuisance,” +admitted Dr. Strong; “in which case he might—er—conceivably +retort upon you with your unscreened garbage-pails, which are hatcheries for +another variety of fly.” +</p> + +<p> +“That’s a beam in the eye for you, Tom,” said Grandma +Sharpless. +</p> + +<p> +“Meantime I’ll have the kitchen windows and doors screened at +once,” declared Mrs. Clyde. +</p> + +<p> +“That will help,” said Dr. Strong, “though it won’t +cure. You can gain some idea, from this matter of the flies, how intricate a +social problem health really is. No man sins to himself alone, in hygiene, and +no man can thoroughly protect himself against the misdeeds of his neighbor. +It’s true that there is such a thing as individual self-defense by a sort +of personal fortifying of the body—I’ll take that up some other +time—but it’s very limited. You can carry the fight into the +enemy’s country and eradicate the evil conditions that threaten all, only +by identifying yourself with your environment, and waging war on that basis. +Mr. Clyde, do you know anything about the row of wooden tenements in the +adjoining alley?” +</p> + +<p> +“Saddler’s Shacks? Not much, except that a lot of Italians live +there.” +</p> + +<p> +“Some live; some die. The whole settlement is a scandal of overcrowding, +dirt, and disease. I’ve made out a little local health report of the +place, for the year. Of course, it’s incomplete; but it’s +significant. Look it over.” +</p> + +<p> +Mr. Clyde read aloud as follows:— +</p> + +<table summary="" style="margin-left: 3em"> + +<tr> +<td>Diphtheria</td><td>11 cases</td><td>2 deaths</td> +</tr> + +<tr> +<td>Measles</td><td>20</td><td>1</td> +</tr> + +<tr> +<td>Typhoid fever</td><td>4</td><td>2</td> +</tr> + +<tr> +<td>Scarlet fever</td><td>13</td><td>1</td> +</tr> + +<tr> +<td>Whooping-cough</td><td>20</td><td>3</td> +</tr> + +<tr> +<td>Acute intestinal trouble</td><td>45</td><td>10</td> +</tr> + +<tr> +<td>Influenza</td><td>16</td><td>1</td> +</tr> + +<tr> +<td>Tuberculosis</td><td>6</td><td>1</td> +</tr> + +<tr> +<td>Pneumonia</td><td>9</td><td>4</td> +</tr> + +</table> + +<p> +“What do you think of it?” asked Dr. Strong. +</p> + +<p> +“It’s a bad showing.” +</p> + +<p> +“It’s a bad showing and a bad property. Why don’t you buy +it?” +</p> + +<p> +“Who? I? Are you advising me to buy a job-lot of diseases?” queried +Mr. Clyde. +</p> + +<p> +“Well—as a protective investment. We’d be safe here if those +tenements were run differently.” +</p> + +<p> +“But we aren’t in touch with them at all. They are around the +corner on another block.” +</p> + +<p> +“Nevertheless, visitors pass daily between your house and Saddler’s +Shacks. One of the young men from there delivers bread, often with his bare and +probably filthy hands. Two of the women peddle fruit about the neighborhood. +What Saddler’s Shacks get in the way of disease, you may easily get by +transmission from them. Further, the sanitary arrangements of the shacks are +primitive, not to say prehistoric, and, incidentally, illegal. They are within +the area of fly-travel from here, so both the human and the winged +disease-bearers have the best possible opportunity to pick up infection in its +worst form.” +</p> + +<p> +“Ugh!” said Mrs. Sharpless. “I’ll never eat with a fly +again as long as I live!” +</p> + +<p> +“Wouldn’t it be a simple matter to have the Bureau of Health +condemn the property?” asked Mr. Clyde. +</p> + +<p> +“It would not.” Dr. Strong spoke with curt emphasis. +</p> + +<p> +“Certain features, you said, are illegal.” +</p> + +<p> +“But pull is still stronger than law in this city.” +</p> + +<p> +“Who owns Saddler’s Shacks?” asked Grandma Sharpless, going +with characteristic directness to the point. +</p> + +<p> +“Mrs. Carson Searle.” +</p> + +<p> +“Why, then, it’s all right,” asserted Mrs. Clyde. “I +know Mrs. Searle very well. She’s a leader in church and charitable work. +Of course, she doesn’t know about the condition of the property.” +</p> + +<p> +“She knows enough about it,” retorted Dr. Strong grimly, “to +go to the Mayor over the Health Officer’s head, and put a stop to Dr. +Merritt’s order for the premises to be cleaned up at the owner’s +expense. She wants her profits undisturbed. And now, before the conference +breaks up, I propose that we organize the Household Protective +Association.” +</p> + +<p> +“Oh, can we children belong?” cried Julia. +</p> + +<p> +“Of course. There are offices and honors enough for all. Mr. Clyde shall +be president; Mrs. Sharpless, vice-president and secretary; Mrs. Clyde, +treasurer, and each one of the rest of you shall have a committee. Katie, I +appoint you chairman of the Committee on Food, and if any more flies get into +your kitchen, you can report ‘em to the Committee on Flies, Miss Bettina +Clyde, chairman; motto, ‘Thwat that fly!’ Manny, you like to go to +the farm; you get the Committee on Milk Supply. Junkum, your committee shall be +that of school conditions. Bobs, water is your element. As Water Commissioner +you must keep watch on the city reports. I’ll see that they are sent you +regularly; and the typhoid records.” +</p> + +<p> +“You haven’t left anything for me,” protested Charley. +</p> + +<p> +“Haven’t I! You’ve got one of the biggest of all jobs, air. +If the windows aren’t properly wide when the house is asleep, I want to +know it from you, and you’ll have to get up early to find out. If the +Street Cleaning Department sweeps the air full of dust because it’s too +lazy to wash down the roadway first, we’ll make a committee report to the +Mayor.” +</p> + +<p> +Bettina, <i>alias</i> Toots, <i>alias</i> Twinkles, <i>alias</i> the Cherub, +trotted over and laid two plump hands on the doctor’s knee. +</p> + +<p> +“Ain’t you goin’ to be anyfing in the play?” she asked. +</p> + +<p> +“I?” said Dr. Strong. “Of course, Toots. Every real +association has to have officers and membership, you know. I’m the +Member.” +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap03"></a>III.<br /> +REPAIRING BETTINA</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">“M</span>edicine would be +the ideal profession if it did not involve giving pain,” said Dr. Strong, +setting a paper-weight upon some school reports which had just come in. +</p> + +<p> +“You’ve been here three months and you haven’t hurt any one +yet,” said Mr. Clyde easily. +</p> + +<p> +“No. I’ve been cautious, and perhaps a little cowardly. My place as +Chinese doctor has been such a sinecure that I’ve let things go. +Moreover, I’ve wanted to gain Mrs. Clyde’s confidence as much as +possible, before coming to the point.” +</p> + +<p> +The expression of Mr. Clyde’s keen, good-humored face altered and focused +sharply. He scrutinized the doctor in silence. “Well, let’s have +it,” he said at length. “Is it my wife?” +</p> + +<p> +“No. It’s Bettina.” +</p> + +<p> +The father winced. “That baby!” he said. “Serious?” +</p> + +<p> +“On the contrary, quite simple. <i>If</i> it is handled wisely. But it +means—pain. Not a great deal; but still, pain.” +</p> + +<p> +“An operation?” +</p> + +<p> +Dr. Strong nodded. “Merely a minor one. I’ve sounded Mrs. Clyde, +without her knowing it, and she will oppose it. Mrs. Sharpless, too, I fear. +You know how women dread suffering for the children they love.” +</p> + +<p> +Again Mr. Clyde winced. “It’s—it’s necessary, of +course,” he said. +</p> + +<p> +“Not to do it would be both stupid and cruel. Shall we call in the women +and have it out with them?” +</p> + +<p> +For reply, Mr. Clyde pressed a button and sent the servant who responded, for +Mrs. Clyde and her mother. Grandma Sharpless arrived first, took stock of the +men’s grave faces, and sat down silently, folding her strong, competent +hands in her lap. But no sooner had Mrs. Clyde caught sight of her +husband’s face than her hand went to her throat. +</p> + +<p> +“What is it?” she said. “The children—” +</p> + +<p> +“Nothing to be alarmed about, Mrs. Clyde,” said Dr. Strong quickly. +He pushed a chair toward her. “Sit down. It’s a question +of—of what I might call carpenter-work”—the mother laughed a +nervous relief—“on Betty.” +</p> + +<p> +“Betty?” Her fears fluttered in her voice. “What about +Betty?” +</p> + +<p> +“She needs repairing; that’s all.” +</p> + +<p> +“I don’t know what you mean! Is she hurt?” +</p> + +<p> +“Not at all. She is breathing wrong. She breathes through her +mouth.” +</p> + +<p> +“Oh!” There was reassurance and a measure even of contempt in Mrs. +Clyde’s voice. “Lots of children do that. Perhaps she’s got a +little cold.” +</p> + +<p> +“It isn’t that. This is no new thing with her. She is a +mouth-breather.” +</p> + +<p> +“I’ll see that it’s corrected,” promised the mother. +</p> + +<p> +“Only one thing can correct it,” said Dr. Strong gravely. +“There’s a difficulty that must be removed.” +</p> + +<p> +“You mean an operation? On that baby? Do you know that she isn’t +five yet? And you want to cut her with a knife—” +</p> + +<p> +“Steady, Myra,” came Mr. Clyde’s full, even speech. +“Dr. Strong doesn’t <i>want</i> to do anything except what he +considers necessary.” +</p> + +<p> +“Necessary! Supposing she does breathe through her mouth! What excuse is +that for torturing her—my baby!” +</p> + +<p> +“I’ll answer that, Mrs. Clyde,” said the doctor, with patient +politeness. Walking over to the window he threw it up and called, “Oh, +Tootles! Twinkles! Honorable Miss Cherub, come up here. I’ve got +something to show you.” And presently in came the child, dragging a huge +and dilapidated doll. +</p> + +<p> +She was a picture of rosy health, but, for the first time, the mother noted the +drooping of the lower jaw, and the slight lift of the upper lip, revealing the +edges of two pearly teeth. Dr. Strong took from a drawer a little wooden box, +adjusted a lever and, placing the ear pieces in Betty’s ears, bade her +listen. But the child shook her head. Again he adjusted the indicator. This +time, too, she said that she heard nothing. Not until the fourth change did she +announce delightedly that she heard a pretty bell, but that it sounded very far +away. +</p> + +<p> +“Now we’ll try it on mother,” said the experimenter, and +added in a low tone as he handed it to Mrs. Clyde, “I’ve set it two +points less loud than Betty’s mark. Can you hear it?” +</p> + +<p> +Mrs. Clyde nodded. A look of dread came into her eyes. +</p> + +<p> +“Now, Tootles, open your mouth,” directed the doctor, producing a +little oblong metal contrivance. +</p> + +<p> +“I haven’t got any sore froat,” objected the young lady. +</p> + +<p> +“No, but I want to look at the thoughts inside your head,” he +explained mysteriously. +</p> + +<p> +With entire confidence the child opened her mouth as wide as possible, and Dr. +Strong, setting the instrument far back against her tongue, applied his eye to +the other end. +</p> + +<p> +“All right, Toots,” he said, after a moment. “Get your +breath, and then let mother look.” +</p> + +<p> +He showed Mrs. Clyde how to press the tiny button setting aglow an electric +lamp and lighting up the nasal passages above the throat, which were reflected +on a mirror within the contrivance and thus made clear to the eye. Following +his instructions, she set her eye to the miniature telescope as the physician +pressed it against the little tongue. +</p> + +<p> +“Well, Betty,” said Dr. Strong, as the implement was again +withdrawn, “you’ve got very nice thoughts inside that wise little +head of yours. Now you can continue bringing up your doll in the way she should +go.” +</p> + +<p> +As the door closed behind her the mother turned to Dr. Strong. +</p> + +<p> +“Is she going to be deaf?” she asked breathlessly. +</p> + +<p> +“Of course not,” he reassured her. “That will be taken care +of. What did you see above the back of the throat?” +</p> + +<p> +“Little things like tiny stalactites hanging down.” +</p> + +<p> +“Adenoids.” +</p> + +<p> +“Where could she have gotten adenoids?” cried Mrs. Clyde. +</p> + +<p> +“From her remotest imaginable ancestor, probably.” +</p> + +<p> +“Why, aren’t they a disease?” +</p> + +<p> +“No. An inheritance. The race has always had them. Probably they’re +vestigial salivary glands, the use of which we’ve outgrown. Unfortunately +they may overdevelop and block up the air-passages. Then they have to come +out.” +</p> + +<p> +For the first time in the conference Grandma Sharpless gathered force and +speech. +</p> + +<p> +“Young man,” she said solemnly—rather accusingly, in +fact—“if the Lord put adenoids in the human nose he put ‘em +there for some purpose.” +</p> + +<p> +“Doubtless. But that purpose, whatever it may have been, no longer +exists.” +</p> + +<p> +“Everything in the human body has some use,” she persisted. +</p> + +<p> +“Had,” corrected Dr. Strong. “Not has. How about your +appendix?” +</p> + +<p> +Mrs. Sharpless’s appendix, like the wicked, had long since ceased from +troubling, and was now at rest in alcohol in a doctor’s office, having, +previous to the change of location, given its original proprietress the one bad +scare of her life. Therefore, she blinked, not being provided with a ready +answer. +</p> + +<p> +“The ancestors of man,” said Dr. Strong, “were endowed with +sundry organs, like the appendix and the adenoids, which civilized man is +better off without. And, as civilized man possesses a God-given intelligence to +tell him how to get rid of them, he wisely does so when it’s +necessary.” +</p> + +<p> +“What have the adenoids to do with Betty’s deafness?” asked +Mr. Clyde. +</p> + +<p> +“Everything. They divert the air-currents, thicken the tubes connecting +throat and ear, and interfere with the hearing. Don’t let that little +deficiency in keenness of ear bother you, though. Most likely it will pass with +the removal of the adenoids. Even if it shouldn’t, it is too slight to be +a handicap. But I want the child to be repaired before any of the familiar and +more serious adenoid difficulties are fixed on her for life.” +</p> + +<p> +“Are there others?” asked Mrs. Clyde apprehensively. +</p> + +<p> +“Oh, every imaginable kind. How could it be otherwise? Here’s the +very first principle of life, the breath, being diverted from its proper +course, in the mouth-breather; isn’t a general derangement of functions +the inevitable result? The hearing is affected, as I’ve shown you +already. The body doesn’t get its proper amount of oxygen, and the +digestion suffers. The lungs draw their air-supply in the wrong way, and the +lung capacity is diminished. The open mouth admits all kinds of dust particles +which inflame the throat and make it hospitable to infection. By incorrect +breathing the facial aspect of the mouth-breather is variously modified and +always for the worse; since the soft facial bones of youth are altered by the +continual striking of an air-current on the roof of the mouth, which is pushed +upward, distorting the whole face.” +</p> + +<p> +“None of <i>our</i> children are distorted. You won’t find a +better-looking lot anywhere,” challenged Mrs. Sharpless, the +grandmother’s pride up in arms. +</p> + +<p> +“True. None of them has had overdeveloped adenoids, except Betty. The +others all breathe through their noses. See how different their mouths are from +Betty’s lifting upper lip—very fascinating now, but +later—Well, I’ve gone so far as to prepare an object-lesson for +you. Three extreme types of the mouth-breathers are here from school by my +invitation to have some lemonade and cakes. They are outside now. When they +come in, I want each of you to make an analysis of one of them, without their +seeing it, of course. Talk with them about their work in school. You may get +ideas from that. Mrs. Sharpless, you take the taller of the girls; Mrs. Clyde, +you study the shorter. The boy goes to you, Mr. Clyde.” +</p> + +<p> +The trio of visitors entered, somewhat mystified, but delighted to be the +guests of their friend, Dr. Strong, who had a faculty of interesting children. +So shrewdly did he divert and hold their attention that they concluded their +visit and left without having suspected the scrutiny which they had undergone. +</p> + +<p> +“Now, Mrs. Clyde,” said Dr. Strong, after the good-byes were said, +“what about your girl?” +</p> + +<p> +“Nothing in particular except that she’s mortally homely and +doesn’t seem very bright.” +</p> + +<p> +“Homely in what respect?” +</p> + +<p> +“Well, hatchet-faced, to use a slang term.” +</p> + +<p> +“It’s not a slang term any more; it’s a medical term to +describe a typical result of mouth-breathing. The diversion of the breath +destroys the even arch of the teeth, pushes the central teeth up, giving that +squirrel-like expression that is so unpleasantly familiar, lengthens the mouth +from the lower jaw’s hanging down, and sharpens the whole profile to an +edge, and an ugly one. Adenoids!” +</p> + +<p> +“My tall girl I thought at first was dull, but I found the poor thing was +a little deaf,” said Grandma Sharpless. “She’s got a horrid +skin; so sallow and rough and pimply. I don’t think her digestion is +good. In fact, she said she had trouble with her stomach.” +</p> + +<p> +“Naturally. Her teeth are all out of place from facial malformation +caused by mouth-breathing. That means that she can’t properly chew her +food. That means in turn that her digestion must suffer. That, again, means a +bad complexion and a debilitated constitution. Adenoids! What’s your +analysis, Mr. Clyde?” +</p> + +<p> +“That boy? He’s two grades behind where he should be in school. It +takes him some time to get the drift of anything that’s said to him. I +should judge his brain is weak. Anyway, I don’t see where he keeps it, +for the upper part of his face is all wrong, the roof of the mouth is so pushed +up. The poor little chap’s brain-pan must be contracted.” +</p> + +<p> +“Perfectly correct, and all the result of adenoids again. The boy is the +worst example I’ve been able to find. But all three of the children are +terribly handicapped; one by a painful homeliness, one by a ruined digestion, +and the boy by a mental deficiency—and all simply and solely because they +were neglected by ignorant parents and still more ignorant school +authorities.” +</p> + +<p> +“Would you have the public schools deal with such details?” asked +Mr. Clyde. +</p> + +<p> +“Certainly. Have you ever heard what Goler, the Health Officer of +Rochester, asked that city? ‘Oughtn’t we to close the schools and +repair the children?’ he asked, and he kept on asking, until now +Rochester has a regular system of looking after the noses, mouths, and eyes of +its young. They want their children, in that city, to start the battle of life +in fighting trim.” +</p> + +<p> +“But you don’t see many misshapen children about,” objected +Mrs. Sharpless. +</p> + +<p> +“Then it’s because you don’t look. Call to your mind +Hogarth’s caricatures. Do you remember that in his crowds there are +always clubfooted, or humpbacked, or deformed people? In those days such +deformities were very common because medical science didn’t know how to +correct them in the young. To-day facial deformities, to the scientific eye, +are quite as common, though not as obvious. We’re just learning how to +correct them, and to know that the hatchet-face is a far more serious clog on a +human being’s career than is the clubfoot.” +</p> + +<p> +“If Betty had a clubfoot, of course—” began Mrs. Clyde. +</p> + +<p> +“Of course, you’d have it repaired at whatever cost of suffering. +You’d submit her to a long and serious operation; and probably to the +constant pain of a rigid iron frame upon her leg for months, perhaps years. To +obviate the deformity you’d consider that not too high a price to pay, +and rightly. Well, here is the case of a more far-reaching malformation, +curable by a minor operation, without danger, mercifully quick, with only the +briefest after-effects of pain, and you draw back from it. Why?” +</p> + +<p> +“The thought of the knife on that little face. Is—is that all there +is to be done?” +</p> + +<p> +“No, there are the teeth. They should be looked to.” +</p> + +<p> +“Nonsense! They’re only first teeth,” said +</p> + +<p> +Grandma Sharpless vigorously. “What does a doctor know about +teeth?” +</p> + +<p> +“Lots, if he knows his business. There would be fewer dyspeptics if +physicians in general sent their patients to the dentist more promptly, and +kept them in condition to chew their food.” +</p> + +<p> +“That’s all very well, when people have their real, lasting +teeth,” returned the grandmother. “But Betty’s first set will +be gone in a few years. Then it will be time enough to bother the poor +child.” +</p> + +<p> +“Apparently, Mrs. Sharpless,” said Dr. Strong mildly, “you +consider that teeth come in crops, like berries; one crop now, a second and +distinct crop later. That isn’t the way growth takes place in the human +mouth. The first teeth are to the second almost what the blossom is to the +fruit. I shall want immediately to take Betty to the dentist, and have him keep +watch over her mouth with the understanding that he may charge a bonus on every +tooth he keeps in after its time. The longer the first lot lasts, the better +the second lot are. But there is no use making the minor repairs unless the +main structure is put right first.” +</p> + +<p> +“I must see Betty,” said Mrs. Clyde abruptly, and left the room. +Mrs. Sharpless followed. “Now comes the first real split.” Dr. +Strong turned to Mr. Clyde. “They’re going to vote me down.” +</p> + +<p> +“If it comes to a pinch,” said Mr. Clyde quietly, “my wife +will accept my decision.” +</p> + +<p> +“That is what I want to avoid. Where would my influence with her be, if I +were obliged to appeal to you on the very first test of professional authority? +No, I shall try to carry this through myself, even at the risk of having to +seem a little brutal.” +</p> + +<p> +Mr. Clyde lifted his eyebrows, but he only nodded, as the door opened and the +two women reentered. +</p> + +<p> +“Doctor,” said Mrs. Clyde, “if, in a year from now, Betty +hasn’t outgrown the mouth-breathing, I—I—you may take what +measures you think best.” +</p> + +<p> +“In a year from now, the danger will be more advanced. There is not the +faintest chance of correction of the fault without an operation.” +</p> + +<p> +“I can’t help it! I can’t stand the thought of it, +now,” said Mrs. Clyde brokenly. “You should see her, poor baby, as +she looks now, asleep on the lounge in the library, and even you, Doctor” +(the doctor smiled a little awry at that), “couldn’t bear to think +of the blood and the pain.” She was silent, shuddering. +</p> + +<p> +“My dear Mrs. Clyde, the blood will be no more than a nosebleed, and the +pain won’t amount to much, thanks to anaesthesia. Let me see.” He +stepped to the door and, opening it softly, looked in, then beckoned to the +others to join him. +</p> + +<p> +The child lay asleep on her side, one cupped pink hand hanging, the other back +of her head. Her jaw had dropped and the corner of the mouth had slackened down +in an unnatural droop. The breath hissed a little between the soft lips. Dr. +Strong closed the door again. +</p> + +<p> +“Well?” he said, and there was a suggestion of the sternness of +judgment in the monosyllable. +</p> + +<p> +“I am her mother.” Mrs. Clyde faced him, a spot of color in each +cheek. “A mother is a better judge of her children than any doctor can +be!” +</p> + +<p> +“You think so?” said Dr. Strong deliberately. “Then I must +set you right. Do you recall sending Charley away from the table for +clumsiness, two days ago?” +</p> + +<p> +“Why, yes.” Mrs. Clyde’s expressive eyes widened. “He +overturned his glass, after my warning him.” +</p> + +<p> +“And once last week for the same thing?” +</p> + +<p> +“Yes, but what—” +</p> + +<p> +“Pardon me, do you think your mother-judgment was wise then?” +</p> + +<p> +“Well, really, Dr. Strong,” said Mrs. Clyde, flushing, “you +will hardly assume the right of control of the children’s +manners—” +</p> + +<p> +“This is not a question of manners. There is where your error +lies,” interrupted the doctor. “Against your mother-judgment I set +my doctor-judgment, and I tell you now”—his voice rose a little +from its accustomed polished smoothness, and took on authority—“I +tell you that the boy is no more responsible for his clumsiness than Betty is +for bad breathing. It’s a disease, very faint but unmistakable.” +</p> + +<p> +“Not Charley!” said his father incredulously, “Why, +he’s as husky as a colt.” +</p> + +<p> +“He will be, please God, in a few years, but just now he +has—don’t be alarmed; it’s nothing like so important as it +sounds—he has a slight heart trouble, probably the sequel to that light +and perhaps mismanaged diphtheria attack. It’s quite a common result and +is nearly always outgrown, and it shows in almost unnoticeable lack of control +of hands and feet. I observed Charley’s clumsiness long ago; listened at +his heart, and heard the murmur there.” +</p> + +<p> +“And you never told us!” reproached the grandmother. +</p> + +<p> +“What was the use? There’s nothing to be done; nothing that needs +to be done, except watch, and that I’ve been doing. And I didn’t +want to worry you.” +</p> + +<p> +“Then I’ve been punishing him for what wasn’t his +fault,” said Mrs. Clyde in a choked voice. +</p> + +<p> +“You have. Don’t punish Betty for what isn’t hers,” +countered the physician, swiftly taking advantage of the opening. “Give +her her chance. Mrs. Clyde, if Betty were my own, she could hardly have wound +herself more closely around my heartstrings. I want to see her grow from a +strong and beautiful child to a strong and beautiful girl, and finally to a +strong and beautiful woman. It rests with you. Watch her breathing to-night, as +she sleeps—and tell me to-morrow.” +</p> + +<p> +He rose and left the room. Mr. Clyde walked over and put a hand softly on his +wife’s soft hair; then brushed her cheek with his lips. +</p> + +<p> +“It’s up to you, dearest,” he said gently. +</p> + +<p> +Three days later, Betty, overhanging the side fence, was heard, by her +shamelessly eavesdropping father, imparting information to her next-door +neighbor and friend. +</p> + +<p> +“You’d ought to get a new nothe, Thally. It don’t hurt much, +an’ breathin’ ith heapth more fun!” +</p> + +<p> +Pondering a chain of suggestions induced by this advice, Mr. Clyde walked +slowly to the house. As was his habit in thought, he proceeded to rub the idea +into his chin, which was quite pink from friction by the time he reached the +library. There he found Dr. Strong and Mrs. Sharpless in consultation. +</p> + +<p> +“What are you two conspiring about?” he asked, ceasing to rub the +troubled spot. +</p> + +<p> +“Matter of school reports,” answered the doctor. He glanced at the +other’s chin and smiled. “And what is worrying you?” he +asked. +</p> + +<p> +“I’m wondering whether I haven’t made a mistake.” +</p> + +<p> +“Quite possibly. It’s done by some of our best people,” +remarked the physician dryly. +</p> + +<p> +“Not a pleasant possibility in this case. You remember quoting Rochester +as to closing the schools and repairing the children. To-day, as I heard Betty +commenting on her new nose, it suddenly came to me that I was obstructing that +very system of repairs by which she is benefiting, for less fortunate +youngsters in our schools.” +</p> + +<p> +“You!” said Dr. Strong in surprise. +</p> + +<p> +“As president of the Public Health League. The Superintendent of Schools +came to me with a complaint against Dr. Merritt, the Health Officer, who, he +claimed, was usurping authority in his scheme for a special inspection system +to examine all schoolchildren at regular intervals.” +</p> + +<p> +“Ought to have been established long ago,” declared Dr. Strong. +</p> + +<p> +“The Superintendent thinks otherwise. He claims that it would interfere +with school routine. It’s the duty of the health officials, he says, to +control epidemics from without, to keep sickness out of the schools, not to +hunt around among the children, scaring them to death about diseases that +probably aren’t there.” +</p> + +<p> +Dr. Strong muttered something which Grandma Sharpless pretended not to hear. +“And you’ve agreed to support him in that attitude?” he +queried. +</p> + +<p> +“Well, I’m afraid I’ve half committed myself.” +</p> + +<p> +“Heaven forgive you! Why, see here, Clyde, your dodo of a superintendent +talks of keeping sickness out of the schools. Doesn’t that mean keeping +sickness out of the pupils? There’s just one way to do that: get every +child into the best possible condition of repair—eyes, ears, nose, +throat, teeth, stomach, everything, and maintain them in that state. Then +disease will have a hard time breaking down the natural resistance of the +system. Damaged organs in a child are like flaws in a ship’s armor-plate; +a vital weakening of the defenses. And remember, the child is always battling +against one besieging germ or another.” +</p> + +<p> +“Why can’t medical science wipe out the germs?” demanded Mrs. +Sharpless. “It’s always claiming to do such wonders.” +</p> + +<p> +“In a few instances it can. In typhoid we fight and win the battle from +the outside by doing that very thing. In smallpox, and to a lesser extent in +diphtheria, we can build up an effective artificial barrier by inoculation. +But, as medical men are now coming to realize, in the other important +contagions of childhood, measles, whooping-cough, and scarlet fever, we must +fight the disease from inside the individual; that is, make as nearly +impregnable as possible the natural fortifications of the body to resist and +repel the invasion. That is what school medical inspection aims at.” +</p> + +<p> +“You wouldn’t rank whooping-cough and measles with scarlet fever, +would you?” said Mrs. Sharpless incredulously. +</p> + +<p> +“Why not? Although scarlet fever has the worst +after-effects,—though not much more serious than those of +measles,—the three are almost equal so far as the death-rate is +concerned.” +</p> + +<p> +“Surely not!” protested the old lady. “Why, I’d rather +have measles in the house ten times, or whooping-cough either, than scarlet +fever once.” +</p> + +<p> +“You’re about ten times as likely to have.” +</p> + +<p> +She looked puzzled. “But what did you mean by saying that one of +‘em is as bad as the other?” +</p> + +<p> +“That it’s as dangerous to the community, though not to the +individual.” +</p> + +<p> +“Just a little deep for me, too,” confessed Mr. Clyde. +</p> + +<p> +“Yet it’s perfectly simple. Here, take an example. Would you rather +be bitten by a rattlesnake or a mosquito?” +</p> + +<p> +“A mosquito, of course.” +</p> + +<p> +“Naturally. Yet a rattlesnake country is a good deal safer than a +mosquito country. You wouldn’t hesitate, on account of your health, to +move to Arizona, where rattlesnakes live?” +</p> + +<p> +“I suppose not.” +</p> + +<p> +“But you <i>would</i> be afraid to establish your family in the malarious +swamps of the South?” +</p> + +<p> +“Certainly.” +</p> + +<p> +“Well, people who die of malaria die of mosquito bite, since the mosquito +is the only agency of infection. Thus, it reduces to this: that while the +individual rattler is more dangerous than the individual mosquito, the +mosquito, in general, kills her thousands where the snake kills one. +Now—with considerable modification of the ratio—scarlet fever is +the rattlesnake; whooping-cough and measles are the mosquitoes. It is just as +important to keep measles out of a community as it is to shut out scarlet +fever. In fact, if you will study the records of this city, you will find that +in two out of the last three years, measles has killed more people than scarlet +fever, and whooping-cough more than either of them.” +</p> + +<p> +“What are we going to do about it?” asked the practical-minded Mr. +Clyde. +</p> + +<p> +“Ah, if some one would only tell us that! In measles the worst of the +harm is done before the disease announces itself definitely. The most +contagious stage is previous to the appearance of the telltale rash. +There’s nothing but a snuffling nose, and perhaps a very little fever to +give advance notice that the sufferer is a firebrand.” +</p> + +<p> +“Well, you can’t shut a child out of school for every little sore +throat,” observed Mrs. Sharpless. +</p> + +<p> +“As to that I’m not so sure,” replied the physician slowly +and thoughtfully. “A recent writer on school epidemics has suggested +educating the public to believe that every sore throat is contagious.” +</p> + +<p> +“That isn’t true, is it?” asked Mr. Clyde. +</p> + +<p> +“No. Personally I believe that, while a physician is often justified in +deceiving his patient, he is never justified in fooling the public. In the long +run they find him out and his influence for good is lessened. Yet that +sore-throat theory is near enough true to be a strong temptation. Every sore +throat is suspicious; that isn’t too much to say. And, with a thorough +school-inspection system, it is quite possible that epidemics could be headed +off by isolating the early-discovered cases of sore throat. But, an epidemic of +the common contagions, once well under way, seems to be quite beyond any +certainty of control.” +</p> + +<p> +“Do you mean to say that quarantine and disinfection and isolation are +all useless?” asked Mr. Clyde. +</p> + +<p> +“No. I won’t go as far as that. They may exercise a check in some +cases. But I will say this: that all our cumbersome and expensive and often +harassing hygienic measures in the contagious diseases haven’t made good. +Obviously, if they had, we should see a diminution of the ills which they are +supposed to limit. There is no diminution. No, we’re on the wrong tack. +Until we know what the right tack is, we perhaps ought to keep on doing what we +can in the present line. It’s a big, complicated subject, and one that +won’t be settled until we find out what scarlet fever, measles, and +whooping-cough really are, and what causes them. While we’re waiting for +the bacteriologist to tell us that, the soundest principle of defense that we +have is to keep the body up to its highest pitch of resistance. That is why I +support medical inspection for schools as an essential measure.” +</p> + +<p> +“To repair the children without closing the schools, if I may modify Dr. +Goler’s epigram,” suggested Mr. Clyde. +</p> + +<p> +“Exactly. Eventually we shall have to build as well as repair. A very +curious thing is happening to Young America in the Eastern States. The growing +generation is shrinking in weight and height.” +</p> + +<p> +“Which is almost contradictory enough for a paradox,” remarked Mr. +Clyde. +</p> + +<p> +“It’s a melancholy and literal fact. You know, there’s a +height and weight basis for age upon which our school grading system rests. The +authorities have been obliged to reconstruct it because the children are +continuously growing smaller for their years. <i>There’s</i> work for the +inspection force!” +</p> + +<p> +“You’d put the children on pulleys and stretch ‘em out, I +suppose!” gibed Grandma Sharpless. +</p> + +<p> +“That might work, too,” replied the doctor, unruffled. “The +Procrustean system isn’t so bad, if old Procrustes had only sent his +victims to the gymnasium instead of putting them to bed. Yes, a quarter of an +hour with the weight-pulleys every day would help undersized kiddies a good +deal. But principally I should want the school-inspectors to keep the +youngsters playing.” +</p> + +<p> +“You don’t have to teach a child to play,” sniffed Grandma +Sharpless, with womanly scorn of mere man’s views concerning children. +</p> + +<p> +“Pardon me, Mrs. Sharpless, you taught your children to play.” +</p> + +<p> +“I! Whatever makes you think that?” +</p> + +<p> +“The simple fact that they didn’t die in babyhood.” +</p> + +<p> +Mrs. Sharpless looked at him with a severity not unmingled with suspicion. +“Sometimes, young man,” she observed, “you talk like +a—a—a gump!” +</p> + +<p> +“Take that, Strong!” said Mr. Clyde, joining in the doctor’s +laugh against himself. +</p> + +<p> +“Facts may sometimes sound foolish,” admitted Dr. Strong. “If +they do, that’s the fault of the speaker. And it <i>is</i> a fact that +every mother teaches her baby to play. Watch the cat if you don’t believe +me. The wisest woman in America points out in her recent book that it is the +mother’s playing with her baby which rouses in it the will to live. +Without that will to live none of us would survive.” +</p> + +<p> +“I don’t know who your wisest woman in America may be, but I +don’t believe she knows what she is talking about,” declared +Grandma Sharpless flatly. +</p> + +<p> +“I’ve never known her when she didn’t,” retorted the +doctor. “If Jane Addams of Hull House isn’t an expert in life, +mental, moral, and physical, then there’s no such person! Why, see here, +Mrs. Sharpless; do you know why a baby’s chance of survival is less in +the very best possible institution without its mother, than in the very worst +imaginable tenement with its mother, even though the mother is unable to nurse +it?” +</p> + +<p> +“It isn’t as well tended, I expect.” +</p> + +<p> +“All its physical surroundings are a thousand times more advantageous: +better air, better food, better temperature, better safeguarding against +disease; yet babies in these surroundings just pine away and die. It’s +almost impossible to bring up an infant on an institutional system. The infant +death-rate of these well-meaning places is so appalling that nobody dares tell +it publicly. And it is so, simply because there is no one to play with the +babies. The nurses haven’t the time, though they have the instinct. I +tell you, the most wonderful, mystic, profound thing in all the world, to me, +is the sight of a young girl’s intuitive yearning to dandle every baby +she may see. That’s the universal world-old, world-wide, deep-rooted +genius of motherhood, which antedates the humankind, stirring within her and +impelling her to help keep the race alive—by playing with the +baby.” +</p> + +<p> +“H’m! I hadn’t thought of it in that way,” confessed +Grandma Sharpless. “There may be something in what you say, young man. +But by the time children reach school age I guess they’ve learned that +lesson.” +</p> + +<p> +“Not always. At least, not properly, always. Let’s consult the +Committee on School of our household organization.” +</p> + +<p> +He sent for eight-year-old Julia. +</p> + +<p> +“Question to lay before you, Miss Chairwoman,” said Dr. Strong. +“How many of the girls in your grade hang around the hall or doorways +during recess?” +</p> + +<p> +“Oh, lots!” said Julia promptly. +</p> + +<p> +“Are they the bigger girls? or the smaller ones?” The Committee on +School considered the matter gravely. “Mary Hinks, she’s tall, but +she’s awful thin and sickly,” she pronounced. “Dot Griswold +and Cora Smith and Tiny Warley—why, I guess they’re most all the +littlest girls in the class.” +</p> + +<p> +Dr. Strong nodded. “Sure to be the undernourished, anaemic, lethargic +ones,” said he. “They’re forgetting the lessons of their +babyhood. Insensibly they are losing the will to live. But there’s nobody +to tell them so. A thorough medical inspection service would correct that. It +would include school-nurses who would go to the homes of the children and tell +the parents what was the matter. Such a system might not be warranted to keep +epidemics out of our schools, but it would stretch out and fill out those +meager youngsters’ brains as well as bodies, and fit them to combat +illness if it did come. The whole theory of the school’s attitude toward +the child seems to me misconceived by those who have charge of the system. It +assumes too much in authority and avoids too much in responsibility. +</p> + +<p> +“Take the case of John Smith, who has two children to bring up under our +enlightened system of government. Government says to John Smith, ‘Send +your children to school!’ ‘Suppose I don’t wish to?’ +says John Smith. ‘You’ve got to,’ says Government. ‘It +isn’t safe for me to have them left uneducated.’ ‘Will you +take care of them while they’re at school?’ says John Smith. +‘I’ll train their minds,’ says Government. ‘What about +their bodies?’ says John Smith. ‘Hm!’ says Government; +‘that’s a horse of another color.’ ‘Then I’ll +come with them and see that they’re looked after physically,’ says +John Smith. ‘You <i>will</i> not!’ says Government. +‘I’m <i>in loco ‘parentis</i>, while they’re in +school.’ ‘Then you take the entire <i>loco</i> of the +<i>parentis</i>,’ says John Smith. ‘If you take my children away on +the ground that you’re better fitted to care for their minds than I am, +you ought to be at least as ready to look after their health. Otherwise,’ +says John Smith, ‘go and teach yourself to stand on your head. You +can’t teach <i>my</i> children.’ Now,” concluded Dr. Strong, +“do you see any flaws in the Smith point of view?” +</p> + +<p> +“Just plain common sense,” approved Grandma Sharpless. +</p> + +<p> +“Clyde,” said Dr. Strong, with a twinkle, “if you don’t +stop rubbing a hole in your chin, I’ll have to repair <i>you</i>. +What’s preying on your mind?” +</p> + +<p> +“I am trying,” replied Mr. Clyde deliberately, “to figure +out, with reference to the School Superintendent and myself, just how a man who +has made a fool of himself can write a letter to another man who has helped the +first man make a fool of himself, admitting that he’s made a fool of +himself, and yet avoid embarrassment, either to the man who has made a fool of +himself or to the other man who aided the man in making a fool of himself. Do +you get that?” +</p> + +<p> +Dr. Strong rose. “I’m a Chinese doctor,” he observed, +“not a Chinese puzzle-solver. That’s a matter between you and your +ink-well. Meantime, having attained the point for which I’ve been +climbing, I now declare this session adjourned.” +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap04"></a>IV.<br /> +THE CORNER DRUG-STORE</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">“N</span>o, it +won’t add to the attractiveness of the neighborhood, perhaps,” said +Mrs. Clyde thoughtfully. “But how convenient it will be!” +</p> + +<p> +Mr. Clyde had come home with the news that a drug-store was to be opened +shortly on the adjacent corner. Shifting his position to dodge a +foliage-piercing shaft of sunlight—they were all sitting out on the shady +lawn, in the cool of a September afternoon—Dr. Strong shook his head. +</p> + +<p> +“Too convenient, altogether,” he observed. +</p> + +<p> +“How’s that?” queried Mr. Clyde. “A drugstore is like a +gun in Texas: you may not need it often, but when you do need it, you need it +like blazes.” +</p> + +<p> +“True enough. But most people over-patronize the drug-store.” +</p> + +<p> +“Not this family; at least, since our house-doctor came to keep us well +on the Chinese plan,” said Mrs. Clyde gracefully. +</p> + +<p> +But Dr. Strong only looked rueful. “Your Chinese doctor has to plead +guilty to negligence of what has been going on under his very nose.” +</p> + +<p> +“Oh, not more trouble!” pleaded Mrs. Clyde. She had come through +the dreaded ordeal of little Betty’s operation for adenoids—which +had proved to be, after all, so slight and comparatively painless—with a +greatly augmented respect for and trust in Dr. Strong; but her nerves still +quivered. +</p> + +<p> +“Nothing to trouble you,” the doctor assured her, “but enough +to make me feel guilty—and stupid. Have you noticed any change in Manny, +lately?” +</p> + +<p> +“Manny” was fourteen-year-old Maynard Clyde, the oldest of the +children; a high school lad, tall, lathy, athletic, and good-tempered. +</p> + +<p> +“The boy is as nervous as a witch,” put in Grandma Sharpless. +“I’ve noticed it since early summer.” +</p> + +<p> +“Then I wish you had taught me my trade,” said Dr. Strong. +“Manny is so husky and active that I’ve hardly given him a +thought.” +</p> + +<p> +“Well, what’s wrong with him?” asked the father anxiously. +</p> + +<p> +“Too much drug-store,” was the prompt reply. “Not +drugs!” cried Mrs. Clyde, horrified. “That child!” +</p> + +<p> +“Well, no; not in the sense you mean it. Wait; there he is now. +Manny!” he called, raising his voice. “Come over here a minute, +will you?” The boy ambled over, and dropped down on the grass. He was +brown, thin, and hard-trained; but there was a nervous pucker between his eyes, +which his father noted for the first time. “What’s this? A meeting +of the Board? Anything for the Committee on Milk Supply to do?” he asked. +</p> + +<p> +“Not at present,” answered Dr. Strong, “except to answer a +question or two. You don’t drink coffee, do you?” +</p> + +<p> +“Of course not. I’m trying for shortstop on the junior nine, you +know.” +</p> + +<p> +“How are you making out?” +</p> + +<p> +“Rotten!” said the boy despondently. “I don’t seem to +have any grip on myself this year. Sort o’ get the rattles.” +</p> + +<p> +“Hm-m-m. Feel pretty thirsty after the practice, and usually stop in at +the soda-fountain for some of those patent soft drinks advertised to be +harmless but stimulating, don’t you?” +</p> + +<p> +“Yes,” said the boy, surprised. +</p> + +<p> +“Ah,” said the doctor carelessly; “three or four glasses a +day, I suppose?” +</p> + +<p> +Manny thought a moment. “All of that,” he said. +</p> + +<p> +“Well, you quit it,” advised the doctor, “if you want to make +the ball team. It will put you off your game worse than tea or coffee. Tell the +athletic instructor I said so, will you?” +</p> + +<p> +“Sure!” said the boy. “I didn’t know there was any harm +in it.” +</p> + +<p> +As Manny walked away, Dr. Strong turned to +</p> + +<p> +Mr. Clyde. “I found out about Manny by accident. No wonder the boy is +nervous. He’s been drinking that stuff like water, with no thought of +what’s in it.” +</p> + +<p> +“What <i>is</i> in it?” said Mrs. Clyde. +</p> + +<p> +“Caffeine, generally. The most widely used of the lot is a mixture of +fruit syrups doctored up with that drug. There’s as much nerve-excitation +in a glass of it—yes, and more—than in a cup of strong coffee. What +would you think of a fourteen-year-old boy who drank five cups of strong coffee +every day?” +</p> + +<p> +“I’d think his parents were fools,” declared Grandma +Sharpless bluntly. +</p> + +<p> +“Or his physician,” suggested Dr. Strong. “I’ve seen +cases of people drinking twenty to twenty-five glasses of that +‘harmless’ stuff every day. Of course, they were on the road to +nervous smash-up. But the craving for it was established and they hadn’t +the nerve to stop.” +</p> + +<p> +“The soda-fountain as a public peril,” said Mr. Clyde, with a +smile. +</p> + +<p> +“There’s more in that than can be smiled away,” retorted the +doctor vigorously. “What between nerve-foods that are simply disguised +‘bracers,’ and dangerous, heart-depressing dopes, like +bromo-seltzer, the soda-fountain does its share of damage in the +community.” +</p> + +<p> +“What about soda-water; that is innocent, isn’t it?” asked +Mrs. Clyde. +</p> + +<p> +“Yes. If the syrups are pure, soda-water is a good thing in moderation. +So are the mineral waters. But there is this to be said about soda-water and +candy, particularly the latter—” +</p> + +<p> +“I’ve always said,” broke in Grandma Sharpless, “that +candy-eating would ruin any digestion.”, “Then you’ve always +been wrong, ma’am,” said Dr. Strong. “Candy, well and +honestly made, is excellent food at the proper time. The trouble is, both with +candy and with the heavy, rich soda-waters, that people are continually filling +up with them between meals. Now the stomach is a machine with a great amount of +work to do, and is entitled to some consideration. Clyde, what would happen to +the machines in your factory, if you didn’t give them proper intervals of +rest?” +</p> + +<p> +“They’d be very short-lived,” said Mr. Clyde. +“There’s a curious thing about machinery which everybody knows but +nobody understands: running a machine twenty-four hours a day for one week +gives it harder wear than running it twelve hours a day for a month. It needs a +regular rest.” +</p> + +<p> +“So with the machinery of digestion,” said the doctor. “The +stomach and intestines have their hard work after meals. How are they to rest +up, if an odd lot of candy or a slab of rich ice-cream soda come sliding down +between whiles to be attended to? Eat your candy at the end of a meal, if you +want it. It’s a good desert. But whatever you eat, give your digestion a +fair chance.” +</p> + +<p> +“You can digest anything if you use Thingumbob Pills,” observed Mr. +Clyde sardonically. “The newspapers say so.” +</p> + +<p> +“That’s the kind of doctrine that makes dyspeptics,” returned +Dr. Strong. “The American stomach is the worst-abused organ in creation. +Saliva is the true digestive. If people would take time to chew properly, half +the dyspepsia-pill fakers would go out of business. If they’d take time +to exercise properly, the other half would disappear.” +</p> + +<p> +“Liver pills were my regular dependence a few years ago,” remarked +Mr. Clyde. “Since I took up hand-ball I haven’t needed them. But I +suppose that half the business men in town think they couldn’t live +without drugging themselves two or three times a week.” +</p> + +<p> +“Undoubtedly. Tell the average American any sort of a lie in print, about +his digestion, and he’ll swallow it whole, together with the drug which +the lie is intended to sell. Look at the Cascaret advertising. Its tendency is +to induce, not an occasional recourse to Cascarets, but a steady use of them. +Any man foolish enough to follow the advice of the advertisements would form a +Cascaret habit and bring his digestion into a state of slavery. That sort of +appeal has probably ruined more digestions and spoiled more tempers than any +devil-dogma ever put into type.” +</p> + +<p> +“Castor-oil is good enough for me,” said Grandma Sharpless +emphatically. +</p> + +<p> +“It’s good enough for anybody—that is to say, bad enough and +nasty enough so that there isn’t much danger of its being abused. But +these infernal sugar-coated candy cathartics get a hold on a man’s +intestinal organization so that it can’t do its work without ‘em, +and, Lord knows, it can’t stand their stimulus indefinitely. Then along +comes appendicitis.” +</p> + +<p> +“But some of the laxative medicines advertise to prevent +appendicitis,” said Mrs. Clyde. +</p> + +<p> +Dr. Strong’s face was very grim. “Yes, they advertise. Commercial +travelers, because of their irregular habits, are great pill-guzzlers as a +class. Appendicitis is a very common complaint among them. A Pittsburgh surgeon +with a large practice among traveling men has kept records, and he believes +that more than fifty per cent of the appendicitis cases he treats are caused by +the ‘liver-pill’ and ‘steady-cathartic’ habit. He +explains his theory in this way. The man begins taking the laxative to correct +his bad habits of life. Little by little he increases his dose, as the +digestive mechanism grows less responsive to the stimulus, until presently an +overdose sets his intestines churning around with a violence never intended by +nature. Then, under this abnormal peristalsis, as it is called, the appendix +becomes infected, and there’s nothing for it but the surgeon’s +knife.” +</p> + +<p> +“Would you have people run to the doctor and pay two dollars every time +their stomach got a little out of kilter?” asked Mrs. Sharpless shrewdly. +</p> + +<p> +“Run to the doctor; run to the minister; run to the plumber; run anywhere +so long as you run far enough and fast enough,” answered Dr. Strong with +a smile. “A mile a day at a good clip, or three miles of brisk walking +would be the beginning of a readjustment. Less food more slowly eaten and no +strong liquors would complete the cure in nine cases out of ten. The tenth case +needs the doctor; not the newspaper-and-drug-store pill.” +</p> + +<p> +“But all patent medicines aren’t bad, are they?” asked Mrs. +Clyde. “Some have very good testimonials.” +</p> + +<p> +“Bought or wheedled. Any medicine which claims to <i>cure</i> is a fraud +and a swindle.” +</p> + +<p> +“Don’t tell me, young man!” said Grandma Sharpless. +“You doctors are prejudiced against patent medicines, but we old folks +have used ‘em long enough to know which are good and which are bad. Now I +don’t claim but what the Indian herb remedies and the ‘ready +reliefs’ and that lot are frauds. But my family was brought up on +teething powders and soothing syrups.” +</p> + +<p> +“Then you’re fortunate,” said Dr. Strong sternly, “that +none of them has turned out to be an opium fiend.” +</p> + +<p> +The instant he said it, he saw, with sharp regret, that his shaft had sped true +to the mark. The clear, dark red of a hale old age faded from Grandma +Sharpless’s cheeks. Mr. Clyde shot a quick glance of warning at him. +</p> + +<p> +“And speaking of Indian remedies,” went on the doctor glibly, +“I remember as a boy—” +</p> + +<p> +“Stop a minute,” said Grandma Sharpless steadily. “The truth +isn’t going to hurt me. Or, if it does hurt, maybe it’s right it +should. I had a younger brother who died in a sanitarium for drug-habit when he +was twenty-four. As a child he pretty nearly lived on soothing syrups; had to +have them all the time, because he was such a nervous little fellow; always +having earache and stomach-ache, until he was eight or nine years old. Then he +got better and became a strong, active boy, and a robust man. After his college +course he went to Philadelphia, and was doing well when he contracted the +morphine habit—how or why, we never knew. It killed him in three years. +Do you think—is it possible that the soothing syrups—I’ve +heard they have morphine in them—had anything to do with his ruin?” +</p> + +<p> +“Why, Mrs. Sharpless,” said the other, very gently, “I can +only put it before you in this way. Here is one of the most subtle and +enslaving of all drugs, morphine. It is fed to a child, in the plastic and +formative years of life, regularly. What surer way could there be of planting +the seeds of drug-habit? Suppose, for illustration, we substitute alcohol, +which is far less dangerous. If you gave a child, from the time of his second +year to his eighth, let us say, two or three drinks of whiskey every day, and +that child, when grown up, developed into a drunkard, would you think it +strange?” +</p> + +<p> +“I’d think it strange if he didn’t.” +</p> + +<p> +“Apply the same logic to opium, or its derivative, morphine. There are a +dozen preparations regularly used for children, containing opium, or morphine, +such as Mrs. Winslow’s ‘Soothing Syrup,’ and Kopp’s +‘Baby Friend.’ This is well known, and it is also a recognized fact +that the morphine and opium habit is steadily increasing in this country. +Isn’t it reasonable to infer a connection between the two? Further, some +of the highest authorities believe that the use of these drugs in childhood +predisposes to the drink habit also, later in life. The nerves are unsettled; +they are habituated to a morbid craving, and, at a later period, that craving +is liable to return in a changed manifestation.” +</p> + +<p> +“But a drug-store can’t sell opium or morphine except on +prescription, can it?” asked Mr. Clyde. +</p> + +<p> +“It can <i>in a patent medicine</i>,” replied the doctor. +“That’s one of the ugly phases of the drug business. Yet it’s +possible to find honest people who believe in these dopes and even give +testimonials to them.” +</p> + +<p> +“Some testimonials are hard to believe,” said Mrs. Clyde, +thankfully accepting the chance to shift the conversation to a less painful +phase of the topic. “Old Mrs. Dibble in our church is convinced that she +owes her health to Hall’s Catarrh Cure.” Dr. Strong smiled +sardonically. “That’s the nostrum which offers one hundred dollars +reward for any case it can’t cure; and when a disgusted dupe tried to get +the one hundred dollars, they said he hadn’t given their remedy a +sufficient trial: he’d taken only twenty-odd bottles. So your friend +thinks that a useless mixture of alcohol and iodide of potassium fixed her, +does she?” +</p> + +<p> +“Why shouldn’t she? She had a case of catarrh. She took three +bottles of the medicine, and her catarrh is all gone.” +</p> + +<p> +“All right. Let’s extend her line of reasoning to some other cases. +While old Mr. Barker, around on Halsey Street, was very ill with pneumonia last +month, he fell out of bed and broke his arm.” +</p> + +<p> +“In two places,” said Mrs. Sharpless. “I saw him walking up +the street yesterday, all trussed up like a chicken.” +</p> + +<p> +“Quite recovered from pneumonia, however. Then there was little Mrs. +Bowles: she had typhoid, you remember, and at the height of the fever a strange +cat got into the room and frightened her into hysterics.” +</p> + +<p> +“But she got well,” said Mrs. Clyde. “They’re up in the +woods now.” +</p> + +<p> +“Exactly. Moral (according to Mrs. Dibble’s experience with +Hall’s Catarrh Cure): for pneumonia, try a broken arm; in case of +typhoid, set a cat on the patient.” +</p> + +<p> +Mr. Clyde laughed. “I see,” he said. “People get well in +spite of these patent medicines, rather than by virtue of them. <i>Post hoc, +non propter hoc</i>, as our lawyer friends say.” +</p> + +<p> +“You’ve got it. The human body keeps up a sort of drug-store of its +own. As soon as disease fastens on it, it goes to work in a subtle and +mysterious way, manufacturing a cure for that disease. If it’s +diphtheria, the body produces antitoxin, and we give it more to help it on. If +it’s jaundice, it produces a special quality of gastric juices to correct +the evil conditions. In the vast majority of attacks, the body drives out the +disease by its own efforts; yet, if the patient chances to have been idiot +enough to take some quack ‘cure’ the credit goes to that +medicine.” +</p> + +<p> +“Or to the doctor, if it’s a doctor’s case,” suggested +Grandma Sharpless, with a twinkle of malice. +</p> + +<p> +“Show me a doctor who boasts ‘I can cure you,’ whether by +word of mouth or in print, and I’ll show you a quack,” returned the +other warmly. +</p> + +<p> +“But what is a doctor for in a sick-room, if not to cure?” asked +Mrs. Clyde. +</p> + +<p> +“What is a captain for on a ship?” countered Dr. Strong. “He +can’t cure a storm, can he? But he can guide the vessel so that she can +weather it. Well, our medical captains lose a good many commands; the storm is +often too severe for human skill. But they save a good many, too, by skillful +handling.” +</p> + +<p> +“Then there is no such thing as an actual cure, in medicine?” +</p> + +<p> +“Why, yes. In a sense there are several. Antitoxin may be called a cure +for diphtheria. Quinine is, to some extent, a specific in malaria. And +Ehrlich’s famous ‘606’ has been remarkably, though not +unfailingly, successful in that terrible blood-plague, born of debauchery, +which strikes the innocent through the guilty. All these remedies, however, +come, not through the quack and the drug-store, but through the physician and +the laboratory.” +</p> + +<p> +“May not the patent medicines, also, help to guide the physical ship +through the storm?” asked Mrs. Clyde, adopting the doctor’s simile. +</p> + +<p> +“On to the rocks,” he replied quickly. “Look at the +consumption cures. To many consumptives, alcohol is deadly. Yet a wretched +concoction like Duffy’s Malt Whiskey, advertised to cure tuberculosis, +flaunts its lies everywhere. And the law is powerless to check the suicidal +course of the poor fools who believe and take it.” +</p> + +<p> +“Why, I thought the Pure Food Law stopped all that,” said Mrs. +Clyde innocently. +</p> + +<p> +“The Pure Food Law! The life has been almost crushed out of it. Roosevelt +whacked it over the head with his Referee Board, which granted immunity to the +food poisoners, and afterward the Supreme Court and Wickersham treated it to a +course of ‘legal interpretations,’ which generally signify a way to +get around a good law.” +</p> + +<p> +“But the patent medicines aren’t allowed to make false claims any +more, as I understand it,” said Mr. Clyde. +</p> + +<p> +“That applies only to the label on the bottle. So you’ll find that +the words ‘alcohol,’ ‘opium,’ ‘acetanilid,’ +‘chloral,’ and other terms of poison, have sprouted forth there, in +very small and inconspicuous type. But there’s a free field for the false +promises on sign-boards, in the street-cars, in the newspapers, everywhere. +Look in the next drug-store window you pass and you’ll see ‘sure +cures’ exploited in terms that would make Ananias feel like an +amateur.” +</p> + +<p> +“You make out a pretty poor character for the druggists, as a +class,” observed Mr. Clyde. +</p> + +<p> +“Not at all. As a class, they’re a decent, self-respecting, +honorable lot of men.” +</p> + +<p> +“Then why do they stick to a bad trade?” asked Mrs. Clyde. +</p> + +<p> +Dr. Strong got to his feet. “Let one of them answer,” he said. +“Mr. Gormley, who runs the big store in the Arcade, usually passes here +about this time, and I think I see him coming now.” +</p> + +<p> +“They can talk all they like,” said Grandma Sharpless emphatically, +as the doctor walked across to the front fence, “but I wouldn’t be +without a bottle of cough syrup in the house.” +</p> + +<p> +“Nor I without my headache tablets,” added Mrs. Clyde. +“I’d have had to give up the bridge party yesterday but for +them.” +</p> + +<p> +Mr. Clyde shot a sharp glance, first, at his wife, then at her mother. +“Well, I’d like to see the labels on your particular brands of +medicine,” he remarked. +</p> + +<p> +“There’s nothing bad in mine,” asserted Mrs. Clyde. +“Mrs. Martin recommended them to me; she’s been taking them for +years.” +</p> + +<p> +At this point Dr. Strong returned, bringing with him a slim, elderly man, whose +shrewd, wide eyes peered through a pair of gold-rimmed glasses. +</p> + +<p> +“So you want me to give away the secrets of my trade,” he remarked +good-humoredly, after the greetings. “Well, I don’t object to +relieving my mind, once in a while. So shoot, and if I can’t dodge, +I’ll yell.” +</p> + +<p> +“Why do you deal in patent medicines if they’re so bad?” +asked Grandma Sharpless bluntly. “Is there such a big profit in +them?” +</p> + +<p> +“No profit, worth speaking of,” replied Mr. Gormley. “Though +you’ll note that I haven’t admitted they are bad—as +yet.” +</p> + +<p> +“The bulk of your trade is in that class of goods, isn’t it?” +queried Mr. Clyde. +</p> + +<p> +“Worse luck, it is. They’ve got us through their hold on the +public. And they not only force us to be their agents, but they grind us down +to the very smallest profit; sometimes less than the cost of doing +business.” +</p> + +<p> +“But you aren’t compelled to deal in their medicines,” +objected Mr. Clyde. +</p> + +<p> +“Practically I am. My really profitable trade is in filling +prescriptions. There I can legitimately charge, not only for the drugs, but +also for my special technical skill and knowledge. But in order to maintain my +prescription trade I must keep people coming to my store. And they won’t +come unless I carry what they demand in the way of patent medicines.” +</p> + +<p> +“Then there is a legitimate demand for patent medicines?” said Mr. +Clyde quickly. +</p> + +<p> +“Legitimate? Hardly. It’s purely an inspired demand.” +</p> + +<p> +“What makes it persist, then?” +</p> + +<p> +“The newspapers. The patent-medicine advertisers fill the daily columns +with their claims, and create a demand by the force of repeated falsehood. Do +you know the universal formula for the cost of patent cures? Here it is: Drugs, +3 per cent; manufacturing plant, 7 per cent; printing ink, 90 per cent. +It’s a sickening business. If I could afford it, I’d break loose +like that fellow McConnell in Chicago and put a placard of warning in my show +window. Here’s a copy of the one he displays in his drug-store.” +</p> + +<p> +Taking a card from his pocket, Mr. Gormley held it up for the circle to read. +The inscription was:— +</p> + +<p class="letter"> +“Please do not ask us what <i>any old patent, medicine</i> is worth, +for you embarrass us, as our honest answer must be that <i>it is +worthless</i>.<br /> + “If you mean to ask us at what price we sell it, that is an entirely +different proposition. When sick, consult a good physician. It is the only +proper course. And you will find it cheaper in the end than self-medication +with <i>worthless ‘patent’ nostrums.</i>” +</p> + +<p> +“Has that killed his trade in quackery?” asked Dr. Strong. +</p> + +<p> +“Nothing can kill that. It has cut it down by half, though. It’s a +peculiar and disheartening fact that the public will believe the paid lie of a +newspaper advertisement and disregard the plain truth from an expert. And see +here, Dr. Strong, when you doctors get together and roast the pharmaceutical +trade, just remember that it’s really the newspapers and not the +drug-stores that sell patent medicines.” +</p> + +<p> +“Are all of them so bad?” asked Mrs. Clyde. +</p> + +<p> +“All that claim to <i>cure</i>. They’re either frauds, appealing to +the appetite by a stiff allowance of booze, like Swamp Root and Peruna, or +disguised dopes,—opium, hasheesh or chloral,—masquerading as +soothing syrups, cough medicines, and consumption cures; or artificial devices +for giving yourself heart disease by the use of coal-tar chemicals in the +headache powders and anti-pain pills.” +</p> + +<p> +“Well, you can’t make me believe, Mr. Drug-man,” said Grandma +Sharpless with a belligerent shake of her head, “that a patent medicine +which keeps on being in demand for years, on its own merits, hasn’t +something good in it.” +</p> + +<p> +“No, ma’am, I can’t,” agreed the visitor. “I +wouldn’t want to. There isn’t any such patent medicine.” +</p> + +<p> +“There’s hundreds of ‘em,” contradicted the old lady, +with the exaggeration of the disputant who finds the ground dropping away from +underfoot. +</p> + +<p> +“Not that sell on their own merits. Advertising and more advertising and +still more advertising is all that does it. Let any one of them drop out of the +newspapers and off the bill-boards, and the demand for it would be dead in a +year.” +</p> + +<p> +“Yet, as a student of business conditions,” said Mr. Clyde, +“I’m inclined to side with Mrs. Sharpless and believe that any line +of goods which has come down from yesterday to to-day must have some +merit.” +</p> + +<p> +The druggist took off his glasses, wiped them and waved them in the air, with a +flourish. +</p> + +<p class="poem"> +And all our yesterdays have lighted fools<br /> +The way to dusty death, +</p> + +<p> +he quoted sonorously. “We think ourselves heirs to the wisdom of the +ages, without stopping to consider that we’re heirs to the foolishness, +also. We’re gulled by the printed lie about Doan’s Kidney Pills, +just as our fathers were by the cart-tail oratory of the itinerant quack who +sold the ‘Wonderful Indian Secrets of Life’ at one dollar per +bottle.” +</p> + +<p> +“Well, I hesitate to admit it,” said Mrs. Clyde, with a little +laugh, “but we always have a few of the old remedies about.” +</p> + +<p> +“Suppose you name some of them over,” suggested the druggist. +</p> + +<p> +“Usually I keep some One-Night Cough Cure in the house. That’s +harmless, isn’t it?” +</p> + +<p> +The druggist glanced at Dr. Strong, and they both grinned. +</p> + +<p> +“It <i>might</i> be harmless,” said the druggist mildly, “if +it didn’t contain both morphine and hasheesh.” +</p> + +<p> +“Goodness!” said Mrs. Clyde, horrified. “How could one +suppose—” +</p> + +<p> +“By reading the label carefully,” interjected Dr. Strong. +“Anything else?” +</p> + +<p> +“Let me think. I’ve always considered Jayne’s Expectorant +good for the children when they have a cold.” +</p> + +<p> +“Tastes differ,” observed the druggist philosophically. “I +wouldn’t consider opium good for <i>my</i> children inside or outside of +any expectorant. Next!” +</p> + +<p> +“But the names <i>sound</i> so innocent!” cried Mrs. Clyde. +“I’m almost afraid to tell any more. But we always have Rexall +Cholera Cure on hand.” +</p> + +<p> +“Had much cholera in the house lately?” inquired the druggist, with +an affectation of extreme interest. +</p> + +<p> +“Of course it’s only for stomach-ache,” explained Mrs. Clyde. +“It certainly does cure the pain.” +</p> + +<p> +“Not cure,—drug it into unconsciousness,” amended Mr. +Gormley. “The opium in it does that. Rather a heroic remedy, opium, for a +little stomach-ache, don’t you think?” +</p> + +<p> +“What have you got to say against Kohler’s One-Night Cough Cure +that I always keep by me?” demanded Grandma Sharpless. +</p> + +<p> +Mr. Gormley beamed on her in deprecatory good nature. “Who? Me? Gracious! +I’ve got nothing to say against it worse than it says against itself, on +its label. Morphine, chloroform, and hasheesh. What more <i>is</i> there to +say?” +</p> + +<p> +“How long has this house been full of assorted poisons?” asked Mr. +Clyde suddenly of his wife. +</p> + +<p> +“Now, Tom,” she protested. “I’ve always been careful +about using them for the children. Personally, I never touch patent +medicines.” +</p> + +<p> +But at this her mother, smarting under their caller’s criticism of her +cough syrup, turned on her. +</p> + +<p> +“What do you call those headache tablets you take?” +</p> + +<p> +“Those? They aren’t a patent medicine. They’re Anti-kamnia, a +physician’s prescription.” +</p> + +<p> +“Yes; a fine prescription they are!” said the druggist. “Did +you ever read the Anti-kamnia booklet? For whole-souled, able-bodied, +fore-and-aft, up-and-down stairs professional lying, it has got most of the +patent medicines relegated to the infant class. Harmless, they say! I’ve +seen a woman take two of those things and hardly get out of the door before +they got in their fine work on her heart and over she went like a shot +rabbit.” +</p> + +<p> +“Not dead!” +</p> + +<p> +“No; but it was touch and go with her.” +</p> + +<p> +“What’s in that; opium, too?” asked Mr. Clyde. +</p> + +<p> +“No; a coal-tar chemical which puts a clamp on the heart action. One or +another of the coal-tar drugs is in all the headache powders. There’s a +long list of deaths from them, not to mention cases of drug-habit.” +</p> + +<p> +“Habit?” cried Mrs. Clyde. “Do you mean I’m in danger +of not being able to get along without the tablets?” +</p> + +<p> +“If you take them steadily you certainly are. If you take them +occasionally, you’re only in danger of dropping dead one of these +days.” +</p> + +<p> +Mr. Clyde’s chin abruptly assumed a prominence which he seldom permitted +it. “Well, that settles <i>that</i>,” he observed; and it was +entirely unnecessary for any one present to ask any amplification of the +remark. Mrs. Clyde looked at her mother for sympathy—and didn’t get +any. +</p> + +<p> +“Whenever I see a woman come into the shop,” continued the +druggist, “with a whitey-blue complexion and little gray’ flabby +wrinkles under her eyes, I know without asking what <i>she</i> wants. +She’s a headache-powder fiend.” +</p> + +<p> +“That queer look they have is from deterioration of the blood,” +said Dr. Strong. “The acetanilid or acetphenetidin or whatever the +coal-tar derivative may be, seems to kill the red corpuscles. In extreme cases +of this I’ve seen blood the color of muddy water.” +</p> + +<p> +“It certainly makes a fright of a woman. ‘Orangeine’ gets a +lot of ‘em. You’ ve seen its advertisements in the street-cars. The +owner of Orangeine, a Chicago man, got the habit himself: used fairly to live +on the stuff, until pop! went his heart. He’s a living, or, rather a dead +illustration of what his own dope will do.” +</p> + +<p> +“But what are you to do for a splitting headache?” queried Mrs. +Clyde, turning to Dr. Strong. +</p> + +<p> +“I don’t know, unless I know what causes it,” said Dr. +Strong. “Headache isn’t a disease. It’s a symptom, a danger +signal. It’s the body’s way of crying for help. Drugs don’t +cure a headache. They simply interrupt it.” +</p> + +<p> +“What with the headache-powders breeding the drug habit, and the +consumption cures and cough medicines making dope fiends, and the malt whiskey +cures and Perunas furnishing quiet joy to the temperance trade, I sometimes +wonder what we’re coming to,” remarked Mr. Gormley. +</p> + +<p> +Mr. Clyde rubbed his chin thoughtfully. “But poor people who can’t +afford a doctor have no recourse but to patent medicines,” said he. +</p> + +<p> +“Can’t afford a doctor!” exclaimed Dr. Strong. “Why, +don’t you know that nostrum-taking is the most expensive form of +treatment? Did you ever happen to see A. B. Frost’s powerful cartoon +called ‘Her Last Dollar’? A woman, thin, bent, and ravaged with +disease, is buying, across the counter of a country store, a bottle of some +kind of ‘sure cure,’ from the merchant, who serves her with a +smile, half-pitying, half-cynical, while her two ragged children, with hunger +and hope in their pinched faces, gaze wistfully at the food in the glass cases. +There’s the whole tragedy of a wasted life in that picture. ‘Her +Last Dollar!’ That’s what the patent medicine is after. A doctor at +least <i>tries</i> to cure. But the patent medicine shark’s policy is to +keep the sufferer buying as long as there is a dollar left to buy with. Why, a +nostrum that advertises heavily has got to sell six bottles or seven to each +victim before the cost of catching that victim is defrayed. After that, the +profits. Since you’ve brought up the matter of expense, I’ll give +you an instance from your own household, Clyde.” +</p> + +<p> +“Here! What’s this?” cried Mr. Clyde, sitting up straight. +“More patent dosing?” +</p> + +<p> +“One of the servants,—Maggie, the nurse. I’ve got her whole +medical history and she’s a prime example of the Dupe’s Progress. +She’s run the gamut of fake cures.” +</p> + +<p> +“Something must have been the matter with her to start her off, +though,” said Mr. Clyde. +</p> + +<p> +“That’s the joke—or would be if it weren’t pathetic. +She started out by having headaches. Not knowing any better, she took +headache-powders.” +</p> + +<p> +“One for you, Myra,” remarked Mr. Clyde to his wife, in an aside. +</p> + +<p> +“Bad heart action and difficulty in breathing—the natural +result—scared her into the belief that she had heart trouble. Impetus was +given to this notion by an advertisement which she found in a weekly, a +religious weekly (God save the mark!), advising her not to drop dead of heart +disease. To avoid this awful fate, which was illustrated by a sprightly sketch +of a man falling flat on the sidewalk, she was earnestly implored to try +Kinsman’s heart remedy. She did so, and, of course, got worse, since the +‘remedy’ was merely a swindle. About this time Maggie’s +stomach began to ‘act up,’ partly from the medicines, partly from +the original trouble which caused her headaches.” +</p> + +<p> +“You haven’t told us what that was, Strong,” remarked Mr. +Clyde. +</p> + +<p> +“Later. Maggie now developed catarrh of the stomach, superinduced by +reading one of old Dr. Hartman’s Peruna ads. She took seven bottles of +Peruna, and it cheered her up quite a bit—temporarily and +alcoholically.” +</p> + +<p> +“Then it was <i>that</i> that I smelled on her breath. And I accused her +of drinking,” said Mrs. Clyde remorsefully. +</p> + +<p> +“So she had been; raw alcohol, flavored with a little caramel and +doctored up with a few drugs. Toward the close of her Peruna career, her +stomach became pretty sensitive. Also, as she wasn’t accustomed to strong +liquor, her kidneys were affected somewhat. In her daily paper she read a +clarion call from Dr. Kilmer of the Swamp Root swindle (the real Dr. Kilmer +quit Swamp Root to become a cancer quack, by the way), which seemed to her to +diagnose her case exactly. So she ‘tanked up’ some more on that +brand of intoxicant. Since she was constantly drugging herself, the natural +resistance of her body was weakened, and she got a bad cold. The cough scared +her almost to death; or rather, the consumption cure advertisements which she +took to reading did; and she spent a few dollars on the fake factory which +turns out Dr. King’s New Discovery. This proving worthless, she switched +to Piso’s Cure and added the hasheesh habit to alcoholism. By this time +she had acquired a fine, typical case of patent-medicine dyspepsia. That idea +never occurred to her, though. She next tried Dr. Miles’s Anti-Pain Pills +(more acetanilid), and finally decided—having read some advertising +literature on the subject—that she had cancer. And the reason she was +leaving you, Mrs. Clyde, was that she had decided to go to a scoundrelly quack +named Johnson who conducts a cancer institute in Kansas City, where he fleeces +unfortunates out of their money on the pretense that he can cure cancer without +the use of the knife.” +</p> + +<p> +“Can’t you stop her?” asked Mrs. Clyde anxiously. +</p> + +<p> +“Oh, I’ve stopped her! You’ll find the remains of her patent +medicines in the ash-barrel. I flatter myself I’ve fixed <i>her</i> +case.” +</p> + +<p> +Grandma Sharpless gazed at him solemnly. “‘Any doctor who claims to +cure is a quack.’ Quotation from Dr. Strong,” she said. +</p> + +<p> +“Nearly had me there,” admitted he. “Fortunately I +didn’t use the word ‘cure.’ It wasn’t a case of cure. +It was a case of correcting a stupid, disastrous little blunder in +mathematics.” +</p> + +<p> +“Mathematics, eh?” repeated Mr. Clyde. “Have you reached the +point where you treat disease by algebra, and triangulate a patient for an +operation?” +</p> + +<p> +“Not quite that. But poor Maggie suffered all her troubles solely through +an error in figuring by an incompetent man. A year ago she had trouble with her +eyes. Instead of going to a good oculist she went to one of these stores which +offer examinations free, and take it out in the price of the glasses. The +examination is worth just what free things usually are worth—or less. +They sold her a pair of glasses for two dollars. The glasses were figured out +some fifty degrees wrong, for her error of vision, which was very slight, +anyway. The nervous strain caused by the effort of the eyes to accommodate +themselves to the false glasses and, later, the accumulated mass of drugs with +which she’s been insulting her insides, are all that’s the matter +with Maggie.” +</p> + +<p> +“That is, the glasses caused the headaches, and the patent medicines the +stomach derangement,” said Mr. Clyde. +</p> + +<p> +“And the general break up, though the glasses may have started both +before the nostrums ever got in their evil work. Nowadays, the wise doctor, +having an obscure stomach trouble to deal with, in the absence of other +explanation, looks to the eyes. Eyestrain has a most potent and far-reaching +influence on digestion. I know of one case of chronic dyspepsia, of a +year’s standing, completely cured by a change of eyeglasses.” +</p> + +<p> +“As a financial proposition,” said Mr. Gormley, “your nurse +must have come out at the wrong end of the horn.” +</p> + +<p> +“Decidedly,” confirmed the doctor. “She spent on patent +medicines about forty dollars. The cancer quack would have got at least a +hundred dollars out of her, not counting her railroad fare. Two hundred dollars +would be a fair estimate of her little health-excursion among the quacks. Any +good physician would have sent her to an oculist, who would have fitted proper +glasses and saved all that expense and drugging. The entire bill for doctor, +oculist, and glasses might have been twenty-five dollars. Yet they defend +patent medicines on the ground that they’re the ‘poor man’s +doctor.” +</p> + +<p> +Mr. Gormley rose. “Poor man’s undertaker, rather,” he +amended. “Well, having sufficiently blackguarded my own business, I think +I’ll go. Here’s the whole thing summed up, as I see it. It pays to +go to the doctor first and the druggist afterward; not to the druggist first +and the doctor afterward.” +</p> + +<p> +Dr. Strong walked over to the gate with him. On his return Mrs. Clyde remarked: +</p> + +<p> +“What an interesting, thoughtful man. Are most druggists like +that?” +</p> + +<p> +“They’re not all philosophers of the trade, like Gormley,” +said Dr. Strong, “but they have to be pretty intelligent before they can +pass the Pharmaceutical Board in this state, and put out their colored +lights.” +</p> + +<p> +“I’ve often meant to ask what the green and red lights in front of +a drug-store stand for,” said Mrs. Clyde. “What is their +derivation?” +</p> + +<p> +“Green is the official color of medical science,” explained the +doctor. “The green flag, you know, indicates the hospital corps in +war-time; and the degree of M.D. is signalized by a green hood in academic +functions.” +</p> + +<p> +“And the red globe on the other side of the store: what does that +mean?” +</p> + +<p> +“Danger,” replied Dr. Strong grimly. +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap05"></a>V.<br /> +THE MAGIC LENS</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">“N</span>o good fairy had +ever bestowed such a gift as this magic lens,” said Dr. Strong, whisking +Bettina up from her seat by the window and setting her on his knee. “It +was most marvelously and delicately made, and furnished with a lightning-quick +intelligence of its own. Everything that went on around it, it reported to its +fortunate possessor as swiftly as thought flies through that lively little +brain of yours. It earned its owner’s livelihood for him; it gave him +three fourths of his enjoyments and amusements; it laid before him the +wonderful things done and being done all over the world; it guided all his +life. And all that it required was a little reasonable care, and such +consideration as a man would show to the horse that worked for him.” +</p> + +<p> +“At the beginning you said it wasn’t a fairytale,” accused +Bettina, with the gravity which five years considers befitting such an +occasion. +</p> + +<p> +“Wait. Because the owner of the magic lens found that it obeyed all his +orders so readily and faithfully, he began to impose on it. He made it work +very hard when it was tired. He set tasks for it to perform under very +difficult conditions. At times when it should have been resting, he compelled +it to minister to his amusements. When it complained, he made light of its +trouble.” +</p> + +<p> +“Could it speak?” inquired the little auditor. +</p> + +<p> +“At least it had a way of making known its wants. In everything which +concerned itself it was keenly intelligent, and knew what was good and bad for +it, as well as what was good and bad for its owner.” +</p> + +<p> +“Couldn’t it stop working for him if he was so bad to it?” +</p> + +<p> +“Only as an extreme measure. But presently, in this case, it threatened +to stop. So the owner took it to a cheap and poor repair-shop, where the +repairer put a little oil in it to make it go on working. For a time it went +on. Then, one morning, the owner woke up and cried out with a terrible fear. +For the magic light in the magic lens was gone. So for that foolish man there +was no work to do nor play to enjoy. The world was blotted out for him. He +could not know what was going on about him, except by hearsay. No more was the +sky blue for him, or the trees green, or the flowers bright; and the faces of +his friends meant nothing. He had thrown away the most beautiful and wonderful +of all gifts. Because it is a gift bestowed on nearly all of us, most of us +forgot the wonder and the beauty of it. So, Honorable Miss Twinkles, do you +beware how you treat the magic lens which is given to you.” +</p> + +<p> +“To me?” cried the child; and then, with a little squeal of +comprehension: “Oh, I know! My eyes. That’s the magic lens. +Isn’t it?” +</p> + +<p> +“What’s that about Bettykin’s eyes?” asked Mr. Clyde, +who had come in quietly, and had heard the finish of the allegory. +</p> + +<p> +“I’ve been examining them,” explained Dr. Strong, “and +the story was reward of merit for her going through with it like a little +soldier.” +</p> + +<p> +“Examining her eyes? Any particular reason?” asked the father +anxiously. +</p> + +<p> +“Very particular. Mrs. Clyde wishes to send her to kindergarten for a +year before she enters the public school. No child ought to begin school +without a thorough test of vision.” +</p> + +<p> +“What did the test show in Bettykin’s case?” +</p> + +<p> +“Nothing except the defects of heredity.” +</p> + +<p> +“Heredity? My sight is pretty good; and Mrs. Clyde’s is still +better.” +</p> + +<p> +“You two are not the Cherub’s only ancestors, however,” +smiled the physician. “And you can hardly expect one or two generations +to recast as delicate a bit of mechanism as the eye, which has been built up +through millions of years of slow development. However, despite the natural +deficiencies, there’s no reason in Betty why she shouldn’t start in +at kindergarten next term, provided there isn’t any in the kindergarten +itself.” +</p> + +<p> +Mr. Clyde studied the non-committal face of his “Chinese +physician,” as he was given to calling Dr. Strong since the latter had +undertaken to safeguard the health of his household on the Oriental basis of +being paid to keep the family well and sound. “Something is wrong with +the school,” he decided. +</p> + +<p> +“Read what it says of itself in that first paragraph,” replied Dr. +Strong, handing him a rather pretentious little booklet. +</p> + +<p> +In the prospectus of their “new and scientific kindergarten,” the +Misses Sarsfield warmly congratulated themselves and their prospective pupils, +primarily, upon the physical advantages of their school building which included +a large work-and-play room, “with generous window space on all sides, and +finished throughout in pure, glazed white.” This description the head of +the Clyde household read over twice; then he stepped to the door to intercept +Mrs. Clyde’s mother who was passing by. +</p> + +<p> +“Here, Grandma,” said he. “Our Chinese tyrant had diagnosed +something wrong with that first page. Do you discover any kink in it?” +</p> + +<p> +“Not I,” said Mrs. Sharpless, after reading it. “Nor in the +place itself. I called there yesterday. It is a beautiful room; everything as +shiny and clean as a pin.” +</p> + +<p> +“Yesterday was cloudy,” observed the Health Master. +</p> + +<p> +“It was. Yet there wasn’t a corner of the place that wasn’t +flooded with light,” declared Mrs. Sharpless. +</p> + +<p> +“And on a clear day, with the sun pouring in from all sides and being +flashed back from those shiny, white walls, the unfortunate inmates would be +absolutely dazzled.” +</p> + +<p> +“Do you mean to say that God’s pure sunlight can hurt any +one?” challenged Mrs. Sharpless, who was rather given to citing the Deity +as support for her own side of any question. +</p> + +<p> +“Did you ever hear of snow-blindness?” countered the physician. +</p> + +<p> +“I’ve seen it in the North,” said Mr. Clyde. +“It’s not a pleasant thing to see.” +</p> + +<p> +“Glazed white walls would give a very fair imitation of snow-glare. Too +much light is as bad as too little. Those walls should be tinted.” +</p> + +<p> +“Yet it says here,” said Mr. Clyde, referring to his circular, +“that the ‘Misses Sarsfield will conduct their institution on the +most improved Froebelian principles.” +</p> + +<p> +“Froebel was a great man and a wise one,” said Dr. Strong. +“His kindergarten system has revolutionized all teaching. But he lived +before the age of hygienic knowledge. I suppose that no other man has wrought +so much disaster to the human eye as he.” +</p> + +<p> +“That’s a pretty broad statement, Strong,” objected Air. +Clyde. +</p> + +<p> +“Is it? Look at the evidence. North Germany is the place where Froebel +first developed his system. Seventy-five per cent of the population are +defective of vision. Even the American children of North German immigrants show +a distinct excess of eye defects. You’ve seen the comic pictures +representing Boston children as wearing huge goggles?” +</p> + +<p> +“Are you making an argument out of a funny-paper joke?” queried +Grandma Sharpless. +</p> + +<p> +“Why not? It wouldn’t be a joke if it hadn’t some foundation +in fact. The kindergarten system got its start in America in Boston. Boston has +the worst eyesight of any American city; impaired vision has even become +hereditary there. To return to Germany: if you want a shock, look up the +records of suicides among school-children there.” +</p> + +<p> +“But surely that has no connection with the eyes.” +</p> + +<p> +“Surely it has,” controverted Dr. Strong. “The eye is the +most nervous of all the organs; and nothing will break down the nervous system +in general more swiftly and surely than eye-strain. Even in this country we are +raising up a generation of neurasthenic youngsters, largely from neglect of +their eyes.” +</p> + +<p> +“Still, we’ve got to educate our children,” said Mr. Clyde. +</p> + +<p> +“And we’ve got to take the utmost precautions lest the education +cost more than it is worth, in acquired defects.” +</p> + +<p> +“For my part,” announced Grandma Sharpless, “I believe in +early schooling and in children learning to be useful. At the Sarsfield school +there were little girls no older that Bettina, who were doing needlework +beautifully; fine needlework at that.” +</p> + +<p> +“Fine needlework!” exploded Dr. Strong in a tone which Grandma +Sharpless afterwards described as “damnless swearing.” +</p> + +<p> +“That’s enough! See here, Clyde. Betty goes to that kindergarten +only over my dead job.” +</p> + +<p> +“Oh, well,” said Mr. Clyde, amazed at the quite unwonted excitement +which the other exhibited, “if you’re dealing in ultimatums, +I’ll drop out and leave the stricken field to Mrs. Clyde. This +kindergarten scheme is hers. Wait. I’ll bring her. I think she just came +in.” +</p> + +<p> +“What am I to fight with you about, Dr. Strong?” asked Mrs. Clyde, +appearing at the door, a vision of trim prettiness in her furs and veil. +“Tom didn’t tell me the <i>casus belli</i>.” +</p> + +<p> +“Nobody in this house,” said Dr. Strong appealing to her, +“seems to deem the human eye entitled to the slightest consideration. +You’ve never worn glasses; therefore you must have respected your own +eyesight enough to—” +</p> + +<p> +He stopped abruptly and scowled into Mrs. Clyde’s smiling face. +</p> + +<p> +“Well! what’s the matter?” she demanded. “You look as +if you were going to bite.” +</p> + +<p> +“What are you looking cross-eyed for?” the Health Master shot at +her. +</p> + +<p> +“I’m not! Oh, it’s this veil, I suppose.” She lifted +the heavy polka-dotted screen and tucked it over her hat. “There, +that’s more comfortable!” +</p> + +<p> +“Is it!” said the physician with an emphasis of sardonicism. +“You surprise me by admitting that much. How long have you been wearing +that instrument of torture?” +</p> + +<p> +“Oh, two hours. Perhaps three. But, Dr. Strong, it doesn’t hurt my +eyes at all.” +</p> + +<p> +“Nor your head?” +</p> + +<p> +“I <i>have</i> got a little headache,” she confessed. “To +think that a supposedly intelligent woman who has reached the age +of—of—” +</p> + +<p> +“Thirty-eight,” said she, laughing. “I’m not ashamed of +it.” +</p> + +<p> +“—Thirty-eight, without having to wear glasses, should deliberately +abuse her hard-working vision by distorting it! See here,” he interrupted +himself, “it’s quite evident that I haven’t been living up to +the terms of my employment. One of these evenings we’re going to have in +this household a short but sharp lecture and symposium on eyes. I’ll give +the lecture; and I suspect that this family will furnish the symposium—of +horrible examples. Where’s Julia? As she’s the family Committee on +School Conditions, I expect to get some material from her, too. Meantime, Mrs. +Clyde, no kindergarten for Betty kin, if you please. Or, in any case, not that +kindergarten.” +</p> + +<p> +No further ocular demonstrations were made by Dr. Strong for several days. +Then, one evening, he came into the library where the whole family was sitting. +Grandma Sharpless, in the old-fashioned rocker, next a stand from which an +old-fashioned student-lamp dispensed its benign rays, was holding up, with some +degree of effort, a rather heavy book to the line of her vision. Opposite her a +soft easychair contained Robin, other-wise Bobs, involuted like a currant-worm +after a dose of Paris green, and imaginatively treading, with the feet of +enchantment, virgin expanses of forest in the wake of Mr. Stewart White. +</p> + +<p> +Julia, alias “Junkum,” his twin, was struggling against the demon +of ill chance as embodied in a game of solitaire, far over in a dim corner. +Geography enchained the mind of eight-year-old Charles, also his eyes, and +apparently his nose, which was stuck far down into the mapped page. Near him +his father, with chin doubled down over a stiff collar, was internally begging +leave to differ with the editorial opinions of his favorite paper; while Mrs. +Clyde, under the direct glare of a side-wall electric cluster, unshaded, was +perusing a glazed-paper magazine, which threw upon her face a strong reflected +light. Before the fire Bettykin was retailing to her most intelligent doll the +allegory of the Magic Lens. +</p> + +<p> +Enter, upon this scene of domestic peace, the spirit of devastation in the +person of the Health Master. +</p> + +<p> +“The horrible examples being now on exhibit,” he remarked from the +doorway, “our symposium on eyes will begin.” +</p> + +<p> +“He says we’re a hor’ble example, Susan Nipper,” said +Bettina confidentially, to her doll. +</p> + +<p> +“No, I apologize, Bettykin,” returned the doctor. +“You’re the only two sensible people in the room.” +</p> + +<p> +Julia promptly rose, lifted the stand with her cards on it, carried it to the +center of the library, and planted it so that the central light fell across it +from a little behind her. +</p> + +<p> +“One recruit to the side of common sense,” observed the physician. +“Next!” +</p> + +<p> +“What’s wrong with me?” demanded Mr. Clyde, looking up. +“Newspaper print?” +</p> + +<p> +“Newspaper print is an unavoidable evil, and by no means the worst +example of Gutenberg’s art. No; the trouble with you is that your neck is +so scrunched down into a tight collar as to shut off a proper blood supply from +your head. Don’t your eyes feel bungy?” +</p> + +<p> +“A little. What am I going to do? I can’t sit around after dinner +with no collar on.” +</p> + +<p> +“Sit up straight, then; stick your neck up out of your collar and give it +play. Emulate the attentive turtle! And you, Bobs, stop imitating an anchovy. +Uncurl! <i>Uncurl!!</i>” +</p> + +<p> +With a sigh, Robin straightened himself out. “I was so +comfortable,” he complained. +</p> + +<p> +“No, you weren’t. You were only absorbed. The veins on your temples +are fairly bulging. You might as well try to read standing on your head. Get a +straight-backed chair, and you’re all right. I’m glad to see that +you follow Grandma Sharpless’s good example in reading by a +student-lamp.” +</p> + +<p> +“That’s my own lamp,” said Mrs. Sharpless. “Seventy +years has at least taught me how to read.” +</p> + +<p> +“How, but not what,” answered the Health Master. +“That’s a bad book you’re reading.” +</p> + +<p> +Grandma Sharpless achieved the proud athletic feat of bounding from her chair +without the perceptible movement of a muscle. +</p> + +<p> +“Young man!” she exclaimed in a shaking voice, “do you know +what book that is?” +</p> + +<p> +“I don’t care what book—” +</p> + +<p> +“It is the Bible.” +</p> + +<p> +“Is it? Well, Heaven inspired the writer, but not the printer. Text such +as that ought to be prohibited by law. Isn’t there a passage in that +Bible, ‘Having eyes, ye see not’?” +</p> + +<p> +“Yes, there is,” snapped Mrs. Sharpless. “And my eyes have +been seeing and seeing straight for a good many more years than yours.” +</p> + +<p> +“The more credit to them and the less to you, if you’ve maltreated +them with such sight-murdering print as that. Haven’t you another +Bible?” +</p> + +<p> +Grandma Sharpless sat down again. “I have another,” she said, +“with large print; but it’s so heavy.” +</p> + +<p> +“Prescription: one reading-stand. Now, Mrs. Clyde.” +</p> + +<p> +The mother of the family looked up from her magazine with a smile. +</p> + +<p> +“You can’t say that I haven’t large print or a good +light,” she said. +</p> + +<p> +“The print is good, but the paper bad,” said the Health Master. +“Bad, that is, as you are holding it under a full, unqualified electric +light. In reading from glazed paper, which reflects like a mirror, you should +use a very modified light. In fact, I blame myself from not having had all the +electric globes frosted long since. Now, I’ve kept the worst offender for +the last.” +</p> + +<p> +Charley detached his nose from his geography and looked up. “That’s +me, I suppose,” he remarked pessimistically and ungrammatically. +“I’m always coming in for something special. But I can’t make +anything out of these old maps without digging my face down into +‘em.” +</p> + +<p> +“That’s a true bill against the book concern which turns out such a +book, and the school board which permits its use. Charley, do you know why +Manny isn’t playing football this year?” +</p> + +<p> +“Manny” was the oldest son of the family, then away at school. +</p> + +<p> +“Mother wanted him not to, I suppose,” said the boy. +</p> + +<p> +“No,” said Mrs. Clyde. “Dr. Strong persuaded me that the +development he would get out of the game would be worth the risk.” +</p> + +<p> +“It was his eyes,” said the Health Master. “He is wearing +glasses this year and will probably wear them next. After that I hope he can +stop them. But his trouble is that he—or rather his teachers—abused +his eyes with just such outrageous demands as that geography of yours. And +while the eye responded then, it is demanding payment now.” +</p> + +<p> +“But a kid’s got to study, hasn’t he? Else he won’t +keep up,” put in Bobs, much interested. +</p> + +<p> +“Not at the expense of the most important of his senses,” returned +the Health Master. “And never at night, at Charley’s age, or even +yours, Bobs.” +</p> + +<p> +“Then he gets dropped from his classes,” objected Bobs. +</p> + +<p> +“The more blame to his classes. Early learning is much too expensive at +the cost of eye-strain and consequent nerve-strain. If we force a student in +the early years to make too great demands on his eyes, the chances are that he +will develop some eye or nervous trouble at sixteen or seventeen and lose far +more time than he has gained before, not reckoning the disastrous physical +effects.” +</p> + +<p> +“But if other children go ahead, ours must,” said Mrs. Clyde. +</p> + +<p> +“Perhaps the others who go ahead now won’t keep ahead later. There +is a sentence in Wood and Woodruff’s textbook on the eye<a href="#fn1" name="fnref1" id="fnref1"><sup>[1]</sup></a> +which every public-school teacher and every parent should learn by heart. It +runs like this: ‘That child will be happier and a better citizen as well +as a more successful man of affairs, who develops into a fairly healthy, though +imperfectly schooled animal at twenty, than if he becomes a learned, +neurasthenic asthenope at the same age.’” +</p> + +<p class="footnote"> +<a name="fn1" id="fn1"></a> <a href="#fnref1">[1]</a> +Commoner Diseases of the Eye, by Casey A. Wood and Thomas A. Woodruff, pp. 418, +419. +</p> + +<p> +“Antelope?” put in Bettina, who was getting weary of her exclusion +from the topic. “I’ve got a picture of that. It’s a little +deer.” +</p> + +<p> +“So are you, Toddles,” cried the doctor, seizing upon her with one +hand and Susan Nipper with the other, and setting one on each shoulder, +“and we’re going to keep those very bright twinklers of yours just +as fit’as possible, both to see and be seen.” +</p> + +<p> +“But what of Charley and the twins?” asked Mr. Clyde. +</p> + +<p> +“Everything right, so far. They’re healthy young animals and can +meet the ordinary demands of school life. But no more study at night, for some +years, for Charley; and no more, ever, of fine-printed maps. Some day, Charley, +you may go to the Orinoco. It’s a good deal more desirable that you +should be able to see what there is to be seen there, then, than that you +should learn, now, the name of every infinitesimally designated town on its +banks.” +</p> + +<p> +“In my childhood,” observed Mrs. Sharpless, with the finality +proper to that classic introductory phrase, “we thought more of our +brains than our eyes.” +</p> + +<p> +“An inverted principle. The brain can think for itself. The eye can only +complain, and not always very clearly in the case of a child. Moreover, Mrs. +Sharpless, in your school-days the eye wasn’t under half the strain that +it is in our modern, print-crowded world. The fact is, we’ve made a +tremendous leap forward, and radically changed a habit and practice built up +through hundreds and thousands of years, and Nature is struggling against great +difficulties to catch up with us.” +</p> + +<p> +“I don’t understand what you are getting at,” said Mrs. +Clyde, letting her magazine drop. +</p> + +<p> +“Have you tried walking on all fours lately?” inquired the +physician. +</p> + +<p> +“Not for a number of years.” +</p> + +<p> +“Presumably you would find it awkward. Yet if, through some pressure of +necessity, the human race should have to return to the quadrupedal method, the +alteration in life would be less radical than we have imposed upon our vision +in the last few generations.” +</p> + +<p> +“Sounds like flat nonsense to me,” said the downright Clyde. +“We see just as all our ancestors saw.” +</p> + +<p> +“Think again. Our ancestors, back a very few generations, were an outdoor +race living in a world of wide horizons. Their eyes could range over far +distances, unchecked, instead of being hemmed in most of the time by four +walls. They were farsighted. Indeed, their survival depended upon their being +far-sighted; like the animals which they killed or which killed them, according +as the human or the beast had the best eyes. Nowadays, in order to live we must +read and write. That is, the primal demand upon the eye is that it shall see +keenly near at hand instead of far off. The whole hereditary training of the +organ has been inverted, as if a mountaineer should be set to diving for +pearls; and the poor thing hasn’t had time to adjust itself yet. We +employ our vision for close work ten times as much as we did a hundred years +ago and ten thousand times as much as we did ten thousand years ago. But the +influence of those ten thousand years is still strong upon us, and the human +child is born with the eye of a savage or an animal.” +</p> + +<p> +“What kind of an animal’s eyes have I got?” demanded Bettina. +“A antelope’s?” +</p> + +<p> +“Almost as far-sighted,” returned the Health Master, wriggling out +from under her and catching her expertly as she fell. “And how do you +think an antelope would be doing fine needlework in a kindergarten?” +</p> + +<p> +“But, Strong, few of us go blind,” said Mr. Clyde. “And of +those who do, nearly half are needlessly so. That we aren’t all groping, +sightless, about the earth is due to the marvelous adaptability of our eyes. +And it is exactly upon that adaptability that we are so prone to impose; +working a willing horse to death. In the young the muscles of accommodation, +whereby the vision is focused, are almost incredibly powerful; far more so than +in the adult. The Cherub, here, could force her vision to almost any kind of +work and the eye would not complain much—at this time. But later on the +effects would be manifest. Therefore we have to watch the eye very closely +until it begins to grow old, which is at about twelve years or so. In the adult +the eye very readily lets its owner know if anything is wrong. Only fools +disregard that warning. But in the developing years we must see to it that +those muscles, set to the task of overcoming generations of custom, do not +overwork and upset the whole nervous organization. Sometimes glasses are +necessary; usually, only care.” +</p> + +<p> +“In a few generations we’ll all have four eyes, won’t +we?” asked Bobs, making a pair of mock spectacles with his circled +fingers and thumbs. +</p> + +<p> +“Oh, let’s hope not. The cartoonists of prophecy always give the +future man spectacles. But I believe that the tendency will be the other way, +and that, by evolution to meet new conditions, the eye will fit itself for its +work, unaided, in time. Meantime, we have to pay the penalty of the change. +That’s a small price for living in this wonderful century.” +</p> + +<p> +“You say that half the blind are needlessly so,” said Mrs. Clyde. +“Is that from preventable disease?” +</p> + +<p> +“About forty per cent, of the wholly blind. But the half-blind and the +nervously wrecked victims of eye-strain owe their woes generally to sheer +carelessness and neglect. By the way, eye-strain itself may cause very serious +forms of disease, such as obstinate and dangerous forms of indigestion, +insomnia, or even St. Vitus’s dance and epilepsy.” +</p> + +<p> +“But you’re not telling us anything about eye diseases, Dr. +Strong,” said Julia. +</p> + +<p> +“There speaks our Committee on School Conditions, filled full of +information,” said the Health Master with a smile. “Junkum has made +an important discovery, and made it in time. She has found that two children +recently transferred from Number 14 have red eyes.” +</p> + +<p> +“Maybe they’ve been crying,” suggested Bettykin. +</p> + +<p> +“They were when I saw them, acute Miss Twinkles, although they +didn’t mean it at all. One was crying out of one eye, and one out of the +other, which gave them a very curious, absurd, and interesting appearance. They +had each a developing case of pink-eye.” +</p> + +<p> +“Horses have pink-eye, not people,” remarked Grandma Sharpless. +</p> + +<p> +“To be more accurate, then, conjunctivitis. People have that; a great +many people, once it gets started. It looks very bad and dangerous; but it +isn’t if properly cared for. Only, it’s quite contagious. Therefore +the Committee on Schools, with myself as acting executive, accomplished the +temporary removal of those children from school.” +</p> + +<p> +“And then,” the Committee joyously took up the tale, “we went +out and trailed the pink-eye.” +</p> + +<p> +“We did. We trailed it to its lair in School Number 14, and there we +found one of the most dangerous creatures which civilization still allows to +exist.” +</p> + +<p> +“In the school?” said Bettykin. “Oo-oo! What was it?” +</p> + +<p> +“It was a Rollertowl,” replied the doctor impressively and in a +sonorous voice. +</p> + +<p> +“I never heard of it,” said the Cherub, awestruck. “What is +it like?” +</p> + +<p> +“He means a roller-towel, goosie,” explained Julia. “A towel +on a roller, that everybody wipes their hands and faces on.” +</p> + +<p> +“Exactly. And because everybody uses it, any contagious disease that +anybody has, everybody is liable to catch. I’d as soon put a rattlesnake +in a school as a roller-towel. In this case, half the grade where it was had +conjunctivitis. But that isn’t the worst. There was one case of trachoma +in the grade; a poor little Italian whose parents ignorantly sent her to an +optician instead of an oculist. The optician treated her for an ordinary +inflammation, and now she will lose the sight of one eye. Meantime, if any of +the others have been infected by her, through that roller-towel, there will be +trouble, for trachoma is a serious disease.” +</p> + +<p> +“Did you throw out the roller-towel?” asked Charley with a hopeful +eye to a fray. +</p> + +<p> +“No. We got thrown out ourselves, didn’t we, Junkum?” +</p> + +<p> +“Pretty near,” corroborated Julia. “The principal told Dr. +Strong that he guessed he could run his school himself and he didn’t need +any interference by—by—what did he call us, Dr. Strong?” +</p> + +<p> +“Interlopers. No, Cherub, an interloper is no relation to an antelope. It +was four days ago that we left that principal and went out and whistled for the +Fool-killer. Yesterday, the principal came down with a rose-pink eye of his +own; the Health Officer met him and ordered him into quarantine, and the +terrible and ferocious Rollertowl is now writhing in its death-agonies on the +ash-heap.” +</p> + +<p> +“What about other diseases?” asked Mrs. Clyde after a pause. +</p> + +<p> +“Nothing from me. The eye will report them itself quick enough. And as +soon as your eye tells you that anything is the matter with it, you tell the +oculist, and you’ll probably get along all right, as far as diseases go. +It is not diseases that I have to worry about, as your Chinese-plan physician, +so much as it is to see that you give your vision a fair chance. Let’s +see. Charley, you’re the Committee on Air, aren’t you? Could you +take on a little more work?” +</p> + +<p> +“Try me,” said the boy promptly. +</p> + +<p> +“All right; we’ll make you the Committee on Air and Light, +hereafter, with power of protest and report whenever you see your mother going +out in a polka-dotted, cross-eyed veil, or your grandmother reading a Bible +that needs burning worse than any heretic ever did, or any of the others +working or playing without sufficient illumination. Here endeth this lecture, +with a final word. This is it:— +</p> + +<p> +“The eye is the most nervous of all the body’s organs. Except in +early childhood, when it has the recklessness and overconfidence of unbounded +strength, it complains promptly and sharply of ill-usage. Now, there are a few +hundred rules about when and how to use the eyes and when and how not to use +them. I’m not going to burden you with those. All I’m going to +advise you is that when your eyes burn, smart, itch, or feel strained, +there’s some reason for it, and you should obey the warning and stop +urging them to work against their protest. In fact, I might sum it all up in a +motto which I think I’ll hang here in the library—a terse old +English slang phrase.” +</p> + +<p> +“What is it?” asked Mr. Clyde. +</p> + +<p> +“‘Mind your eye,’” replied the Health Master. +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap06"></a>VI.<br /> +THE RE-MADE LADY</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">“O</span>f +all unfortunate times!” lamented Mrs. Clyde, her piquant face twisted to +an expression of comic despair. “Why couldn’t he have given us a +little more notice?” +</p> + +<p> +Impatiently she tossed aside the telegram which announced that her +husband’s old friend, Oren Taylor, the artist, would arrive at seven +o’clock that evening. +</p> + +<p> +“Don’t let it bother you, dear,” said Clyde. +“I’ll take him to the club for dinner.” +</p> + +<p> +“You can’t. Have you forgotten that I’ve invited Louise Ennis +for her quarterly—well—visitation?” +</p> + +<p> +Clyde whistled. “That’s rather a poser. What business have I got to +have a cousin like Louise, anyway!” +</p> + +<p> +Upon this disloyal observation Dr. Strong walked into the library. He was a +very different Dr. Strong from the nerve-shaken wanderer who had dropped from +nowhere into the Clyde household a year previous as its physician on the +Chinese plan of being employed to keep the family well. The painful lines of +the face were smoothed out. There was a deep light of content, the content of +the man who has found his place and filled it, in the level eyes; and about the +grave and controlled set of the mouth a sort of sensitive buoyancy of +expression. The flesh had hardened and the spirit softened in him. +</p> + +<p> +“Did you hear that, Strong?” inquired Mr. Clyde, turning to him. +</p> + +<p> +“I have trained ears,” answered Dr. Strong solemnly. +“They’re absolutely impervious to any speech not intended for +them.” +</p> + +<p> +“Open them to this: Louise Ennis is invited for dinner to-night. So is my +old friend Oren Taylor, who wires to say that he’s passing through +town.” +</p> + +<p> +“Is that Taylor, the artist of ‘The First Parting’? I shall +enjoy meeting him.” +</p> + +<p> +“Well, you won’t enjoy meeting Cousin Louise,” declared Mr. +Clyde. “We ask her about four times a year, out of family piety. +You’ve been lucky to escape her thus far.” +</p> + +<p> +“Rather a painful old party, your cousin?” inquired the physician, +smilingly, of Clyde. +</p> + +<p> +“Old? Twenty-two,” said Mrs. Clyde. “But she looks fifty and +feels a hundred.” +</p> + +<p> +“Allowing for feminine exaggeration,” amended Clyde. +</p> + +<p> +“But what’s so wrong with her?” demanded the physician. +</p> + +<p> +“Nerves,” said Mrs. Clyde. +</p> + +<p> +“Stomach,” said Mr. Clyde. +</p> + +<p> +“Headaches,” said Mrs. Clyde. +</p> + +<p> +“Toe-aches,” said Mr. Clyde. +</p> + +<p> +“Too much money,” said Mrs. Clyde. +</p> + +<p> +“Too much ego,” said Mr. Clyde. +</p> + +<p> +“Dyspepsia.” +</p> + +<p> +“Hypochondria.” +</p> + +<p> +“Chronic inertia.” +</p> + +<p> +“Set it to music,” suggested Dr. Strong, “and sing it as a +duet of disease, from ablepsy to zymosis, inclusively. I shall be immensely +interested to observe this prodigy of ills.” +</p> + +<p> +“You’ll have plenty of opportunity,” said Mrs. Clyde rather +maliciously. “You’re to sit next to her at dinner to-night.” +</p> + +<p> +“Then put Bettykin on the other side of me,” he returned. +“With that combination of elf, tyrant, and angel close at hand, I can +turn for relief from the grave to the cradle.” +</p> + +<p> +“Indeed you cannot. Louise can’t endure children. She says they get +on her nerves. <i>My</i> children!” +</p> + +<p> +“Now you <i>have</i> put the finishing touch to your character +sketch,” observed Dr. Strong. “A woman of child-bearing age who +can’t endure children—well, she is pretty far awry.” +</p> + +<p> +“Yet I can remember Louise when she was a sweet, attractive young +girl,” sighed Mrs. Clyde. “That was before her mother died, and +left her to the care of a father too busy making money to do anything for his +only child but spend it on her.” +</p> + +<p> +“You’re talking about Lou Ennis, I know,” said Grandma +Sharpless, who had entered in time to hear the closing words. +</p> + +<p> +“Yes,” said. Dr. Strong. “What is our expert +diagnostician’s opinion of the case? You know I always defer to you, +ma’am, on any problem that’s under the surface of things.” +</p> + +<p> +“None of your soft sawder, young man!” said the old lady, her +shrewd, gray eyes twinkling from her shrewd, pink face. “My opinion of +Louise Ennis? I’ll give it to you in two words. Just spoiled.” +</p> + +<p> +“Taking my warning as I find it,” remarked the physician, rising, +“I shall now retire to put on some chain armor under my evening coat, in +case the Terrible Cousin attempts to stab me with an oyster-fork.” +</p> + +<p> +The dinner was not, as Mrs. Clyde was forced to admit afterward, by any means +the dismal function which she had anticipated. Oren Taylor, an easy, +discursive, humorous talker, set the pace and was ably seconded by Grandma +Sharpless, whose knack of incisive and pointed comment served to spur him to +his best. Dr. Strong, who said little, attempted to draw Miss Ennis into the +current of talk, and was rewarded with an occasional flash of rather acid wit, +which caused the artist to look across the table curiously at the girl. So far +as he could do so without rudeness, the physician studied his neighbor. +</p> + +<p> +He saw a tall, amply-built girl, with a slackened frame whose muscles had +forgotten how to play their part properly in holding the structure firm. Her +face was flaccid. Under the large but dull eyes, there was a bloodless +puffiness. Discontent sat enthroned at the corners of the sensitive mouth. A +faint, reddish eruption disfigured her chin. Her two strong assets, beautifully +even teeth and a wealth of soft, fine hair, failed wholly to save her from +being a flatly repellent woman. Dr. Strong noted further that her hands were +incessantly uneasy, and that she ate little and without interest. Also she +seemed, in a sullen way, shy. Yet, despite all of these drawbacks, there was a +pathetic suggestion of inherent fineness about her; of qualities become +decadent through disuse; a charm that should have been, thwarted and perverted +by a slovenly habit of life. Dr. Strong set her down as a woman at war with +herself, and therefore with her world. +</p> + +<p> +After dinner Mr. and Mrs. Clyde slipped away to see the children. The artist +followed Dr. Strong, to whom he had taken a liking, as most men did, into the +small lounging-room, where he lighted a cigar. +</p> + +<p> +“Too bad about that Miss Ennis, isn’t it?” said Taylor +abruptly. +</p> + +<p> +His companion looked at him interrogatively. +</p> + +<p> +“Such a mess,” he continued. “Such a ruin. Yet so much left +that isn’t ruined. That face would be worth a lot to me for the +‘Poet’s Cycle of the Months’ that I’m painting now. +What a <i>November</i> she’d make; ‘November, the withered mourner +of glories dead and gone.’ Only I suppose she’d resent being asked +to sit.” +</p> + +<p> +“Illusions are the last assets that a woman loses,” agreed Dr. +Strong. +</p> + +<p> +“To think,” pursued the painter, “of what her Maker meant her +to be, and of how she has belied it! She’s essentially and fundamentally +a beautiful woman; that is why I want her for a model.” +</p> + +<p> +‘“In the structure of her face, perhaps—” +</p> + +<p> +“Yes; and all through. Look at the set of her shoulders, and the lines of +her when she walks. Nothing jerry-built about her! She’s got the contours +of a goddess and the finish of a mud-pie. It’s maddening.” +</p> + +<p> +“More maddening from the physician’s point of view than from the +artist’s. For the physician knows how needless it all is.” +</p> + +<p> +“Is she your patient?” +</p> + +<p> +“If she were I’d be ashamed to admit it. Give me military authority +and a year’s time and if I couldn’t fix her so that she’d be +proud to pose for your picture—Good Heavens!” +</p> + +<p> +From behind the drapery of the passageway appeared Louise Ennis. She took two +steps toward the two men and threw out her hands in an appeal which was almost +grotesque. +</p> + +<p> +“Is it true?” she cried, turning from one to the other. “Tell +me, is it really true?” +</p> + +<p> +“My dear young lady,” groaned Taylor, “what can I say to +palliate my unpard—” +</p> + +<p> +“Nevermind that! I don’t care. I don’t care anything about +it. It’s my own fault. I stopped and listened. I couldn’t help it. +It means so much to me. You can’t know. No man can understand. Is it true +that I—that my face—” +</p> + +<p> +Oren Taylor was an artist in more than his art: he possessed the rare sense of +the fit thing to do and say. +</p> + +<p> +“It is true,” he answered quietly, “that I have seen few +faces more justly and beautifully modeled than yours.” +</p> + +<p> +“And you,” she said, whirling upon Dr. Strong. “Can you do +what you said? Can you make me good-looking?” +</p> + +<p> +“Not I. But you yourself can.” +</p> + +<p> +“Oh, how? What must I do? D—d—don’t think me a +fool!” She was half-sobbing now. “It may be silly to long so +bitterly to be beautiful. But I’d give anything short of life for +it.” +</p> + +<p> +“Not silly at all,” returned Dr. Strong emphatically. “On the +contrary, that desire is rooted in the profoundest depths of sex.” +</p> + +<p> +“And is the best excuse for art as a profession,” said the painter, +smiling. +</p> + +<p> +“Only tell me what to do,” she besought. “Gently,” said +Dr. Strong. “It can’t be done in a day. And it will be a costly +process.” +</p> + +<p> +“That doesn’t matter. If money is all—” +</p> + +<p> +“It isn’t all. It’s only a drop in the bucket. It will cost +you dear in comfort, in indulgence, in ease, in enjoyment, in +habit—” +</p> + +<p> +“I’ll obey like a child.” Again her hands went tremulously +out to him; then she covered her face with them and burst into the tears of +nervous exhaustion. +</p> + +<p> +“This is no place for me,” said the artist, and was about to escape +by the door, when Mrs. Clyde blocked his departure. +</p> + +<p> +“Ah, you are in here,” she said gayly. “I’d been +wondering—Why, what’s the matter? What is it?” +</p> + +<p> +“There has been an unfortunate blunder,” said Dr. Strong quickly. +“I said some foolish things which Miss Ennis overheard—” +</p> + +<p> +“No,” interrupted the painter. “The fault was +mine—” And in the same breath Louise Ennis cried:— +</p> + +<p> +“I didn’t overhear! I listened. I eavesdropped.” +</p> + +<p> +“Are you quite mad, all of you?” demanded the hostess. +“Won’t somebody tell me what has happened?” +</p> + +<p> +“It’s true,” said the girl wildly; “every word they +said. I <i>am</i> a mess.” +</p> + +<p> +Mrs. Clyde’s arms went around the girl. Sex-loyalty raised its war signal +flaring in her cheeks. +</p> + +<p> +“<i>Who</i> said that?” she demanded, in a tone of which Dr. Strong +observed afterward, “I never before heard a woman roar under her +breath.” +</p> + +<p> +“Never mind who said it,” retorted the girl. “It’s true +anyway. It wasn’t meant to hurt me. It didn’t hurt me. He is going +to cure me; Dr. Strong is.” +</p> + +<p> +“Cure you, Louise? Of what?” +</p> + +<p> +“Of ugliness. Of hideousness. Of being a mess.” +</p> + +<p> +“But, my dear,” said the older woman softly, “you +mustn’t take it to heart so, the idle word of some one who doesn’t +know you at all.” +</p> + +<p> +“You can’t understand,” retorted the other passionately. +“You’ve always been pretty!” +</p> + +<p> +“A compliment straight from the heart,” murmured the painter. +</p> + +<p> +The color came into Mrs. Clyde’s smooth cheek again. “What have you +promised her, Dr. Strong?” she asked. +</p> + +<p> +“Nothing. I have simply followed Mr. Taylor’s lead. His is the +artist eye that can see beauty beneath disguises. He has told Miss Ennis that +she was meant to be a beautiful woman. I have told her that she can be what she +was meant to be if she wills, and wills hard enough.” +</p> + +<p> +“And you will take charge of her case?” asked Mrs. Clyde. +</p> + +<p> +“That, of course, depends upon you and Mr. Clyde. If you will include +Miss Ennis in the family, my responsibilities will automatically extend to +her.” +</p> + +<p> +“Most certainly,” said Mrs. Clyde. “And now, Mr. +Taylor,” she added, answering a look of appeal from that uncomfortable +gentleman, “come and see the sketches. I really believe they are +Whistler’s.” +</p> + +<p> +As they left, Dr. Strong looked down at Louise Ennis with a smile. +</p> + +<p> +“At present I prescribe a little cold water for those eyes,” said +he. “And then some general conversation in the drawing-room. Come here +tomorrow at four.” +</p> + +<p> +“No,” said she. “I want to begin at once.” +</p> + +<p> +“So as to profit by the impetus of the first enthusiasm? Very well. How +did you come here this evening?” +</p> + +<p> +“In my limousine.” +</p> + +<p> +“Sell it.” +</p> + +<p> +“Sell my new car? At this time of year?” +</p> + +<p> +“Store it, then.” +</p> + +<p> +“And go about on street-cars, I suppose?” +</p> + +<p> +“Not at all. Walk.” +</p> + +<p> +“But when it rains?” +</p> + +<p> +“Run.” +</p> + +<p> +Eagerness died out of Louise Ennis’s face. “Oh, I know,” she +said pettishly. “It’s that old, old exercise treatment. Well, +I’ve tried that, and if you think—” +</p> + +<p> +She stopped in surprise, for Dr. Strong, walking over to the door, held the +portière aside. +</p> + +<p> +“After you,” he said courteously. +</p> + +<p> +“Is that all the advice you have for me?” she persisted. +</p> + +<p> +“After you,” he repeated. +</p> + +<p> +“Well, I’m sorry,” she said sulkily. “What is it you +want me—” +</p> + +<p> +“Pardon me,” he interrupted in uncompromising tones. “I am +sure they are waiting for us in the other room.” +</p> + +<p> +“You are treating me like a spoiled child,” declared Miss Ennis, +stamping a period to the charge with her high French heel. +</p> + +<p> +“Precisely.” +</p> + +<p> +She marched out of the room, and, with the physician, joined the rest of the +company. For the remainder of the evening she spoke little to any one and not +at all to Dr. Strong. But when she came to say good-night he was standing +apart. He held out his hand, which she could not well avoid seeing. +</p> + +<p> +“When you get up to-morrow,” he said, “look in the mirror, +[she winced] and say, ‘I can be beautiful if I want to hard +enough.’ Good-bye.” +</p> + +<p> +Luncheon at the Clydes’ next day was given up to a family discussion of +Miss Louise Ennis, precipitated by Mr. Clyde, who rallied Dr. Strong on his +newest departure. +</p> + +<p> +“Turned beauty doctor, have you?” he taunted good-humoredly. +</p> + +<p> +“Trainer, rather,” answered Dr. Strong. +</p> + +<p> +“You might be in better business,” declared Mrs. Sharpless, with +her customary frankness. “Beauty is only skin-deep.” +</p> + +<p> +“Grandma Sharpless’s quotations,” remarked Dr. Strong to the +saltcellar, “are almost as sure to be wrong as her observations are to be +right.” +</p> + +<p> +“It was a wiser man than you or I who spoke that truth about +beauty.” +</p> + +<p> +“Nonsense! Beauty only skin-deep, indeed! It’s liver-deep anyway. +Often it’s soul-deep. Do you think you’ve kept your good looks, +Grandma Sharpless, just by washing your skin?” +</p> + +<p> +“Don’t you try to dodge the issue by flattery, young man,” +said the old lady, the more brusquely in that she could see her son-in-law +grinning boyishly at the mounting color in her face. “I’m as the +Lord made me.” +</p> + +<p> +“And as you’ve kept yourself, by clean, sound living. Miss Ennis +isn’t as the Lord made her or meant her. She’s a mere parody of it. +Her basic trouble is an ailment much more prevalent among intelligent people +than they are willing to admit. In the books it is listed under various kinds +of hyphenated neurosis; but it’s real name is fool-in-the-head.” +</p> + +<p> +“Curable?” inquired Mr. Clyde solicitously. +</p> + +<p> +“There’s no known specific except removing the seat of the trouble +with an axe,” announced Dr. Strong. “But cases sometimes respond to +less heroic treatment.” +</p> + +<p> +“Not this case, I fear,” put in Mrs. Clyde. “Louise will +coddle herself into the idea that you have grossly insulted her. She +won’t come back.” +</p> + +<p> +“Won’t she!” exclaimed Mrs. Sharpless. “Insult or no +insult, she would come to the bait that Dr. Strong has thrown her if she had to +crawl on her knees.” +</p> + +<p> +Come she did, prompt to the hour. From out the blustery February day she lopped +into the physician’s pleasant study, slumped into a chair, and held out +to him a limp left hand, palm up and fingers curled. Ordinarily the most +punctilious of men, Dr. Strong did not move from his stance before the fire. He +looked at the hand. +</p> + +<p> +“What’s that for?” he inquired. +</p> + +<p> +“Aren’t you going to feel my pulse?” +</p> + +<p> +“No.” +</p> + +<p> +“Nor take my temperature?” +</p> + +<p> +“No.” +</p> + +<p> +“Nor look at my tongue?” +</p> + +<p> +“Certainly not. I have a quite sufficient idea of what it looks +like.” +</p> + +<p> +The tone was almost brutal. Miss Ennis began to whimper. +</p> + +<p> +“I’m a m—m—mess, I know,” she blubbered. +“But you needn’t keep telling me so.” +</p> + +<p> +“A mess can be cleared up,” said he more kindly, “under +orders.” +</p> + +<p> +“I’ll do whatever you tell me, if only—” +</p> + +<p> +“Stop! There will be no ‘if’ about it. You will do as you are +bid, or we will drop the case right here.” +</p> + +<p> +“No, no! Don’t drop me. I will. I promise. Only, please tell me +what is the matter with me.” +</p> + +<p> +Dr. Strong, smiling inwardly, recalled the diagnosis he had announced to the +Clydes, but did not repeat it. +</p> + +<p> +“Nothing,” he said. +</p> + +<p> +“But I know there must be. I have such strange symptoms. You can’t +imagine.” +</p> + +<p> +Fumbling in her hand-bag she produced a very elegant little notebook with a +gold pencil attached. Dr. Strong looked at it with fascinated but ominous eyes. +</p> + +<p> +“I’ve jotted down some of the symptoms here,” she continued, +“just as they occurred. You see, here’s Thursday. That was a heart +attack—” +</p> + +<p> +“Let me see that book.” +</p> + +<p> +She handed it to him. He carefully took the gold pencil from its socket and +returned it to her. +</p> + +<p> +“Now, is there anything in this but symptoms? Any addresses that you want +to keep?” +</p> + +<p> +“Only one: the address of a freckle and blemish remover.” +</p> + +<p> +“We’ll come to that later. Meantime—” He tossed the +book into the heart of the coal fire where it promptly curled up and perished. +</p> + +<p> +“Why—why—why—” gasped the +visitor,—“how dare you? What do you mean? That is an ivory-bound, +gold-mounted book. It’s valuable.” +</p> + +<p> +“I told you, I believe, that the treatment would be expensive. This is +only the beginning. Of all outrageous, unforgivable kinds of self-coddling, the +hypochondria that keeps its own autobiography is the worst.” +</p> + +<p> +Regrettable though it is to chronicle, Miss Ennis hereupon emitted a semi-yelp +of rage and beat the floor with her high French heels. Instantly the +doctor’s gaze shifted to her feet. Just how it happened she could not +remember, but her right foot, unprotected, presently hit the floor with a +painful thump, while the physician contemplated the shoe which he had deftly +removed therefrom. +</p> + +<p> +“Two inches and a half at least, that heel,” he observed. +“Talk about the Chinese women torturing their feet!” He laid the +offending article upon the hearth, set his own soundly shod foot upon it, and +tweaked off two inches of heel with the fire-tongs. “Not so +pretty,” he remarked, “but at least you can walk, and not tittup in +that. Give me the other.” +</p> + +<p> +Shocked and astounded into helplessness, she mechanically obeyed. He performed +his rough-and-ready repairs, and handed it back to her. +</p> + +<p> +“Speaking of walking,” he said calmly, “have you stored your +automobile yet?” +</p> + +<p> +“No! I—I—I—” +</p> + +<p> +“After to-morrow I don’t want you to set foot in it. Now, then, +we’re going to put you through a course of questioning. Ready?” +</p> + +<p> +Miss Ennis settled back in her chair, with the anticipatory expression of one +to whom the recital of her own woe is a lingering pleasure. “Perhaps if I +told you,” she began, “just how I feel—” +</p> + +<p> +“Never mind that. Do you drink?” +</p> + +<p> +“No!” The answer came back on the rebound. “Humph!” Dr. +Strong leaned over her. She turned her head away. +</p> + +<p> +“You asked me as if you meant I was a drunkard,” she complained. +“Once in a while, when I have some severe nervous strain to undergo, I +need a stimulant.” +</p> + +<p> +“Oh. Cocktail?” +</p> + +<p> +“Yes. A mild one.” +</p> + +<p> +“A mild cocktail! That’s a paradox I’ve never encountered. +How often do you take these mild cocktails?” +</p> + +<p> +“Oh, just occasionally.” +</p> + +<p> +“Well, a meal is an occasion. Before meals?” +</p> + +<p> +“Sometimes,” she admitted reluctantly. +</p> + +<p> +“You didn’t have one here last night.” +</p> + +<p> +“No.” +</p> + +<p> +“And you ate almost nothing.” +</p> + +<p> +“That is just it, you see. I need something: otherwise I have no +appetite.” +</p> + +<p> +“In other words, you have formed a drink habit.” +</p> + +<p> +“Oh, Dr. Strong!” It was half reproach, half insulted innocence, +that wail. +</p> + +<p> +“After a cocktail—or two—or three,” he looked at her +closely, but she would not meet his eyes, “you eat pretty well?” +</p> + +<p> +“Yes, I suppose so.” +</p> + +<p> +“And then go to bed with a headache because you’ve stimulated your +appetite to more food than your run-down mechanism can rightly handle.” +</p> + +<p> +“I do have a good many headaches.” +</p> + +<p> +“Do anything for them?” +</p> + +<p> +“Yes. I take some harmless powders, sometimes.” +</p> + +<p> +“Harmless, eh? A harmless headache powder is like a mild cocktail. It +doesn’t exist. So you’re adding drug habit to drink habit. +Fortunately, it isn’t hard to stop. It has begun to show on you already, +in that puffy grayness under the eyes. All the coal-tar powders vitiate the +blood as well as affect the heart. Sleep badly?” +</p> + +<p> +“Very often.” +</p> + +<p> +“Take anything for that?” +</p> + +<p> +“You mean opiates? I’m not a fool, Doctor.” +</p> + +<p> +“You mean you haven’t gone quite that far,” said the other +grimly. “You’ve started in on two habits; but not the worst. Well, +that’s all. Come back when you need to.” +</p> + +<p> +Miss Ennis’s big, dull eyes opened wide. “Aren’t you going to +give me anything? Any medicine?” +</p> + +<p> +“You don’t need it.” +</p> + +<p> +“Or any advice?” +</p> + +<p> +Dr. Strong permitted himself a little smile at the success of his strategy. +“Give it to yourself,” he suggested. “You showed, in flashes, +during the dinner talk last night, that you have both wit and sense, when you +choose to use them. Do it now.” +</p> + +<p> +The girl squirmed uncomfortably. “I suppose you want me to give up +cocktails,” she murmured in a die-away voice. +</p> + +<p> +“Absolutely.” +</p> + +<p> +“And try to get along with no stimulants at all?” +</p> + +<p> +“By no means. Fresh air and exercise ad lib.” +</p> + +<p> +“And to stop the headache powders?” +</p> + +<p> +“Right; go on.” +</p> + +<p> +“And to stop thinking about my symptoms?” +</p> + +<p> +“Good! I didn’t reckon on your inherent sense in vain.” +</p> + +<p> +“And to walk where I have been riding?” +</p> + +<p> +“Rain or shine.” +</p> + +<p> +“What about diet?” +</p> + +<p> +“All the plain food you want, at any time you really want it, provided +you eat slowly and chew thoroughly.” +</p> + +<p> +“A la Fletcher?” +</p> + +<p> +“Horace Fletcher is one of those fine fanatics whose extravagances +correct the average man’s stolid stupidities. I’ve seen his fad +made ridiculous, but never harmful. Try it out.” +</p> + +<p> +“And you won’t tell me when to come back?” +</p> + +<p> +“When you need to, I said. The moment the temptation to break over the +rules becomes too strong, come. And—eh—by the +way—eh—don’t worry about your mirror for a while.” +Temporarily content with this, the new patient went away with new hope. Wiping +his brow, the doctor strolled into the sitting-room where he found the family +awaiting him with obvious but repressed curiosity. +</p> + +<p> +“It isn’t ethical, I suppose,” said Mr. Clyde, “to +discuss a patient’s case with outsiders?” +</p> + +<p> +“You’re not outsiders. And she’s not my patient, in the +ordinary sense, since I’m giving my services free. Moreover, I need all +the help I can get.” +</p> + +<p> +“What can <i>I</i> do?” asked Mrs. Clyde promptly. “Drop in +at her house from time to time, and cheer her up. I don’t want her to +depend upon me exclusively. She has depended altogether too much on doctors in +the past.” +</p> + +<p> +Mr. Clyde chuckled. “Did she tell you that the European medical faculty +had chased her around to every spa on the Continent? Neurasthenic dyspepsia, +they called it.” +</p> + +<p> +“Pretty name! Seventy per cent of all dyspeptics have the seat of the +imagination in the stomach. The difficulty is to divert it.” +</p> + +<p> +“What’s your plan?” +</p> + +<p> +“Oh, I’ve several, when the time comes. For the present I’ve +got to get her around into condition.” +</p> + +<p> +“Spoiled mind, spoiled body,” remarked Mrs. Sharpless. +</p> + +<p> +“Exactly. And I’m going to begin on the body, because that is the +easiest to set right. Look out for an ill-tempered cousin during the next +fortnight.” +</p> + +<p> +His prophecy was amply confirmed by Mrs. Clyde, who made it her business, amid +multifarious activities, to drop in upon Miss Ennis with patient frequency. On +the tenth day of the “cure,” Mrs. Clyde reported to the household +physician:— +</p> + +<p> +“If I go there again I shall probably <i>slap</i> her. She’s become +simply unbearable.” +</p> + +<p> +“Good!” said Dr. Strong. “Fine! She has had the nerve to +stick to the rules. We needn’t overstrain her, though. I’ll have +her come here tomorrow.” +</p> + +<p> +Accordingly, at six o’clock in the evening of the eleventh day, the +patient stamped into the office, wet, bedraggled, and angry. +</p> + +<p> +“Now look!” she cried. “You made me store my motor-car. All +the street-cars were crowded. My umbrella turned inside out. I’m a +perfect drench. And I know I’ll catch my death of cold.” Whereupon +she laid a pathetic hand on her chest and coughed hollowly. +</p> + +<p> +“Stick out your foot,” ordered Dr. Strong. And, as she obeyed: +“That’s well. Good, sensible storm shoes. I’ll risk your +taking cold. How do you feel? Better?” +</p> + +<p> +“No. Worse!” she snapped. +</p> + +<p> +“I suppose so,” he retorted with a chuckle. +</p> + +<p> +“What is more,” she declared savagely, “I look worse!” +</p> + +<p> +“So your mirror has been failing in its mission of flattery. Too bad. Now +take off your coat, sit right there by the fire, and in an hour you’ll be +dry as toast.” +</p> + +<p> +“An hour? I can’t stay an hour!” +</p> + +<p> +“Why not?” +</p> + +<p> +“It’s six o’clock. I must go home. Besides,” she added +unguardedly, “I’m half starved.” +</p> + +<p> +“<i>Indeed!</i> Had a cocktail to-day?” +</p> + +<p> +“No. Certainly not.” +</p> + +<p> +“Yet you have an appetite. A bad sign. Oh, a very bad sign—for the +cocktail market.” +</p> + +<p> +“I’m so tired all the time. And I wake up in the morning with +hardly any strength to get out of bed—” +</p> + +<p> +“Or the inclination? Which?” broke in the doctor. +</p> + +<p> +“And my heart gives the queerest jumps and—” +</p> + +<p> +“Thought we’d thrown that symptom-book into the fire. Stand up, +please.” +</p> + +<p> +She stood. Dr. Strong noted with satisfaction how, already, the lithe and +well-set figure had begun to revert to its natural pose, showing that the +muscles were beginning to do their work. He also noted that the hands, hitherto +a mere <i>mélange</i> of nervously writhing fingers, hung easily slack. +</p> + +<p> +“Your troubles,” he said pleasantly, “have only just begun. I +think you’re strong enough now to begin work.” +</p> + +<p> +“I’m not,” she protested, half weeping. “I feel faint +this minute.” +</p> + +<p> +“Good, healthy hunger. Of course, if a glance in your mirror convinces +you that you’ve had enough of the treatment—” +</p> + +<p> +Miss Ennis said something under her breath which sounded very much like +“Brute!” +</p> + +<p> +“Have you ever had a good sweat?” he asked abruptly. +</p> + +<p> +Her lips curled superciliously. “I’m not given to perspiration, +I’m thankful to—” +</p> + +<p> +“Did I say ‘perspire’?” inquired he. “I +understood myself to say ‘sweat.’ Have you ever—” +</p> + +<p> +“No.” +</p> + +<p> +“High time you began. Buy yourself the heaviest sweater you can +find—you may call it a ‘perspirationer’ if you think the +salesman will appreciate your delicacy—and I’ll be around to-morrow +and set up a punching-bag for you.” +</p> + +<p> +“What is that?” +</p> + +<p> +“A device which you strike at. The blow forces it against a board and it +returns and, unless you dodge nimbly, impinges upon your countenance. In other +words, whacks you on the nose. Prizefighters use it.” +</p> + +<p> +“I suppose you want me to be like a prizefighter.” +</p> + +<p> +“The most beautiful pink-and-white skin and the clearest eye I’ve +ever seen belonged to a middleweight champion. Yes, I’d like to see you +exactly like him in that respect. One hour every day—” +</p> + +<p> +“I simply can’t. I shan’t have time. With the walking I do +now I’m busy all the morning and dead tired all the afternoon; and in the +evening there is my bridge club—” +</p> + +<p> +“Ah, you play bridge. For money?” +</p> + +<p> +“Naturally we don’t play for counters.” +</p> + +<p> +“Well, I’d give it up.” +</p> + +<p> +“You are not employed as a censor of my morals, Dr. Strong.” +</p> + +<p> +“No; but I’ve undertaken to censor your nerves. And gambling, for a +woman in your condition, is altogether too much of a strain.” +</p> + +<p> +The corners of Miss Ennis’s mouth quivered babyishly. “I’m +sure, then, that working like a prizefighter will be too much strain. +You’re wearing me out.” +</p> + +<p> +“I’m a cruel tyrant,” mocked Dr. Strong; “and worse is +to come. We’ll clear out a room in your house and put in not only the +punching-bag, but also pulleys and a rowing-machine. And I’ll send up an +athletic instructor to see that you use them.” +</p> + +<p> +“I won’t have him. I’ll send him away!” +</p> + +<p> +“By advice of your mirror?” +</p> + +<p> +Miss Ennis frankly and angrily wept. +</p> + +<p> +“Now I’ll tell you a secret about yourself.” Miss Ennis +stopped weeping. +</p> + +<p> +“Ninety-nine cases out of a hundred I couldn’t handle as I am +handling your case. They would need a month’s rest and building up before +they’d be fit for real work. But you are naturally a powerful, muscular +woman with great physical endurance and resiliency. What I am trying to do is +to take advantage of your splendid equipment to pull you out.” +</p> + +<p> +“What would you do with the ordinary case?” asked the girl, +interested. +</p> + +<p> +“Oh, put her to bed, perhaps. Perhaps send her away to the woods. Maybe +set a nurse over her to see that she didn’t take to writing her symptoms +down in a book. Keep her on a rigid diet, and build her up by slow and dull +processes. You may thank your stars that—” +</p> + +<p> +“I don’t thank my stars at all!” broke in the patient, as her +besetting vice of self-pity asserted itself. “I’d much rather do +that than be driven like a galley-slave. I’m too tired to get any +pleasure out of anything—” +</p> + +<p> +“Even bridge?” interposed the tormentor softly. +</p> + +<p> +“—and when night comes I fall into bed like a helpless log.” +</p> + +<p> +“That’s the best news I’ve heard yet. You’re +progressing. Now take that new appetite of yours home to dinner. And +don’t spoil it by eating too fast. Good-night.” +</p> + +<p> +Fully a fortnight later Grandma Sharpless met Dr. Strong in the hallway as he +came in from a walk. +</p> + +<p> +“What have you been doing to Louise Ennis?” she demanded. +</p> + +<p> +“Lots of things. What’s wrong now? Another fit of the sulks?” +</p> + +<p> +“Worse,” said the old lady in a stage whisper. “She’s +got <i>paint</i> on her face.” +</p> + +<p> +Dr. Strong laughed. “Really? It might be worse. In fact, as a symptom, it +couldn’t be better.” +</p> + +<p> +“Young man, do you mean to tell me that face-paint is a good thing for a +young woman?” +</p> + +<p> +“Oh, no. It’s vulgar and tawdry, as a practice. But I’m glad +to know that Miss Ennis has turned to it, because it shows that she recognizes +her own improvement and is trying to add to it.” +</p> + +<p> +“But the stuff will ruin her skin,” cried the scandalized old lady. +“See what dreadful faces women have who use it. Look at the +actresses—” +</p> + +<p> +“Well, look at them!” broke in the physician. “There is no +class of women in the world with such beautiful skin as the women of the stage. +And that in spite of hard work, doubtful habits of eating, and irregular hours. +Do you know why?” +</p> + +<p> +“I suppose you’ll tell me that paint does it,” said Mrs. +Sharpless with a sniff. +</p> + +<p> +“Not the paint itself. But the fact that in putting it on and taking it +off, they maintain a profound cleanliness of skin which the average woman +doesn’t even understand. The real value of the successful skin-lotions +and creams so widely exploited lies in the massage which their use +compels.” +</p> + +<p> +“Aside from the stuff on her face,” remarked Mrs. Sharpless, +“Louise looks like another woman, and acts like one. She came breezing in +here like a young cyclone.” +</p> + +<p> +“Which means trouble,” sighed Dr. Strong. “Now that her +vitality is returning, it will demand something to feed on. Well, we shall +see.” +</p> + +<p> +He found his patient standing—not sitting, this time—before the +fireplace, with a face of gloom. Before he could greet her, she burst +out:— +</p> + +<p> +“How long am I to be kept on the grind? I see nobody. I have nothing to +amuse me. I’ve had a row with father.” Dr. Strong smiled. +“The servants are impertinent.” The smile broadened. “The +whole world is hateful!” The doctor’s face was now expanded into a +positive grin. “I despise everything and everybody! I’m +bored.” +</p> + +<p> +“Passing that over for the moment for something less important,” +said Dr. Strong smoothly, “where do you buy your paint?” +</p> + +<p> +“I don’t paint!” retorted the girl hotly. +</p> + +<p> +“Well, your rouge. Your skin-rejuvenator. Your essence of bloom of youth +or whatever poetic name you call it by. Let me see the box.” Mutiny shone +from the scowling face, but her hand went to her reticule and emerged with a +small box. It passed to the physician’s hand and thence to the fire. +“I’ll use paint if I want to,” declared the girl. +“Undoubtedly. But you’ll use good paint if you use any. Get a +theatrical paper, read the ads, and send for the highest grade of grease-paint. +I won’t say anything about the vulgarity of the practice because +I’m not censoring your manners. I’ll only state that three months +from now you won’t want or need paint. Did you get this stuff,” he +nodded toward the fireplace whence issued a highly perfumed smoke, “from +that address in your deceased symptom-book?” +</p> + +<p> +“Yes.” +</p> + +<p> +“That was the firm which advertised to remove pimples, wasn’t +it?” +</p> + +<p> +Miss Ennis shrank. “Pimple is an inexcusable word,” she protested. +</p> + +<p> +“Word? We’re dealing in realities now. And pimples were an +inexcusable reality in your case, because they were the blossoms of gluttony, +torpor, and self-indulgence.” +</p> + +<p> +He leaned forward and looked closely at her chin. The surface, once blotched +and roughened, was now of a smooth and soft translucency. “You once +objected to the word ‘sweat,’” he continued. “Well, it +has eliminated the more objectionable word ‘pimple’ from your +reckoning. And it has done the job better than your +blemish-remover—-which leaves scars.” +</p> + +<p> +Her hand went to her temple, where there was a little group of silvery-white +patches on the skin. “Can’t you fix that?” she asked +anxiously. +</p> + +<p> +“No. Your ‘remover’ was corrosive sublimate. It certainly +removed the blemish. It would also have removed your entire face if you had +used enough of it. Nothing can restore what the liquid fire has burned away. +That’s the penalty you pay for foolish credulousness. Fortunately, it is +where it won’t show much.” +</p> + +<p> +Gloom surged back into her face. “It doesn’t make any +difference,” she fretted. “I’m still a mess in looks even if +I don’t feel so much like one.” +</p> + +<p> +“One half of looks is expression,” stated the doctor didactically. +“I don’t like yours. What’s your religion?” +</p> + +<p> +His patient stared. “Why, I’m a Presbyterian, I suppose.” +</p> + +<p> +“Humph! You suppose! It doesn’t seem to have struck in very hard. +Any objection to going to a Christian Science church?” +</p> + +<p> +“Christian Science! I thought the regular doctors considered it the worst +kind of quackery.” +</p> + +<p> +“The regular doctors,” returned Dr. Strong quickly, “once +considered anaesthesia, vaccination, and the germ theory as quackery. We live +and learn, like others. There’s plenty of quackery in Christian Science, +and also quite a little good. And nowadays we’re learning to accept the +good in new dogmas, and discard the bad.” +</p> + +<p> +“And you really wish me to go to the Christian Science church?” +</p> + +<p> +“Why not? You’ll encounter there a few wild fanatics. I’ll +trust your hard common sense to guard you against their proselytizing. +You’ll also meet a much larger number of sweet, gentle, and cheerful +people, with a sweet, helpful, and cheerful philosophy of life. That’ll +help to cure you.” +</p> + +<p> +“And what will they cure me of, since you say I have no disease?” +</p> + +<p> +“They’ll cure you of turning your mouth down at the corners instead +of up.” +</p> + +<p> +At this, the mouth referred to did, indeed, turn up at the corners, but in no +very pleasant wise. +</p> + +<p> +“You think they’ll amuse me?” she inquired contemptuously. +</p> + +<p> +“Oh, as for amusement, I’ve arranged for that. You’re bored. +Very well, I expected it. It’s a symptom, and a good one, in its place. +I’ll get you a job.” +</p> + +<p> +“Indeed! And if I don’t want a job?” +</p> + +<p> +“No matter what you want. You need it.” +</p> + +<p> +“Settlement work, I suppose.” +</p> + +<p> +“Nothing so mild. Garbage inspection.” +</p> + +<p> +“What!” Louise Ennis closed her eyes in expectation of a qualm of +disgust. The qualm didn’t materialize. “What’s the matter +with me?” she asked in naïve and suppressed chagrin. “I ought to +feel—well, nauseated.” +</p> + +<p> +“Nonsense! Your nerves and stomach have found their poise. That’s +all.” +</p> + +<p> +“But what do I know about garbage?” +</p> + +<p> +“You know it when you see it, don’t you? Now, listen. There has +been a strike of the city teamsters. Dr. Merritt, the Health Officer, wants +volunteers to inspect the city and report on where conditions are bad from day +to day. You’ve got intelligence. You can outwalk nine men out of ten. And +you can be of real service to the city. Besides, it’s doctor’s +orders.” +</p> + +<p> +The story of Louise Ennis’s part in the great garbage strike, and of her +subsequent door-to-door canvass of housing conditions, has no place in this +account. After the start, Dr. Strong saw little of her; but he heard much from +Mrs. Clyde, who continued her frequent visits to the Ennis household; not so +much, as she frankly admitted, for the purpose of furnishing bulletins to Dr. +Strong, as because of her own growing interest in and affection for the girl. +And, as time went on, Strong noticed that, on the occasions when he chanced to +meet his patient on the street, she was usually accompanied by one or another +of the presentable young men of the community, a fact which the physician +observed with professional approval rather than personal gratification. +</p> + +<p> +“It isn’t her health alone,” said Mrs. Clyde, when they were +discussing her, one warm day in the ensuing summer. “These six months +seem to have made a new person of her. Trust the children to find out +character. Bettykins wants to spend half her time with Cousin Lou.” +</p> + +<p> +“You’ve surely worked a transformation, Strong,” said Clyde. +“But, of course, the raw material was there. You couldn’t do much +for the average homely woman.” +</p> + +<p> +“The average woman isn’t homely,” said Mrs. Clyde. +“She’s got good looks either spoiled or undeveloped.” +</p> + +<p> +“Perfectly true,” confirmed Dr. Strong. “Any young woman +whose face isn’t actually malformed can find her place in the eternal +scheme of beauty if she tries. Nature works toward beauty in all matters of +sex. Where beauty doesn’t exist it is merely an error in Nature’s +game.” +</p> + +<p> +“Then the world is pretty full of errors,” said Mrs. Sharpless. +</p> + +<p> +“Most of them aren’t Nature’s errors. They are the mistakes +of the foolish human. Take almost any woman, not past the age of development, +build up her figure to be supple and self-sustaining; give her a clear eye, +quick-moving blood, fresh skin, and some interest in the game of life that +shall keep mind and body alert—why, the radiant force of her abounding +health would make itself felt in a blind asylum. And all this she can do for +herself, with a little knowledge and a good deal of will.” +</p> + +<p> +“But that isn’t exactly beauty, is it?” asked Clyde, puzzled. +</p> + +<p> +“Isn’t it? In the soundest sense, I think it is. Anyway, put it +this way: No woman who is wholly healthy, inside and out, can fail to be +attractive.” +</p> + +<p> +“I wish that painter-man could see Louise now, as an example,” said +Grandma Sharpless. +</p> + +<p> +“Oren Taylor?” said Mr. Clyde. “Why, he can. He goes East +next week, and I’ll wire him to stop over.” +</p> + +<p> +Oren Taylor arrived late on a warm afternoon. As he crossed the lawn, Louise +Ennis was playing “catch” with Manny Clyde. Her figure swung and +straightened with the lithe muscularity of a young animal. Her cheek was clear +pink, deepening to the warmer color of the curved lips. The blue veins stood +out a little against the warm, moist temples from which she brushed a vagrant +lock of hair. Her eyes were wide and lustrous with the eager effort of the +play, for the boy was throwing wide in purposeful delight over her swift +gracefulness. +</p> + +<p> +“Great Heavens!” exclaimed the artist, staring at her. “Who +did that?” +</p> + +<p> +“Strong did that,” explained Clyde; “as per +specifications.” +</p> + +<p> +“A triumph!” declared Taylor. “A work of art.” +</p> + +<p> +“Oh, no,” said Dr. Strong; “a renewal of Nature.” +</p> + +<p> +“In any case, a lady remade and better than new. My profound +felicitations, Dr. Strong.” He walked over to the flushed and lovely +athlete. “Miss Ennis,” he said abruptly, “I want your +permission to stay over to-morrow and sketch you. I need you in my +‘Poet’s Cycle of the Months.’” +</p> + +<p> +“How do you do, Mr. Taylor?” she returned demurely. “Of +course you can sketch me, if it doesn’t interfere with my working +hours.” A quick smile rippled across her face like sunlight across water. +“The same subject?” she asked with mischievous nonchalance. +</p> + +<p> +“No. Not even the same season,” he replied emphatically, coloring, +as he bethought him of his “November, the withered mourner of glories +dead and gone.” +</p> + +<p> +“What part am I to play now?” +</p> + +<p> +“Let Dr. Strong name it,” said Taylor with quick tact. “He +has prepared the model.” +</p> + +<p> +The girl turned to the physician, a little deeper tinge of color in her face. +</p> + +<p> +“Referred to Swinburne,” said Strong lightly, and quoted:— +</p> + +<p class="poem"> +“When the hounds of Spring are on Winter’s traces,<br /> +The mother of months in valley and plain<br /> +Fills the shadows and windy places<br /> +With lisp of leaves and ripple of rain.” +</p> + +<p> +“Atalanta,” said Oren Taylor, bowing low to her; “the maiden +spirit of the spring.” +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap07"></a>VII.<br /> +THE RED PLACARD</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">“W</span>ell?” +questioned Mrs. Clyde, facing the Health Master haggardly, as he entered the +library. +</p> + +<p> +“Oh, come!” he protested with his reassuring smile. +“Don’t take it so tragically. You’ve got a pretty +sick-looking boy there. But any thoroughgoing fever makes a boy of nine pretty +sick.” +</p> + +<p> +“What fever?” demanded the mother. “What is it?” +</p> + +<p> +“Let’s start with what it isn’t—and thank Heaven. It +isn’t typhoid. And it isn’t diphtheria.” +</p> + +<p> +“Then it’s—it’s—;” +</p> + +<p> +“It’s scarlet fever,” broke in her mother, Mrs. Sharpless, +who had followed the doctor into the room. “That’s what it +is.” +</p> + +<p> +Mrs. Clyde shuddered at the name. “Has he got the rash?” +</p> + +<p> +“No. But he will have to-morrow,” stated the old lady positively. +</p> + +<p> +“Do you think so, too, Dr. Strong?” Mrs. Clyde appealed. +</p> + +<p> +“I’ll accept Grandma Sharpless’s judgment,” answered +the physician. “She has seen more scarlet fever in her time than I, or +most physicians. And experience is the true teacher of diagnosis.” +</p> + +<p> +“But you can’t be sure!” persisted Mrs. Clyde. “How can +you tell without the rash?” +</p> + +<p> +“Not in any way that I could put into words,” said her mother. +“But there’s something in the look of the throat and something +about the eyes and skin—Well, I can’t describe it, but I know it as +I know my own name.” +</p> + +<p> +“There speaks the born diagnostician,” observed the Health Master. +“I’m afraid the verdict must stand.” +</p> + +<p> +“Then—then,” faltered Mrs. Clyde, “we must act at once. +I’ll call up my husband at the factory.” +</p> + +<p> +“What for?” inquired Dr. Strong innocently. “Why, to let him +know, of course.” +</p> + +<p> +“Don’t. When I undertook to act as Chinese-plan physician to the +Clyde household, I was not only to guard the family against illness as well as +I could, but also to save them worry. This is Saturday. Mr. Clyde has had a +hard, trying week in the factory. Why break up his day?” +</p> + +<p> +Mrs. Clyde drew a long breath and her face lightened. “Then it +isn’t a serious case?” +</p> + +<p> +“Scarlet fever is always serious. Any disease which thoroughly poisons +the system is. But there’s no immediate danger; and there shouldn’t +be much danger at any time to a sturdy youngster like Charley, if he’s +well looked after.” +</p> + +<p> +“But the other children!” Mrs. Clyde turned to Mrs. Sharpless. +“Where can we send them, mother?” +</p> + +<p> +“Nowhere.” It was the doctor who answered. +</p> + +<p> +“Surely we can’t keep them in the house!” cried Mrs. Clyde. +“They would be certain to catch it from Charley.” +</p> + +<p> +“By no means certain. Even if they did, that would not be the worst thing +that could happen.” +</p> + +<p> +“No? What would, then?” challenged Grandma Sharpless. +</p> + +<p> +“That they should go out of this house, possibly carrying the poison with +them into some other and defenseless community.” Dr. Strong spoke a +little sternly. +</p> + +<p> +Neither woman replied for a moment. When Mrs. Clyde spoke, it was with a +changed voice. “Yes. You are right. I didn’t think. At least I +thought only of my own children. It’s hard to learn to think like a +mother of all children.” +</p> + +<p> +“It’s as near to the divine as any human can come,” returned +the Health Master gently. “However, I think I can promise you that, if +the twins and Bettykin haven’t been touched with the poison already, they +shan’t get it from Charley. We’ll organize a defense—provided +only the enemy hasn’t established itself already. Now the question is, +where did the poison come from? We’ll have Junkum in and see if she can +help us find out.” Julia, the more efficient of the eleven-year-old +twins, a shrewd and observing youngster, resembling, in many respects, her +grandmother, came at the doctor’s summons and was told what had befallen +Charley. +</p> + +<p> +“Oh!” said Junkum. Then, “Can I nurse him?” +</p> + +<p> +“I should think not!” burst out her mother and grandmother in a +breath. +</p> + +<p> +“Later on you can help,” said Dr. Strong. “In fact, I shall +probably need your help. Now, Junkum, you remember I told you children a month +ago that there was scarlet fever about and warned you to guard your mouths and +noses with special care. Can you recall whether Charley has been +careless?” +</p> + +<p> +Miss Julia took the matter under consideration. “We’ve all been, I +guess,” she said. “Clara Wingate gave a party last week and there +was bobbing for apples, and everybody had their faces in the same tub of +water.” +</p> + +<p> +“Yes; and Irving Wingate has since come down with scarlet fever,” +added Mrs. Clyde. +</p> + +<p> +“Enough said!” asserted the Health Master. “I can’t +think of any better way to disseminate germs than an apple-bobbing contest. It +beats even kissing games. Well, the mischief is done.” +</p> + +<p> +“Then they’ll all have it,” said Mrs. Clyde miserably. +</p> + +<p> +“Oh, let’s hope not. Nothing is more mysterious than the way +contagion hits one and misses others. I should say there was at least an even +chance of the rest escaping. But we must regard them as suspects, and report +the house for quarantine.” +</p> + +<p> +“Ugh!” shuddered Mrs. Clyde. “I hate that word. And think of +my husband coming home to find a flaming red placard on the house!” +</p> + +<p> +“We’ll give him warning before he leaves the factory. And now for +our campaign. Item 1: a trained nurse. Item 2: a gas-range.” +</p> + +<p> +“The trained nurse, certainly,” agreed Mrs. Clyde. “But why +the gas-range? Isn’t Charley’s room warm enough?” +</p> + +<p> +“Quite. The stove isn’t for warmth; it’s for safety. +I’m going to establish a line of fire beyond which no contagion can pass. +We’ll put the stove in the hall, and keep on it a tin boiler full of +water just at the simmering point. Everything which Charley has used or touched +must go into that or other boiling water as soon as it leaves the room: the +plates he eats from, the utensils he uses; his handkerchiefs, night-clothes, +towels—everything.” +</p> + +<p> +“That will be a hard regimen to keep up,” Mrs. Clyde objected. +</p> + +<p> +“Martial law,” said the Health Master positively. “From the +moment the red placard goes up, we’re in a state of siege, and I’m +in command. The rules of the camp will be simple but strict. Whoever violates +any of them will be liable to imprisonment in the strictest quarantine. +We’ll have a household conference to-night and go over the whole matter. +Now I’m going to telephone the Health Department and ask Dr. Merritt to +come up and quarantine us officially.” +</p> + +<p> +“But what of Charley?” exclaimed Mrs. Clyde. “You’re +not going to keep me away from my boy?” +</p> + +<p> +“Not when you put it in that way and use that tone,” smiled Dr. +Strong. “I probably couldn’t if I tried. Under official quarantine +rules you’ll have to give up going anywhere outside the house. Under our +local martial law you’re not to touch Charley or anything that he +handles, nor to kiss the other children. And you’re to wash your hands +every time you come out of the sick-room, though it’s only to step beyond +the door.” +</p> + +<p> +“It is an order,” said the mother gravely. “Will he be very +ill, do you think?” +</p> + +<p> +“So far the cases have been mild. His is likely to be, too. But +it’s the most difficult kind of case to handle.” +</p> + +<p> +“I don’t see that at all,” said Mrs. Sharpless. +</p> + +<p> +“You will, when he becomes convalescent. Then is when my troubles will +begin. For the present the bulk of the work inside the sick-room will be upon +the trained nurse and Mrs. Clyde. I’ll have my troubles outside, watching +the rest of the family.” +</p> + +<p> +Not since Dr. Strong came to the Clydes’ as guardian of their health had +there been an emergency meeting called of the Household Protective Association, +as the Health Master termed the organization which he had formed (mainly for +educative purposes) within the family. That evening he addressed a full +session, including the servants, holding up before them the red placard which +the Health Department had sent, and informing them of the quarantine. +</p> + +<p> +“No school?” inquired the practical-minded Bobs, +“Hooray!” +</p> + +<p> +“No school for you children, until further notice,” confirmed the +physician. +</p> + +<p> +“And no business for me, I suppose,” said Mr. Clyde, frowning. +</p> + +<p> +“Oh, yes. You can come and go as you please, so long as you keep away +from Charley’s room. Every one is barred from Charley’s room until +further instructions, except Mrs. Clyde; and she is confined within military +bounds, consisting of the house and yard. And now for the most important +thing—Rosie and Katie,”—the cook and the +maid—“pay particular heed to this—nothing of any kind which +comes from the sick-room is to be touched until it is disinfected, except under +my supervision. When I’m not in the house, the nurse’s authority +will be absolute. Now for the clinic; we’ll look over the throats of the +whole crowd.” +</p> + +<p> +Throat inspection appeared to be the Health Master’s favorite pursuit for +the next few days. +</p> + +<p> +“I don’t dare open my mouth,” protested Bobs, “for fear +he’ll peek into it and find a spot.” +</p> + +<p> +“Dr. Strong spends a lot more time watching us than he does watching +Charley,” remarked Junkum. “Who’s the sick one, +anyway—us or him?” she concluded, her resentment getting the better +of her grammar. +</p> + +<p> +“Ho!” jeered Bobs, and intoned the ancient couplet, made and +provided for the correction of such slips:— +</p> + +<p class="poem"> +“Her ain’t a-callin’ we,<br /> +Us don’t belong to she.” +</p> + +<p> +“Anyhow, I ain’t sick,” asseverated Bettina; “but he +shut me up in my room for a day jus’ because my swallow worked kinda +hard.” +</p> + +<p> +“If I’m going to have scarlet fever I want to have scarlet fever +and get done with it!” declared. +</p> + +<p> +Bobs. “I’m getting tired of staying out of school. Charley’s +having all the fun there is out of this, getting read to all the time by that +nurse and Mother.” +</p> + +<p> +Meantime nothing of interest was happening in the sick-room. Interesting phases +seldom appear in scarlet fever, which is well, since, when they do appear, the +patient usually dies. Not at any time did Charley evince the slightest tendency +to forsake a world which he had found, on the whole, to be a highly +satisfactory place of residence. In fact, he was going comfortably along +through a typically light onset of the disease; and was rather less ill than he +would have been with a sound case of measles. Already the furrows in Mrs. +Clyde’s forehead had smoothed out, and Grandma Sharpless had ceased +waking, in the dead of night, with a catch at her heart and the totally +unfounded fear that she had “heard something,” when one morning +Charley awoke, scratched a tiny flake of skin off his nose, yawned, and emitted +a hollow groan. +</p> + +<p> +“What is it, Charley boy?” asked his mother. +</p> + +<p> +“I’m tired of staying in bed,” announced the young man. +</p> + +<p> +“How do you feel?” +</p> + +<p> +The patient sat up, the better to consider the matter. “I feel,” he +stated in positive accents, “like a bucket of oyster stew, a steak as big +as my head, with onions all over it, a whole apple pie, a platter of ice-cream, +and a game of baseball.” +</p> + +<p> +Mrs. Clyde laughed happily. “I’ll tell the Health Master,” +she said. She did, and Dr. Strong came up and looked the patient over +carefully. +</p> + +<p> +“You lie back there, young fellow,” he ordered, “and play +sick, no matter how well you feel, until I tell you different.” +</p> + +<p> +“How about that beefsteak and pie, Doctor?” inquired the boy +wistfully. +</p> + +<p> +“Mere prospects,” retorted the hard-hearted physician. “But +you can have some ice-cream.” Conclave of the elders that evening to +consider the situation was opened by Dr. Strong. +</p> + +<p> +“We’ve now reached the critical point,” he began. +</p> + +<p> +“Critical?” gasped Mrs. Clyde, whose nerves had been considerably +stretched in the ten days of sick-room work. “Isn’t he getting +well?” +</p> + +<p> +“He’s getting well quite as quickly as I want him to. Perhaps a +little more quickly. The fever is broken and he is beginning to peel.” +</p> + +<p> +“Then what’s the difficulty?” inquired Mr. Clyde. +</p> + +<p> +“Just this. Charley is a sturdy boy. The light attack he’s had +hasn’t begun to exhaust his vitality. From now on, he is going to be a +bundle of energy, without outlet.” +</p> + +<p> +“From now on till when?” It was Grandma Sharpless who wanted to +know. +</p> + +<p> +“Two weeks anyway. Perhaps more.” +</p> + +<p> +“Are you going to keep that poor child in bed for two weeks after +he’s practically well?” said the mother. +</p> + +<p> +“For three weeks if the whole family will help me. It’s not going +to be easy.” +</p> + +<p> +“Isn’t that a little extreme, Strong?” asked Mr. Clyde. +</p> + +<p> +“Only the precaution of experience. The danger-point in scarlet fever +isn’t the illness; it’s the convalescence. People think that when a +child is cured of a disease, he is cured of the effects of the disease also. +That mistake costs lives.” +</p> + +<p> +“Because the poison is still in the system?” +</p> + +<p> +“Rather, the effects of the poison. Though the patient may feel quite +well, the whole machinery of the body is out of gear. What do you do when your +machinery goes wrong, Clyde?” +</p> + +<p> +“Stop it, of course.” +</p> + +<p> +“Of course,” repeated the Health Master. “Obviously we +can’t stop the machinery of life, but we can ease it down to its lowest +possible strain, until it has had a chance to readjust itself. That is what I +want to do in Charley’s case.” +</p> + +<p> +“How does this poison affect the system?” +</p> + +<p> +“If I could discover that, I’d be sure of a place in history. All +we know is that no organ seems to be exempt from its sudden return attack long +after the disease has passed. If we ever get any complete records, I venture to +say that we’ll find more children dying in after years from the results +of scarlet fever than die from the immediate disease itself, not to mention +such after-effects as deafness and blindness.” +</p> + +<p> +“I’ve noticed that,” said Grandma Sharpless, “when we +lived in the country. And I remember a verse on the scarlet-fever page of an +old almanac:— +</p> + +<p class="poem"> +If they run from nose or ear,<br /> +Watch your children for a year. +</p> + +<p> +But I always set down those cases to catching cold.” +</p> + +<p> +“Most people do. It isn’t that. It’s overstrain put on a +poisoned system. And it’s true not of scarlet fever alone, but of +measles, and diphtheria, and grippe; and, in a lesser degree, of whooping-cough +and chicken pox.” +</p> + +<p> +“You’ve seen such cases in your own practice?” asked Mr. +Clyde, and regretted the question as soon as he had put it, for there passed +over Dr. Strong’s face the quick spasm of pain which anything referring +back to the hidden past before he had come to the Clyde house always brought. +</p> + +<p> +“Yes,” he replied with an effort. “I have had such cases, and +lost them. I might even say, killed them in my ignorance.” +</p> + +<p> +“Oh, no, Dr. Strong!” said Mrs. Clyde in quick sympathy. +“Don’t say that. Being mistaken isn’t killing.” +</p> + +<p> +“It is, sometimes, for a doctor. I remember one little patient who had a +very light case of scarlet fever. I let her get up as soon as the fever broke. +Three months later she developed a dropsical tendency. And one day she fell +dead across the doll she was playing with. The official cause of death said +heart disease. But I knew what it was. The next case was not so wholly my +fault. The boy was a spoiled child, who held his parents in enslavement. They +hadn’t the strength of character to keep him under control. He insisted +on riding his bicycle around the yard, three days after he was out of bed. +Against his willfulness my protests were of no account. What I should have done +is to have thrown up the case; but I was young and the people were my friends. +Well; that boy made, apparently, a complete recovery. A few weeks later I was +sent for again. There was some kidney trouble. I knew, before the analysis was +made, what it would show: nephritis. The poison had struck to the kidneys like +a dagger. The poor little chap dragged along for some months before he died; +and his mother—God forgive me if I did wrong in telling her the truth, as +I did for the protection of their other child—almost lost her +reason.” +</p> + +<p> +“And such cases are common?” asked Mr. Clyde. +</p> + +<p> +“Common enough to be fairly typical. Afterward, I cited the two instances +in a talk before our medical society. My frankness encouraged some of the other +men to be frank; and the list of fatalities and permanent disabilities, +following scarlet fever and measles, which was brought out at that meeting, +nearly every case being one of rushing the convalescence—well, it +reformed one phase of medical procedure in—in that city and +county.” +</p> + +<p> +“That settles it for Charley,” decided Mr. Clyde. “He stays +in bed until you certify him cured, if I have to hire a vaudeville show to keep +him amused.” +</p> + +<p> +“My boy is not a spoiled child!” said Mrs. Clyde proudly. “I +can handle him.” +</p> + +<p> +“Maybe he wasn’t before,” remarked Grandma Sharpless dryly; +“but I think you’ll have your hands full now.” +</p> + +<p> +“Therefore,” said Dr. Strong, “I propose to enlist the +services of the whole family, including the children.” +</p> + +<p> +“What! Let the others go to see Charley when he’s peeling?” +protested Mrs. Sharpless. “They’ll all catch it.” +</p> + +<p> +“How?” +</p> + +<p> +“Why, from the skin-flakes. That’s the way scarlet fever +spreads.” +</p> + +<p> +“Is it?” said the Health Master mildly. “Then perhaps +you’ll explain to me why doctors aren’t the greatest danger that +civilization suffers from.” +</p> + +<p> +“I suppose they disinfect themselves,” said the old lady, in a +rather unconvinced tone. +</p> + +<p> +“Let’s see how much that would amount to. The fine flakes of skin +are likely to be pretty well disseminated in a sick-room. According to the old +theory, every one of them is a potential disease-bearer. Now, a doctor could +hardly be in a sickroom without getting some of them on his clothes or in his +hair, as well as on his hands, which, of course, he thoroughly washes on +leaving the place. But that’s the extent of his disinfection. Why +don’t the flakes he carries with him spread the fever among his other +patients?” +</p> + +<p> +“Don’t ask <i>me!</i>” said Clyde. “I’m not good +at puzzles.” +</p> + +<p> +“Many doctors still hold to the old theory. But I’ve never met one +who could answer that argument. Some of the best hospitals in the world +discharge patients without reference to the peeling of the skin, and without +evil results.” +</p> + +<p> +“How is scarlet fever caught, then?” asked Mrs. Clyde. +</p> + +<p> +“From the discharge from the inflamed nose and throat, or from the ears +if they are affected. Anything which comes in contact with this poisonous mucus +is dangerous. Thus, of course, the skin-flakes from the lips or the hands which +had been in contact with the mouth or nose might carry the contagion, just as a +fork or a tooth-brush or a handkerchief might. Now, I’ll risk my status +in this house on the safety of letting the other children visit Charley under +certain restrictions.” +</p> + +<p> +“That settles it for me,” said Mr. Clyde, whose faith in his +friend, while not unquestioning, was fundamental; and the two women agreed, +though not without misgivings. Thereupon Bobs, Julia, and Bettina were sent +for, and the Health Master announced that Charley would hold a reception on the +following afternoon. There were shouts of acclamation at the prospect. +</p> + +<p> +“But first,” added Dr. Strong, “there will be a rehearsal in +the playroom, to-morrow morning.” +</p> + +<p> +“What do we need a rehearsal for to see Charley?” inquired Julia. +</p> + +<p> +“To guard yourselves, Miss Junkum,” returned the doctor. +“Possibly you don’t know everything about scarlet fever that you +should know. Do you, Cherubic Miss Toots,” he added, turning upon +Bettina, “know what a contagious disease is?” +</p> + +<p> +“I know,” said the diminutive maiden gravely, “that if you +leave Charley’s door open the jerrums will fly out and bite +people.” +</p> + +<p> +“Which fairly typifies the popular opinion concerning disease +bacilli,” observed Dr. Strong. +</p> + +<p> +“I saw a jerrum once,” continued the infant of the family. +“It was under a stone in a creek. It had horns and a wiggly tail. Just +like the Devil,” she added with an engaging smile. +</p> + +<p> +“Betty’s been looking at the pictures in the comic +supplements,” explained her elder sister. +</p> + +<p> +“Popular education by the press!” commented Dr. Strong. +“Well, I haven’t time for an exposition of the germ theory now. The +point is this: Can you children stay an hour in Charley’s room without +putting a lot of things in your mouths?” +</p> + +<p> +“Why, I never put anything in my mouth. You taught us better than +that,” said Julia reproachfully. +</p> + +<p> +The doctor was little impressed by the reproach. “Humph!” he +grunted. “Well, suppose you stop nibbling at your +hair”—Julia’s braid flew back over her +shoulder—“and consider that, when you put your fingers in your +mouth, you may be putting in, also, a particle of everything that your fingers +have touched. And in Charley’s room there might be jerrums, as Twinkles +calls them, from his mouth which would be dangerous. Rehearsal at noon +tomorrow.” +</p> + +<p> +Expectant curiosity brought the children early to the playroom whither they +found that the Health Master had preceded them. +</p> + +<p> +“When’s it going to begin?” asked Bettina. +</p> + +<p> +“Presently,” replied the master of ceremonies. “We’re +going to pretend that this is Charley’s room. Just at present I’m +busy with some work.” He shook a notebook at them. “Go ahead and +amuse yourselves till I get through.” +</p> + +<p> +Julia the observant noted three hues of crayon on the stand beside the doctor. +“Are you going to make a sketch?” she inquired. +</p> + +<p> +“Never you mind. You attend to your affairs and I’ll attend to +mine.” +</p> + +<p> +“Dr. Strong is a-goin’ to make a picture of a jerrum,” +Bettina informed her favorite doll, Susan Nipper, imprinting a fervent kiss on +the pet’s flattened face. “Come on an’ let’s read the +paper.” +</p> + +<p> +Dr. Strong made a note in his book, with a pencil. +</p> + +<p> +“Want to play catch, Junkum?” suggested Bobs to his twin. +</p> + +<p> +“All right,” said Julia, seizing upon a glove, while Bobs, in his +rôle of pitcher, professionally moistened the ball. +</p> + +<p> +Dr. Strong made another note. +</p> + +<p> +For half an hour they disported themselves in various ways while the Health +Master, whose eyes were roving everywhere, made frequent entries in his book. +</p> + +<p> +“All out now,” he ordered finally. “Come back in five +minutes.” +</p> + +<p> +Before the time was up, they were clustered at the door. Dr. Strong admitted +them. +</p> + +<p> +“Does the rehearsal begin now?” asked Bobs. +</p> + +<p> +“It’s all over,” said the physician. “Look around +you.” +</p> + +<p> +“Ow-w-w!” wailed Bettina. “Look at Susan Nipper’s +nose!” +</p> + +<p> +That once inconspicuous feature had turned a vivid green. +</p> + +<p> +“And the baseball is red,” cried Bobs. +</p> + +<p> +“So’s my glove,” announced Julia. +</p> + +<p> +Walking over to her, the Health Master caught her left hand and smeared it with +blue crayon. For good measure he put a dab on her chin. +</p> + +<p> +“My story-book is all blue, too,” exclaimed the girl. +“What’s it for?” +</p> + +<p> +“Just by way of illustration,” explained the doctor. “The +mouths of all of us contain germs of one kind or another. So I’ve assumed +that Bob’s mouth has red, and Junkum’s blue, and Miss +Twinkle’s green. Every chalk mark shows where you’ve spread your +germs.” +</p> + +<p> +“Then the red on the ball is where I wet my fingers for that +in-curve,” said Bobs. +</p> + +<p> +“And on my glove is where I caught it,” said Julia. “But +what’s the blue doing on my left hand?” +</p> + +<p> +“I know,” announced Bobs triumphantly. “You got that slow +drop on the end of your finger and jammed your finger in your mouth.” +</p> + +<p> +“It hurt,” defended Julia. “Look at the walls—and the +Indian clubs—and the chair.” +</p> + +<p> +Crayon marks were everywhere.<a href="#fn2" name="fnref2" id="fnref2"><sup>[2]</sup></a> +In some places it was one color; in others another; in many, a crazy pattern of +red, blue, and green. +</p> + +<p class="footnote"> +<a name="fn2" id="fn2"></a> <a href="#fnref2">[2]</a> +For this ingenious example of the crayon marks I am indebted to Dr. Charles +V. Chapin, Health Officer of Providence, Rhode Island, and a distinguished +epidemiologist. +</p> + +<p> +“And if I carried it out,” said the doctor, “your faces would +all be as bad.” +</p> + +<p> +“I don’t care!” murmured Betty to Susan Nipper; “I +<i>will</i> kiss you even if you do turn green.” +</p> + +<p> +“But you mustn’t kiss Charley,” interposed Dr. Strong. +“If you’ve had enough rehearsal, we’ll go and make our call +right after luncheon.” +</p> + +<p> +Entering the sick-room, the three visitors stood a little abashed and strange. +Their hearty, rough-and-tumble brother looked strangely drawn and brighteyed. +</p> + +<p> +“Hello, kids!” said he, airily. “Make yourselves at +home.” +</p> + +<p> +Bettykin was the first to break the ice. “Did it hurt, Charley?” +she asked, remembering her own experience with adenoids. +</p> + +<p> +“Nope,” said the convalescent. “Only thing that hurts is +being kept in bed when I want to be up and around. What’s new?” +</p> + +<p> +Much was new, there in the room, and the children took it in, wide-eyed. +Although it was early May, the windows were screened. All the hangings and +curtains had been taken out of the room, which looked bare and bright. On the +door of the bathroom was a huge roller-towel of soft, cloth-like paper, +perforated in lengths so as to be easily detachable, and below it a +scrap-basket, with a sign: “Throw Paper Towels in Here to be Burned after +Using.” Between the two windows was a larger sign:— +</p> + +<p class="letter"> +Keep your Fingers Away from Your Mouth and Nose.<br /> +Don’t Handle Utensils Lying About.<br /> +Don’t Open an Unscreened Window.<br /> +After Touching Anything which may have been Contaminated Wash Your Hands at +Once.<br /> +Use the Paper Towels; They’re the Only Safe Kind.<br /> +One Dollar Reward to Any One Discovering a Fly in the Room.<br /> +Wash Your Hands Immediately After Leaving the Room.<br /> +Keep Outside the Dead-line. +</p> + +<p class="center"> +PENALTIES +</p> + +<p class="letter"> +For First Violation of Rules—Offender Reads to Patient One Hour. Second +Violation—Banishment for Balance of Day. +</p> + +<p> +“The dead-line is that thing, I suppose,” said Junkum, pointing to +a tape stretched upon standards around the bed at a distance of a yard. +</p> + +<p> +“Is it a game?” questioned the hopeful Bettina. “No, +Bettykin. It’s a germ-cage. No germs can get out of that unless +they’re carried out by somebody or something. And, in that case, +they’re boiled to death on the gas-stove outside.” +</p> + +<p> +At this moment Charley called for a drink of water. After he had emptied the +glass, his mother took it out and dropped it into the disinfecting hot bath. +Then she washed her hands, dried them on a strip of the paper towel and dropped +that in the basket. +</p> + +<p> +“I see,” said Julia, the observant. “Nothing gets any scarlet +fever on it except what Charley touches. And everything he touches has to be +washed as soon as it comes out of the dead-line.” +</p> + +<p> +“Exactly. We’ll make a trained nurse of you, yet, Junkum,” +approved the Health Master. +</p> + +<p> +“Then,” said Julia slowly, “I think Bobs ought to wash his +hands now. Mother opened the door after handling Charley’s glass, and +when he went to watch her wash the glass, he put his hand on the knob.” +</p> + +<p> +“One mark against Bobs,” announced the doctor. “The rigor of +the game.” +</p> + +<p> +A game it proved to be, with Charley for umpire, and a very keen umpire, as he +was the beneficiary of the penalties. For some days Charley quite fattened on +literature dispensed orally by the incautious. Presently, however, they became +so wary that it was hard to catch them. +</p> + +<p> +Then, indeed, was the doctor hard put to it to keep the invalid amused. The +children invented games and charades for him. A special telephone wire was run +to his room so that he might talk with his friends. Bobs won commendations by +flying a kite one windy day and passing the twine up through Charley’s +window, whereby the bedridden one spent a happy afternoon “feeling her +pull.” And the next day Betty won the first and only dollar by +discovering a small and early fly which, presumably, had crawled in by the hole +bored for the kite twine. As to any encroachments upon the physical quiet of +his patient or the protective guardianship surrounding him, the Health Master +was adamant, until, on a day, after examining the prisoner’s throat and +nose, and going over him, as Mr. Clyde put it, “like a man buying a horse +that’s cheaper than he ought to be,” he sent for the Health +Officer. +</p> + +<p> +“It’s a clean throat,” said Dr. Merritt. “Never mind +the desquamating skin. We’ll call it off.” +</p> + +<p> +Whereupon Charley was raised from his bed, and having symbolically broken the +tape-line about his bed, headed a solemn and slow procession of the entire +family to the front porch where he formally took down the red placard and tore +it in two. The halves still ornament the playroom, as a memento. +</p> + +<p> +After this memorable ceremony, Mrs. Clyde retired to the library and, quite +contrary to her usually self-restrained nature, dissolved into illogical tears, +in which condition she was found by the rest. +</p> + +<p> +“I—I—I don’t know what’s the matter,” she +sobbed, in response to her husband’s inquiry. “It’s just +because I hated the very thought of that abominable red sign so,—as if we +were unclean—like lepers.” +</p> + +<p> +“Well, we’re not lepers and if we can continue in that blessed +state,” remarked Dr. Strong cheerfully, “we can escape most of the +ills that flesh is heir to. After all, from a scientific point of view, +contagion is merely the Latin synonym for a much shorter and uglier +word.” +</p> + +<p> +“Which is—” queried Mr. Clyde. +</p> + +<p> +“Dirt,” said the Health Master. +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap08"></a>VIII.<br /> +HOPE FOR THE HOPELESS</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">“H</span>opeless from the +first,” said old Mrs. Sharpless, with a sigh, to her daughter. +</p> + +<p> +Mrs. Clyde nodded. “I suppose so. And she has so much to live for, +too.” +</p> + +<p> +“What’s this that’s hopeless from the first?” asked the +Health Master, looking up from the novel which he was enjoying in what he +called his “lazy hour,” after luncheon. +</p> + +<p> +“Mrs. Westerly’s case,” said the younger woman. “Even +now that she’s gone to the hospital, the family won’t admit that +it’s cancer.” +</p> + +<p> +“Ah, of the liver, I suppose,” commented the physician. +</p> + +<p> +“Why on earth should you suppose that?” demanded Mrs. Sharpless +suspiciously. +</p> + +<p> +“Why, because cancer of the liver is the only form which could possibly +be regarded as hopeless from the first.” +</p> + +<p> +“All cancer, if it is really cancer, is hopeless,” declared the old +lady with vigorous dogmatism. “Don’t tell me. I’ve seen too +many cases die and too few get well.” +</p> + +<p> +“Were those ‘few’ hopeless, too?” inquired Dr. Strong +with bland slyness. +</p> + +<p> +“I guess they weren’t cancer, at all,” retorted Mrs. +Sharpless; “just doctors’ mistakes.” +</p> + +<p> +“Doctors do make mistakes,” admitted the representative of the +profession, “and cancer is one of the diseases where they are most +commonly at fault. But the error isn’t of the kind that you suggest, +Grandma Sharpless. Where they go wrong so often is in mistaking cancer for some +less malignant trouble; not in mistaking the less malignant forms for cancer. +And that wastes thousands of lives every year which might have been +saved.” +</p> + +<p> +“How could they have been saved?” asked the old lady combatively. +</p> + +<p> +“Let me do the questioning for a minute, and perhaps we’ll get at +that. Now, these many cases that you’ve known: were most of the fatal +ones recent?” +</p> + +<p> +“Not very,” she replied, after some consideration. “No; most +of them were from ten years ago, back.” +</p> + +<p> +“Exactly. Now, the few that recovered: when did these occur?” +</p> + +<p> +“Within a few years.” +</p> + +<p> +“None of the old cases recovered?” +</p> + +<p> +“No.” +</p> + +<p> +“But a fair proportion of the more recent ones have?” +</p> + +<p> +“Yes.” +</p> + +<p> +“All these were operated on, weren’t they?” +</p> + +<p> +“Yes; I believe they were. But not all that were operated on +lived.” +</p> + +<p> +“Did a single one of those not operated on live?” +</p> + +<p> +“Not so far as I can remember.” +</p> + +<p> +“Well, there we have the truth about cancer in a few words; or, anyway, a +good part of the truth. Up to twenty years ago or so, cancer was practically +incurable. It always returned after operation. That was because the surgeon +thought he needed only to cut out the cancer. Now he knows better; he knows +that he must cut out all the tissue and the glands around the obvious cancer, +and thus get the root of the growth out of the system.” +</p> + +<p> +“And that cures?” asked Mrs. Clyde. +</p> + +<p> +“In a great majority of cases, <i>if it is done early enough</i>.” +The Health Master dropped his book and beat time with an emphatic forefinger to +his concluding words. +</p> + +<p> +“But Agnes Westerly’s is cancer of the breast,” said Mrs. +Clyde, as if that clinched the case against the patient. +</p> + +<p> +“Just about the most favorable locality.” +</p> + +<p> +“I thought it was the worst.” +</p> + +<p> +“Where on earth do intelligent women collect their superstitions about +cancer?” cried Dr. Strong. “Carcinoma of the breast is the +commonest form among women, and the easiest to handle. Show me a case in the +first stages and, with a good surgical hospital at hand, I’d almost +guarantee recovery. It’s simply a question of removing the entire breast, +and sometimes the adjacent glands. Ninety per cent of the early cases should +get well.” +</p> + +<p> +“But the operation itself is so terrible,” shuddered Mrs. Clyde. +</p> + +<p> +“Terrible? Unpleasant, I’ll admit. But if you mean terrible in the +sense of dangerous, or even serious, you’re far wrong again. The +percentage of mortality from the operation itself is negligible. But the +percentage of mortality without operation is 100 out of 100. So the choice is +an easy one.” +</p> + +<p> +“They seem to hold out little hope for Agnes Westerly.” +</p> + +<p> +“Let’s hear about the circumstances,” suggested Dr. Strong. +</p> + +<p> +“About two years ago—” +</p> + +<p> +“That’s a bad beginning,” interrupted the physician, shaking +his head. +</p> + +<p> +“—She noticed a small lump in her right breast. It didn’t +trouble her much—” +</p> + +<p> +“It seldom does at the start.” +</p> + +<p> +“—And she didn’t want to alarm her husband; so she said +nothing about it. It kept getting a little larger very slowly, but there was no +outside sore; so she thought it couldn’t be serious. If it were, she +thought, it would pain her.” +</p> + +<p> +“That fatal mistake! Pain is a late symptom in cancer—usually too +late.” +</p> + +<p> +“It was curious the way she finally came to find out. She read an +advertisement in the paper, headed, ‘Any Lump in Woman’s Breast is +Cancer.’” +</p> + +<p> +“Yes; I know that advertisement. It’s put out by a scoundrel named +Chamlee. Surely, she didn’t try his torturing treatment?” +</p> + +<p> +“Oh, no. Agnes is too intelligent for that. But it frightened her into +going to her doctor. He told her that a radical operation was her only chance. +She was terribly frightened,—more afraid of the knife than of the +disease, she told me,—and she insisted on delay until the pain grew +intolerable. And now, they say, there’s only a slight chance. Isn’t +it pitiful?” +</p> + +<p> +“Pitiful, and typical. Mrs. Westerly, if she dies, is a type of suicide, +the suicide of fear and ignorance. Two years’ waiting! And every day +subtracting from her chance. That’s the curse of cancer; that people +won’t understand the vital necessity of promptness.” +</p> + +<p> +“But is it true that any lump in a woman’s breast is cancer?” +asked Mrs. Sharpless. +</p> + +<p> +“No; it’s a lie; a damnable lie, circulated by that quack to scare +foolish women into his toils. Most of such lumps are non-malignant growths. +This is true, though: that any lump in a woman’s breast is suspicious. It +may be cancer; or it may develop into cancer. The only course is to find +out.” +</p> + +<p> +“How?” +</p> + +<p> +‘“With the knife.” +</p> + +<p> +“Isn’t that rather a severe method for a symptom that may not mean +anything?” +</p> + +<p> +“Not too severe, considering the danger. Whatever the lump may be, it has +no business there in the breast, any more than a bullet has. If it is only a +small benign tumor, the process of taking it out is very simple, and there is +nothing further to do. While the patient is still under the anaesthetic, a +microscopical examination of the tissue, which can be made in a few minutes in +a well-equipped hospital, will determine whether the growth is malignant. If +so, the whole breast is taken off, and the patient, in all probability, saved. +If not, sew up the wound, and the subject is none the worse. Much the better, +in fact, for the most innocent growth may develop cancer by irritation. Thirty +per cent, or more, of breast cancers develop in this way.” +</p> + +<p> +“But irritation alone won’t cause cancer, will it?” asked +Mrs. Clyde, her restlessly inquiring mind reaching back, as was typical of her +mental processes, toward first causes. +</p> + +<p> +“No. There must be something else. What that something is, we don’t +know. But we are pretty certain that it doesn’t develop unless there is +irritation of some kind.” +</p> + +<p> +“Isn’t cancer a germ disease?” +</p> + +<p> +“Nobody knows. Some day we may—probably shall—find out. +Meantime we have the knowledge of how to prevent it.” +</p> + +<p> +“How to prevent a disease you don’t know the nature of?” said +Mrs. Sharpless incredulously. “That sounds like nonsense.” +</p> + +<p> +“Does it? What about smallpox? We haven’t any idea of what smallpox +really is; but we are able to control it with practical certainty through +vaccination.” +</p> + +<p> +“Doctors don’t vaccinate for cancer,” remarked the +practical-minded old lady. +</p> + +<p> +“They have tried serums, but that is no use. As I said, the immediate +occasion of cancer is irritation. There is overwhelming proof that an unhealing +sore or irritation at any point is likely to result in the development of a +cancer at that point, and at least a highly probable inference that, without +such irritation, the disease would not develop.” +</p> + +<p> +“Then why not get rid of the irritation?” +</p> + +<p> +“Ah, there’s the point. That’s where the tremendous +life-saving could be effected. Take a very simple instance, cancer of the lip. +In a thousand cases recorded by one of the Johns Hopkins experts, there +wasn’t one but had developed from a small sore, at first of innocent +nature. It isn’t too much to say that this particular manifestation of +cancer is absolutely preventable. If every person with a sore on the lip which +doesn’t heal within three weeks were to go to a good surgeon, this +hideous and defacing form of tumor would disappear from the earth. As for +carcinoma of the tongue, one of the least hopeful of all varieties, no careful +person need ever develop it. Good dentistry, which keeps the mouth free of +jagged tooth-edges, is half the battle. The other half is caution on the part +of smokers. If a white patch develops in the mouth, tobacco should be given up +at once. Unless the patch heals within a few weeks, the patient should consult +a physician, and, if necessary, have it removed by a minor operation. +That’s all there is to that.” +</p> + +<p> +“But if the irritant sore is internal?” inquired Mrs. Clyde. +</p> + +<p> +“To the watchful it will give evidence of its presence, usually in time. +If it is in the intestines or stomach, there is generally some uneasiness, +vague, perhaps, but still suspicious, to announce the danger. Surgical records +covering a long period show that eighty per cent of stomach cancers were +preceded by definite gastric symptoms of more than a year’s duration. If +it is in the uterus, there are definite signs which every woman ought to be +taught to understand. And here, to go back to the matter of cure, even if the +discovery isn’t made until cancer has actually developed, there is an +excellent chance in the early stages. Cancer of the stomach used to be sure +doom to a hideous death. Now, taking the cases as they come, the desperate +chances with the early cases, more than a quarter are saved in the best +surgical hospitals. Where the growth is in the womb or the intestines, with +reasonably early discovery, a generous half should be repaired and returned to +active life as good as new.” +</p> + +<p> +“That doesn’t seem possible,” said Mrs. Sharpless flatly. +</p> + +<p> +“Simply because you’ve been steeped in the fatalism which surrounds +cancer. That fatalism, which is so hard to combat, is what keeps women from the +saving hope of the knife. ‘I’ve got to die anyway,’ they say, +‘and I’m not going to be carved up before I die.’ And so they +throw away what chance they have. Oh, if only I had control of the newspapers +of this city for one day a week or a month,—just for a half-column +editorial,—what a saving of life I could effect! A little simple advice +in straight-out terms would teach the people of this community to avoid poor +Mrs. Westerly’s fate.” +</p> + +<p> +“And drive ‘em all into the hands of the doctors,” said Mrs. +Sharpless shrewdly. “A fine fattening of fees for your trade, young +man.” +</p> + +<p> +“Do you think so? Do you think that cancer <i>ever</i> fails to come to +the physician at last? And do you think the fee is less because the surgeon has +to do twice the amount of work with a hundredth of the hope of success?” +</p> + +<p> +“No-o-o,” admitted the old lady, with some hesitancy; “I +didn’t think of it in that light.” +</p> + +<p> +“Few do. Oh, for the chance to teach people to think straight about this! +Publicity is what we need so bitterly, and the only publicity goes to the +quacks who pay for it, because the local newspapers don’t want to write +about ‘unpleasant topics,’ forsooth!” +</p> + +<p> +“Do you want a chance for some publicity in a small way?” asked +Mrs. Clyde. +</p> + +<p> +“Do I! Show me the chance.” +</p> + +<p> +“The Mothers’ Association meets here this afternoon. We +haven’t much business on hand. Come in and talk to us for an hour.” +</p> + +<p> +“Fine!” said the Health Master, with enthusiasm. “Half of +that time will do me. How many will be there?” +</p> + +<p> +“About sixty.” +</p> + +<p> +“Very well. Just have me introduced with the statement that I’m +going to talk informally on a subject of importance to all of you; and then +help me out with a little object lesson. I’ll want sixty sealed envelopes +for the members to draw.” +</p> + +<p> +“Are you conducting a lottery, young man?” queried Grandma +Sharpless. +</p> + +<p> +“In a way. Rather I’m arranging an illustration for the great +lottery which Life and Death conduct.” +</p> + +<hr /> + +<p> +Two hours later, the business of the meeting having been concluded, Mrs. Clyde +asked, from the assembled mothers, the privilege of the floor for Dr. Strong, +and this being granted, aroused the curiosity of the meeting by requesting each +member to draw an envelope from the basket which she carried around, while the +presiding officer introduced the speaker. +</p> + +<p> +“Let me begin,” said the Health Master, “with an ungallant +assumption. I’m going to assume that I’m talking to a gathering of +middle-aged women. That being the case, I’m going on to a very unpleasant +statement, to wit, that one out of every eight women here may reasonably expect +to die of cancer in some form.” +</p> + +<p> +A little subdued flutter passed through the room, and the name of Agnes +Westerly was whispered. +</p> + +<p> +“Yes; it is Mrs. Westerly’s case which is responsible for my being +here,” said Dr. Strong, who had abnormally keen hearing. “I would +like to save at least part of the eight out of your number, who are +statistically doomed, from this probable fate. To bring the lesson home to you, +I have had each of you draw an envelope. Eight of these represent death by +cancer.” +</p> + +<p> +Every eye in the room turned, with rather ghastly surmise, to the little white +squares. But old Mrs. Sharpless rose from her place, marched upon the Health +Master, as one who leads a charge, and in low but vehement tones protested: +“I won’t be a party to any such nonsense. The idea! Scaring some +woman that’s as well as you are into nervous collapse with your black dot +or red cross or whatever you’ve got inside these envelopes.” +</p> + +<p> +“Oh, Grandma Sharpless, Grandma Sharpless! Have you known me all this +time not to trust me further than that?” whispered the Health Master. +“Wait and see.” +</p> + +<p> +A little woman near the rear of the room spoke up with a fine bravado: +“I’m not afraid. It can’t give me cancer.” Then a +pause, and a sigh of relief, which brought out a ripple of nervous laughter +from the rest, as she said, “There’s nothing in mine.” +</p> + +<p> +“Nor in mine,” added a young and pretty woman, in the second row, +who had furtively and swiftly employed a hatpin to satisfy her curiosity. +</p> + +<p> +“Nor mine!”—“Nor mine!” added a dozen voices, in +varying tones of alleviated suspense. +</p> + +<p> +“Not in any of them,” said Dr. Strong, smiling. “My little +design was to arouse you collectively to a sense of the danger, not to frighten +you individually into hysterics.” (At this point Mrs. Sharpless sat down +abruptly and fanned a resentful face.) “The ugly fact remains, however: +one out of every eight here is marked for death by the most dreadful of +diseases, unless you do something about it.” +</p> + +<p> +“What can we do?” inquired the minister’s wife, in the pause +that followed this statement. +</p> + +<p> +“Educate yourselves. If, in the process, you educate others, so much the +better. Now I propose to tell you all about cancer in half an hour. Does that +sound like a large contract? When I say ‘all,’ I mean all that it +is necessary for you to know in order to protect yourselves. And, for good +measure, I’ll answer any questions—if I can—within the limit +of time.” +</p> + +<p> +“What <i>is</i> cancer?” asked a voice. +</p> + +<p> +“Ah! There is one that I can’t answer. No one knows. If I told you +that it was a malignant tumor, that would be true, but it wouldn’t be an +answer, because we don’t know the real nature and underlying cause of the +tumor. Whether it is caused by a germ, science has not yet determined. But +though we know nothing of the fundamental cause of the disease, we do +understand, definitely, what is the immediate causative influence. It +practically always arises from some local sore or irritation. +Therefore—and here is my first important point—it is +preventable.” +</p> + +<p> +“That would be only theoretically, wouldn’t it, Dr. Strong?” +asked the little woman who had first braved the venture of the sealed envelope. +“One can’t get through life without bumps and scratches.” +</p> + +<p> +“True. But ordinary bumps or scratches properly looked after don’t +cause cancer. The sore must be an unhealing one, or the irritation a continued +condition, in order to be dangerous. Remember this: any sort of a sore, +inflammation, or scarification, external or internal, which continues more than +a few weeks, is an invitation to cancer. Therefore, get rid of it.” +</p> + +<p> +“But suppose the injury is in the stomach, where it can’t be got +at?” asked a member. +</p> + +<p> +“Why can’t it be got at?” demanded Dr. Strong. +</p> + +<p> +“How can it be got at?” retorted the questioner. +</p> + +<p> +“By opening up the stomach and examining it.” +</p> + +<p> +“Well, I don’t want anybody to open up my stomach just to see what +is inside it!” declared Mrs. Sharpless vigorously. +</p> + +<p> +“Very likely not. Perhaps you’d feel different if you’d had +steady pain or indigestion for two or three years.” +</p> + +<p> +“Does that mean cancer?” asked a tall, sallow woman anxiously. +</p> + +<p> +“Not by any means necessarily. But it may well mean gastric ulcer, and +that may develop into cancer. Three fourths of the cases of carcinoma of the +stomach which come into the surgeon’s hands have developed from gastric +ulcer.” +</p> + +<p> +“Is there no cure but the knife?” inquired Mrs. Clyde. +</p> + +<p> +“Not for the cancer. For the gastric ulcer, yes. Careful medical care and +diet often cure it. The trouble is that patients insist on diet and drugs in +cases where they have proved themselves ineffectual. Those cases should come to +the surgeon. But it will take long to educate the public to the significance of +long-continued abdominal pain or indigestion. The knife is the last thing they +are willing to think of.” +</p> + +<p> +“But stomach operations are terribly dangerous, aren’t they?” +inquired a member. +</p> + +<p> +“Not any more. They were once. The operation for gastric ulcer in the +early stage is simple. Even developed cancer of the stomach can be cured by the +knife in from twenty-five to thirty per cent of the cases. Without the knife, +it is sure death. I’m glad we got to the stomach first, because that is +the most obscure and least hopeful of the common locations of the growth. In +carcinoma of the breast, the most prevalent form among women, there is one +simple, inclusive rule of prevention and cure. Any lump in the breast should be +regarded, as Blood-good of Johns Hopkins puts it, ‘as an acute +disease.’ It should come out immediately. If such growths come at once to +the surgeon, prevention and cure together would save probably ninety per cent +of those who now die from this ‘creeping death,’ as our parents +called it. +</p> + +<p> +“Now, I’ll ask you to imagine for the moment that I am conducting a +clinic, for I’m not going to mince words in speaking of cancer of the +womb, the next commonest form. Any persistent irritation there is a peril. If +there is a slight, steady, and untimely discharge, that’s a danger +signal. The woman should at once have a microscopical examination made. This is +simple, almost painless, and practically a sure determination of whether there +is cancer or not. The thing to do is to find out.” +</p> + +<p> +“But if it is cancer, is there any chance?” asked the lady of the +hatpin. +</p> + +<p> +“Would you regard tuberculosis as hopeless?” +</p> + +<p> +“Of course not.” +</p> + +<p> +“Your parents would have. But you have profited by popular education. If +the public understood what to do in cancer as thoroughly as they know about +tuberculosis, we’d save almost if not quite as many victims from the more +terrible disease. Fatalism is as out of place in the one as in the other. The +gist of the matter is taking the thing in time. Let me read you what the +chairman of the Cancer Campaign Committee of the Congress of Surgeons of North +America, Dr. Thomas S. Cullen, of Baltimore, says: ‘Surgeons are +heartsick to see the many cancer patients begging for operations when the +disease is so far advanced that nothing can be done. Cancer is in the beginning +a local process and not a blood disease, and in its early stages can be +completely removed. When the cancer is small the surgeon can, with one fourth +the amount of labor, accomplish ten times the amount of good.’” +</p> + +<p> +“Does that always mean the knife?” asked a timid-looking woman. +</p> + +<p> +“Always. There is no other hope, once the malignant growth has begun. But +the knife is not so terrible. In fact, in the early stages it is not terrible +at all. Modern surgery has reduced pain to a minimum. The strongest argument +against dread is a visit to a well-equipped surgical hospital, where one can +see patients sitting up in bed and enjoying life a few days after a major +operation. Even at the worst, the knife is less terrible than death, its +certain alternative.” +</p> + +<p> +“Why do you call it the certain alternative?” asked the +minister’s wife. “I have seen facial cancer cured by concentrated +ray treatment.” +</p> + +<p> +“That wasn’t cancer; it was lupus,” replied Dr. Strong; +“a wholly different thing. True cancer of the face in its commonest +location, the lips, is the most frequently cured of any form, but only by +operation. Now here’s an interesting and suggestive point; taking +lip-cancer patients as they come to us, we get perhaps sixty-five per cent of +complete cures. With cancer of the womb, we get in all not more than forty per +cent of recoveries. Perhaps some of you will be able to suggest the explanation +for this contrast.” +</p> + +<p> +“Because cancer of the lip isn’t as deadly a disease,” +ventured some one. +</p> + +<p> +“Cancer is cancer, wherever it is located. Unless it is removed it is +always and equally deadly.” +</p> + +<p> +“Then it is because the internal operation is so much more +dangerous,” offered another member. +</p> + +<p> +“No; uterine operations are easy and simple. It is simply because the +sore on the face is obvious, plain, unmistakable evidence of something wrong; +and the patient ordinarily gets into the surgeon’s hands early; that is, +before the roots of the growth have spread and involved life itself. The +difference in mortality between carcinoma of the lip and carcinoma of the womb +is the difference between early operation and delayed operation. If uterine +cancer or breast cancer were discovered as early as lip cancer, we’d save +practically as many of the internal as we do of the external cases. And if all +the lip cancer cases were noticed at the first development, we’d save +ninety-five per cent of them.” +</p> + +<p> +“Isn’t it the business of the physician to find out about the +internal forms?” asked Mrs. Sharpless. +</p> + +<p> +“Often the physician hasn’t the chance. The woman ought to do the +first diagnosing herself. That is, she must be taught to recognize suspicious +symptoms. In Germany there has been a campaign of education among women on +cancer of the womb. The result is that more than twice as many Germans come to +the operating table, in time to give a fair chance of permanent recovery in +this class of cases, as do Americans.” +</p> + +<p> +“How is the American woman, who knows nothing about such matters, to find +out?” queried the minister’s wife. +</p> + +<p> +“There is a campaign of education now under way here. Publications giving +the basic facts about cancer, its prevention and cure, in simple and popular +form, can be had from the American Society for the Control of +Cancer,—Thomas M. Debevoise, secretary, 62 Cedar Street, New York City; +or more detailed advice can be had from the Cancer Campaign Committee of the +Congress of Surgeons of North America, Dr. Thomas S. Cullen, chairman, 3 West +Preston Street, Baltimore; or from Dr. F. R. Green, 535 Dearborn Avenue, +Chicago, Illinois, secretary of the Council of Health and Public Instruction of +the American Medical Association.” +</p> + +<p> +“Why not more easily and readily one’s own physician?” asked +Mrs. Clyde. +</p> + +<p> +“Women don’t go to their own physicians early enough. It is +necessary that they be trained to understand symptoms which do not at first +seem serious enough for medical attention. Besides, I regret to confess, in +this matter of cancer our physicians need educating, too. They are too prone to +say, if they are not sure of the diagnosis, ‘Wait and see.’ Waiting +to see is what kills three fourths of the women who succumb to cancer. Let me +illustrate this peril by two cases which have come under my observation: The +wife of a lawyer in a Western city had a severe attack of stomach trouble. Her +doctor, a young and open-minded man, had the courage to say, ‘I +don’t know. But I’m afraid it’s cancer. You’d better go +to such-and-such a hospital and let them see.’ The woman went. An +exploratory incision was made and carcinoma found in the early stage. It was +cut out and to-day she is as good as new. +</p> + +<p> +“Now, this same lawyer had a friend who had been treated for months by a +stomach specialist of some reputation. Under the treatment he had grown +steadily thinner, paler, and weaker. ‘Indigestion, gastric +intoxication,’ the specialist repeated, parrotlike, until the man +himself, in his misery, began to suspect. At this point the lawyer friend got +hold of him and took him to the hospital where his wife had been. The surgeons +refused the case and sent the man away to die. Indignant, the lawyer sought the +superintendent of the hospital. +</p> + +<p> +“‘Why won’t you take my friend’s case?’ +</p> + +<p> +“‘It is inoperable.’ +</p> + +<p> +“‘Isn’t it cancer of the stomach, like my +wife’s?’ +</p> + +<p> +“‘Yes.’ +</p> + +<p> +“‘You cured my wife. Why can’t you cure my friend?’ +</p> + +<p> +“The official shook his head. +</p> + +<p> +“I want an answer,” insisted the lawyer. +</p> + +<p> +“‘Well, frankly,’ said the other, ‘your wife’s +physician knew his business. Your friend’s physician is a fool. He has +killed his patient by delay.’ +</p> + +<p> +“Back home went the lawyer, and spread that story quietly. To-day the +specialist’s practice is almost ruined; but he has learned an expensive +lesson. The moral is this: If your doctor is doubtful whether your trouble is +cancerous, and advises delay, get another doctor. +</p> + +<p> +“Then, there is the ‘conservative’ type of practitioner, who +is timid about making a complete job of his operation. One of this kind had the +case of an acquaintance of mine who was stricken with cancer of the breast. The +physician, under persuasion of his patient, I presume, advised excising only +the tumor itself, but the husband, who had been reading up on cancer, insisted +on a radical operation. The entire breast was removed. A year later the +woman’s unmarried sister was afflicted in exactly the same way; but the +discovery was made earlier, so that the case was a distinctly favorable one. +The girl, however, would not consent to the radical operation, and the +physician (the same man) declared it unnecessary. The tumor alone was cut out. +The cancer reappeared and another operation was necessary. The girl died after +cruel suffering. The married sister is alive, and, five years after the +operation, as sound as a bell. That physician is a wiser man; also a sadder +one. There’s a special moral to this, too: the operator has but one +chance; he must do his work thoroughly, or he might better not do it at all. +When cancer returns after operation—which means that the roots were not +eradicated—it is invariably fatal. +</p> + +<p> +“Here are a few things which I want every one of you to remember. Had I +had time I’d have had them printed for each of you to take home, so +important do I think them:— +</p> + +<p> +“No cancer is hopeless when discovered early. +</p> + +<p> +“Most cancer, discovered early, is permanently curable. +</p> + +<p> +“The only cure is the knife. +</p> + +<p> +“Medicines are worse than useless. +</p> + +<p> +“Delay is more than dangerous; it is deadly. +</p> + +<p> +“The one hope, and a strong one, is prompt and radical operation. A +half-operation is worse than none at all. +</p> + +<p> +“Most, if not all, cancer is preventable by correcting the minor +difficulty from which it develops. +</p> + +<p> +“With recognition of, and prompt action upon early symptoms, the death +rate can be cut down at least a half; probably more. +</p> + +<p> +“The fatalism which says: ‘If it’s cancer, I might as well +give up,’ is foolish, cowardly, and suicidal. +</p> + +<p> +“And, finally, here is some simple advice, intelligible to any thinking +human being, which has been indorsed in printed form by the Congress of +Surgeons of North America:— +</p> + +<p> +“‘Be careful of persistent sores or irritations, external or +internal. +</p> + +<p> +“‘Be careful of yourself, without undue worry. At the first +suspicious symptom go to some good physician and demand the truth. Don’t +wait for pain to develop. +</p> + +<p> +“‘If the doctor suspects cancer insist that he confirm or disprove +his suspicions. +</p> + +<p> +“‘Don’t be a hopeless fatalist. If it’s cancer face it +bravely. With courage and prompt action the chances of recovery are all in your +favor. +</p> + +<p> +“‘Don’t defer an advised operation even for a day; and +don’t shrink from the merciful knife, when the alternative is the +merciless anguish of slow death.’ +</p> + +<p> +“For the woman who fears the knife, Dr. Charles H. Mayo, one of the +greatest of living surgeons, has spoken the final words: ‘The risk is not +in surgery, but in <i>delayed surgery</i>.’ +</p> + +<p> +“I have said my say, ladies, and there are five minutes left. Has any one +any further questions?” +</p> + +<p> +There was none. But as he stepped down, Mrs. Sharpless whispered to him: +“I watched them while you talked, and half of those women are thinking, +and thinking <i>hard</i>.” +</p> + +<hr /> + +<p> +Six months thereafter, Mrs. Clyde came into the Health Master’s office +one day. +</p> + +<p> +“I’ve just come from a sort of experience meeting of the +Mothers’ Club,” she said. +</p> + +<p> +“What was the topic this time?” asked Dr. Strong. +</p> + +<p> +“Aftermath.” +</p> + +<p> +“Of what?” +</p> + +<p> +“Your cancer talk.” +</p> + +<p> +“Anything definite?” +</p> + +<p> +“Definite, indeed! Between fifteen and twenty of the members went away +from that meeting where you talked, suspecting themselves of cancer.” +</p> + +<p> +“That’s too many.” +</p> + +<p> +“Yes. Ten of them had their fears set at rest right away.” +</p> + +<p> +“I’m sorry to have frightened them; but one has to do a little harm +in aiming at almost any good.” +</p> + +<p> +“This was worth it. Half a dozen others had minor operations.” +</p> + +<p> +“Perhaps saving major ones later.” +</p> + +<p> +“Very likely. And four of them actually had cancer. Three out of the four +are going to be well women. The fourth has an even chance. Dr. Strong, I +don’t think you’ve done so good a day’s work since you +brought health into this house.” +</p> + +<p> +“I thank you,” said the doctor simply; “I think you are +right. And you’ve given me the most profound and about the rarest +satisfaction with which the physician is ever rewarded.” +</p> + +<p> +“And that is?” she asked. +</p> + +<p> +“The practical certainty of having definitely saved human life,” +said the Health Master. +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap09"></a>IX.<br /> +THE GOOD GRAY DOCTOR</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">A</span> twenty-dollar bill! +Crisp, fresh, and golden, it rose monumentally from the basis of nickels, +dimes, and quarters which made up the customary collection of the Bairdstown +Memorial Church. Even the generosity of the Clyde family, who, whenever they +spent a week-end at Mr. Clyde’s farm outside the little city, attended +the Sunday services, looked meager and insignificant beside its yellow-backed +splendor. Deacon Wilkes, passing the plate, gazed at it in fascination. +Subsequent contributors surreptitiously touched it in depositing their own +modest offerings, as if to make certain of its substance. It was even said at +the Wednesday Sewing Circle that the Rev. Mr. Huddleston, from his eminence in +the pulpit, had marked its colorful glint with an instant and benign eye and +had changed the final hymn to one which specially celebrated the glory of +giving. +</p> + +<p> +In the Clyde pew also there was one who specially noted the donor, but with an +expression far from benign. Dr. Strong’s appraising glance ranged over +the plump and glossy perfection of the stranger, his symphonic grayness, +beginning at his gray-suède-shod feet, one of which unobtrusively protruded +into the aisle, verging upward through gray sock and trouser to gray frock +coat, generously cut, and terminating at the sleek gray head. Even the tall hat +which the man dandled on his knees was gray. Against this Quakerish +color-scheme the wearer’s face stood out, large, pink, and heavy-jowled, +lighted by restless brown eyes. His manner was at once important and reverent, +and his “amen” a masterpiece of unction. No such impressive +outlander had visited Bairdstown for many a moon. +</p> + +<p> +After the service the visitor went forward to speak with Mr. Huddleston. At the +same time Dr. Strong strolled up the aisle and contrived to pass the two so, as +to obtain a face-to-face view of the stranger. +</p> + +<p> +“At nine o’clock to-morrow, then, and I shall be delighted to see +you,” the pastor was saying as Dr. Strong passed. +</p> + +<p> +“Good-morning, Professor,” said Dr. Strong, with an accent on the +final word as slight as the nod which accompanied it. +</p> + +<p> +“Good-morning! Good-morning!” returned the other heartily. But his +glance, as it followed the man who had accosted him, was puzzled and not wholly +untroubled. +</p> + +<p> +“Who is your munificent friend?” asked Mrs. Clyde, as the Health +Master emerged from the church and joined her husband and herself in their car. +</p> + +<p> +“When I last ran across him he called himself Professor Graham Gray, the +Great Gray Benefactor,” replied Dr. Strong. +</p> + +<p> +“Dresses the part, doesn’t he?” observed Mr. Clyde. +“Where was it that you knew him?” +</p> + +<p> +“On the Pacific Coast, five years ago. He was then +‘itinerating’—the quack term for traveling from place to +place, picking up such practice as may be had by flamboyant advertising. +Itinerating in eyes, as he would probably put it.” +</p> + +<p> +“A wandering quack oculist?” +</p> + +<p> +“Optician, rather, since he carried his own stock of glasses. In fact +that’s where his profit came in. He advertised treatment free and charged +two or three dollars for the glasses, special rates to schoolchildren. The +scheme is an old one and a devilish. Half of the children in San Luis Obispo +County, where I chanced upon his trail, were wearing his vision-twisters by the +time he was through with them.” +</p> + +<p> +“What kind of glasses were they?” +</p> + +<p> +“Sometimes magnifying lenses. Mostly just plain window glass. Few +children escaped him, for he would tell the parents that only prompt action +could avert blindness.” +</p> + +<p> +“At least the plain glass couldn’t hurt the children,” +suggested Mrs. Clyde. +</p> + +<p> +“Couldn’t it! It couldn’t fail to hurt them. Modify the sight +of a delicate instrument like a child’s eye continuously by the most +transparent of barriers, and it is bound to go wrong soon. The magnifying +glasses are far worse. There are hundreds of children in that one locality +alone who will carry the stigma of his quackery throughout their lives.” +</p> + +<p> +“Do you think he is here with a view to practicing his amiable +trade?” inquired Clyde. +</p> + +<p> +“Only in part, if at all. I understand that he has changed his +line.” +</p> + +<p> +“How comes he by all that showy money, then?” +</p> + +<p> +“By murder.” +</p> + +<p> +The Clydes, accustomed to their physician’s hammerstroke turns of speech, +took this under consideration. +</p> + +<p> +“But he wasn’t committing murder in the church just now, I +suppose,” insinuated Mrs. Clyde at length. +</p> + +<p> +“Not directly. His immediate business there, I suspect, was +bribery.” +</p> + +<p> +“Of whom?” +</p> + +<p> +“The minister.” +</p> + +<p> +“Oh, come, Strong!” protested Mr. Clyde. “Mr. Huddleston +isn’t an intellectual giant, I grant you; but he’s certainly a +well-meaning and honorable old fellow.” +</p> + +<p> +“Some cynical philosopher has remarked that wicked men have a talent for +doing harm, but fools have a genius. Mr. Huddleston’s goodness and +honesty, taken in connection with his hopeless ignorance of human nature, are +just so much capital to hand for a scoundrel like this Gray.” +</p> + +<p> +“What does he expect to get for his twenty-dol-lar bill?” +</p> + +<p> +“First, a reputation for piety and generosity. Second, that reputation +duly certified to by the leading minister of the town.” +</p> + +<p> +“In other words, a testimonial.” +</p> + +<p> +“Precisely. For home use, and cheap at twenty dollars. Preparatory to +operating in a town, your itinerating quack bribes two people—if he can. +First, the editor of the local paper; second, the pastor of the leading church. +The editor usually takes the money with his eyes wide open; the minister with +his eyes tight shut.” +</p> + +<p> +“How can his eyes be shut to such a business?” asked Mrs. Clyde. +</p> + +<p> +“Because so much dust has been thrown in them by the so-called religious +journals.” +</p> + +<p> +“Surely you don’t mean that religious journals exploit quackery in +their pages!” cried Mrs. Clyde. +</p> + +<p> +“They are the mainstay of the quack and patent medicine business,” +declared the Health Master. “Leaving out the Christian Science papers, +which, of course, don’t touch this dirty money, the religious press of +all denominations, with a few honorable individual exceptions, sells out to any +form of medical fraud which has a dollar to spend. Is it strange that the +judgment of some of the clergy, who implicitly trust in their sectarian +publications, becomes distorted? It’s an even chance that our Great Gray +faker’s advertisement is in the religious weekly which lies on Mr. +Huddleston’s study-table at this moment.” +</p> + +<p> +Grandma Sharpless turned around from her seat in front, where she always +ensconced herself so that, as she put it, she could see what was coming in time +to jump. “I know it is,” she stated quietly. “For while I was +waiting in the parsonage last week I picked up the ‘Church Pillar’ +and saw it there.” +</p> + +<p> +“Trust Grandma Sharpless’s eyes not to miss anything that comes +within their range,” said Dr. Strong. +</p> + +<p> +“Well, I missed the sense of that advertisement till just now,” +retorted the old lady. “I’ve just remembered about this Graham +Gray.” +</p> + +<p> +“What about him?” asked the Health Master with eagerness, for Mrs. +Sharpless’s memory was as reliable for retaining salient facts as her +vision was for discerning them. “Do you know him?” +</p> + +<p> +“Only by his works. Last year a traveling doctor of that name stopped +over at Greenvale, twenty miles down the river, and gave some of his lectures +to Suffering Womanhood, or some such folderol. He got hold of Sally Griffin, +niece of our farmer here, while she was visiting there. Sally’s as sound +as a pippin, except for an occasional spell of fool-in-the-head, and I guess no +school of doctoring ever helps that common ailment much. Well, this Gray got +her scared out of her wits with symptoms, and sold her twenty-five +dollars’ worth of medicine to cure her of something or other she +didn’t have. Cured!” sniffed the lively narrator. “If I +hadn’t taken the stuff away from her and locked it up, I expect +she’d be in the churchyard by now.” +</p> + +<p> +“The whole philosophy of quackery explicated and punctured, by one who +knows,” chuckled Dr. Strong. +</p> + +<p> +“None of your palaver with me, young man!” returned the brisk old +lady, who was devoted to the Health Master, and showed it by a policy of +determined opposition of the letter and whole-hearted support of the spirit and +deed, in all things. “Probably he knows as much as most of your regular +doctors, at that!” +</p> + +<p> +“At least he seems to know human nature. That’s the strong point of +the charlatan. But have you got any of his medicine left?” +</p> + +<p> +“Yes; I think I can lay my hands on what’s left of it. I remember +that Sally boohooed like a baby, grown woman that she is, when I took it away +from her.” Dr. Strong’s eyebrows went up sharply. “As soon as +we get to the house I’ll look it up.” +</p> + +<p> +On their arrival at the roomy old farmstead which Mr. Clyde had remodeled and +modernized for what he called “an occasional three days of grace” +from his business in the city of Worthington, Grandma Sharpless set about the +search, and presently came to the living-room bearing in one hand a large +bottle and in the other a newspaper. +</p> + +<p> +“Since you’re interested in Professor Gray,” she said, +“here’s what he says about himself in yesterday’s +‘Bairdstown Bugle.’ I do think,” she added, “that the +Honorable Silas Harris might be in better business with his paper than +publishing such truck as this. Listen to it.” +</p> + +<p class="center"> +GOSPEL HERBS WILL CURE YOUR ILLS +</p> + +<p class="letter"> +Women of Bairdstown; Read your Bible! Revelation 22d chapter, 2d verse. God +promises that “the Herbs of the field shall heal the nations.” In a +vision from above, the holy secret has been revealed to me. Alone of all men, I +can brew this miracle-working elixir. +</p> + +<p> +“The blasphemous old slinkum!” Grandma Sharpless interrupted +herself to say angrily. “He doesn’t even quote the Scriptures +right!” +</p> + +<p> +“Oh, blasphemy is a small matter for a rascal of his kind,” said +the Health Master lightly. “Go on.” +</p> + +<p> +She read on:— +</p> + +<p class="letter"> +Come to me, ye women who suffer, and I will give you relief. All those +wasting and wearing ailments from which the tender sex suffers, vanish like +mist before the healing, revivifying influence of Gospel Herbs. Supposed +incurable diseases: Rheumatism, Dropsy, Diabetes and all kidney ills, Stomach +Trouble, Scrofula, Blood Poison, even the dreaded scourge, Consumption, yield +at once to this remedy.<br /> + Though my special message is to women, I will not withhold this boon from any +suffering human. Come one and all, rich and poor, young and old, of either sex. +Your money refunded if I do not cure you. Public meeting Monday and Tuesday +evenings, at eight o’clock sharp in the Scatcherd Opera House; admission +free to all. Private consultation at the Mallory Hotel, Monday, Tuesday, and +Wednesday from 10 a.m. to 4 p.m. Remember, I cure where the doctors fail; or no +pay. +</p> + +<p class="right"> +Prof. Graham Gray,<br /> +The Great Gray Benefactor. +</p> + +<p> +Mrs. Sharpless held out for the general view the advertisement, which occupied, +in huge type, two thirds of a page of the “Bugle.” The remainder of +the page was taken up with testimonials to the marvelous effects of the Gospel +Herbs. Most of the letters were from far-away towns, but there were a few from +the general vicinity of Bairdsville. +</p> + +<p> +Meantime Dr. Strong had been delicately tasting and smelling the contents of +the bottle, which were thick and reddish. +</p> + +<p> +“What do you make out is in it?” asked Clyde. +</p> + +<p> +“Death—and a few worse things. Grandma Sharpless, you say that the +girl cried for this after you took it from her?” +</p> + +<p> +“Not only that; she wrote to the Professor for more. And when it came I +smashed the bottle.” +</p> + +<p> +“You ought to have the honorary degree of M.D. Well, it’s pretty +plain, but to make sure I’ll send this to Worthington for an +analysis.” +</p> + +<p> +“So our friend, the gray wolf, is going to prowl in Bairdstown for the +next three days!” Thomas Clyde began to rub his chin softly; then not so +softly; and presently quite hard. His wife watched him with troubled eyes. When +his hand came down to rest upon his knee, it was doubled into a very +competent-looking fist. His face set in the expression which the newspapers of +his own city had dubbed, after the tenement campaign of the year before, +“Clyde’s fighting smile.” +</p> + +<p> +“Oh, Tom!” broke out his wife, “what kind of trouble are you +going to get into now?” +</p> + +<p> +“Trouble?” repeated the head of the family, in well-simulated +surprise. “Why, dear, I wasn’t even thinking of trouble—for +myself. But I believe it is time for a little action. Let’s call this a +household meeting” (this was one of the established methods of the Clyde +clan) “and find out. As it isn’t a family affair, we won’t +call in the children this time. Strong, what, if anything, are we going to do +about this stranger in our midst? Are we going to let him take us in?” +</p> + +<p> +“The question is,” said Dr. Strong quickly, “whether the +Clyde family is willing to loan its subsidized physician temporarily to the +city of Bairdstown.” +</p> + +<p> +“On the Chinese plan,” supplemented Clyde. +</p> + +<p> +“Certainly. On the Chinese plan of trying to save the community from a +visitation instead of waiting to cure them of the incurable results of +it.” +</p> + +<p> +“By visitation I suppose you mean Professor Gray?” said Mrs. +Sharpless. +</p> + +<p> +“Exactly. I should rank him rather higher than an epidemic of scarlet +fever, as an ally of damage and death.” +</p> + +<p> +“I’ll vote ‘Yes,’” said Mrs. Clyde rather +plaintively. “Only, I wish you two men didn’t have so much Irish in +your temperament.” +</p> + +<p> +“I scorn your insinuation,” replied her husband. “I’m +the original dove of peace, but this Gray person ruffles my plumage. What do +you say, Grandma?” +</p> + +<p> +“Bairdstown is my own place, partly. I know the people and they know me +and I won’t sit quiet and see ‘em put upon. I vote +‘Yes.’” +</p> + +<p> +“Make it unanimous!” said Clyde. “What’s the first move +of the army of relief? I’m in on this somewhere, Strong.” +</p> + +<p> +“Contribute your car for a couple of days, then, and we’ll go out +on a still hunt for the elusive clue and the shy and retiring evidence. In +other words, we’ll scour the county, and look up some of these local +testimonials which the Great Gray One gathered in last year, and now prints in +the ‘Bugle.’” +</p> + +<p> +“And I’ll stop in town and see Mr. Huddleston to-morrow,” +said Mrs. Sharpless. +</p> + +<p> +“You won’t get any results,” prophesied the Health Master. +“But, anyway, get him to come to the Gray lecture on Tuesday evening. +We’ll need him.” +</p> + +<p> +During the ensuing two and a half days and two nights Mrs. Clyde had speech of +her husband but once; and that was at 2 a.m. when he woke her up to tell her +that he was having the time of his life, and she replied by asking him whether +he had let the cat in, and returned to her dreams. +</p> + +<p> +Bairdstown’s Suffering Womanhood—as per advertisement—turned +out extensively and self-commiseratingly to the free lecture of Tuesday +evening, bringing with them a considerable admixture of the male populace, +curious, cynical, or expectant. On the platform sat a number of “special +guests,” including the Rev. Mr. Huddleston, mild of face and white of +hair, and the Honorable Silas Harris, owner of the “Bugle.” +</p> + +<p> +“Cured” patients, to the number of half a dozen, fidgeted in the +seats of honor with expressions of conscious and pleasurable importance. +</p> + +<p> +“They appear to be enjoying poor health quite literally,” whispered +Clyde to Dr. Strong, as the two, begrimed with the dust of a long day’s +travel just finished, slipped quietly into side seats. +</p> + +<p> +At once the entertainment began. A lank, harshfaced, muscular man whom +Professor Gray introduced as his assistant, seated himself at the piano, and +struck a chord, whereupon the Professor, in a powerful voice, sang what he +termed the “Hymn of Healing,” inviting the audience to +“assist” in the chorus, which gem of poesy ran as follows:— +</p> + +<p class="poem"> +“Ye shall be healed! Ye shall be healed!<br /> + Trust in the gospel advice.<br /> +Cured by the herbs of the wood and the field;<br /> + Healed without money or price.” +</p> + +<p> +“Some poetic license in that last line,” murmured Clyde to his +companion. +</p> + +<p> +“The next portion of our programme,” announced the Great Gray +Benefactor, “will be corroborative readings from the Good Book.” +And he proceeded to deliver in oratorical style sundry Bible quotations so +patched together and garbled as to ascribe, inferentially, miraculous powers to +the Gospel Herbs. Then came the lecture proper, which was merely an +amplification of the “Bugle” advertisement, interspersed with +almanac funny stories and old jokes. +</p> + +<p> +“And now, before our demonstration,” concluded Professor Graham +Gray, “if there is any here seeking enlightenment or help, let him rise. +This is your meeting, dear friends, as much as mine; free to your voices and +your needs, as well as to your welcome presence here. I court inquiry and fair +investigation. Any questions? If not, we—” +</p> + +<p> +“One moment!” The whole assemblage turned, as on a single pivot, to +the side aisle where Dr. Strong had risen and now stood, tall, straight, and +composed, waiting for silence. +</p> + +<p> +“Our friend on the right has the floor,” said the Professor +suavely. +</p> + +<p> +“You state that this God-given secret remedy was imparted to you for the +relief of human misery?” asked Dr. Strong. +</p> + +<p> +“Thousands of grateful patients attest it, my friend.” +</p> + +<p> +“Then, with human beings suffering and dying all about you, why do you +continue to profit by keeping it secret?” +</p> + +<p> +Down sat the questioner. A murmur rose and ran, as the logic of the question +struck home. But the quack had his answer pat. +</p> + +<p> +“Does not the Good Book say that the laborer is worthy of his hire? Do +your regular physicians, of whom I understand you are one, treat cases for +nothing? Ah,” he went on, outstretching his hands to the audience with a +gesture of appeal, “the injustice which I have suffered from the jealousy +and envy of the medical profession! Never do I enter a town without curing many +unfortunates that the regular doctors have given up as hopeless. Hence the +violence of their attacks upon me. But I forgive them their prejudice, as I +pity their ignorance.” +</p> + +<p> +Some applause followed the enunciation of this noble sentiment. +</p> + +<p> +“We have with us to-night,” pursued the speaker, quick to catch the +veering sentiment, “a number of these marvelous cures. You shall hear +from the very mouths of the saved ones testimony beyond cavil. I will call +first on Mrs. Amanda Gryce, wife of Mr. Stanley Gryce, the well and favorably +known laundryman. Speak up clearly, Mrs. Gryce, and tell your story.” +</p> + +<p> +“It’s two years now that I been doctorin’,” said the +lady thus adjured, in a fluttering voice. “I doctored with a allopathic +physician here, an’ with a homypath over to Roxton, an’ with a +osty-path down to Worthington, an’ with Peruny in betwixt, an’ they +didn’t any of ‘em do me no good till I tried Professor Gray. He +seen how I felt without askin’ me a question. He just pulled down my +eyelid an’ looked at it. ‘You’re all run down; gone!’ +says he. An’ thet’s jest what I was. So he treated me with his herb +medicine an’ I feel like a new woman. An’ I give Professor Graham +Gray the credit an’ the thanks of a saved woman.” +</p> + +<p> +“Not to mention seven dollars an’ a half,” supplemented a +mournful drawl from the audience. +</p> + +<p> +“You hush, Stan Gryce!” cried the healed one, shrill above the +laughter of the ribald. “Would you begrutch a few mizzable dollars for +your poor, sufferin’ wife’s health?” +</p> + +<p> +An alarmed child of ten was next led forward and recited in sing-song +measure:— +</p> + +<p> +“I—had—the—fits—for—most—three— +years—and—I—was—cured—by +Gospel—Herbs—and—I—have—come—here—to—say—God—bless—my—dear +benefactor—Professor—Graham—Gray,”—and sat down +hard at the last word, whereupon a tenor squeak in the far gallery took up the +refrain: +</p> + +<p class="poem"> +“You’d scarcex peckwon of my yage<br /> +To speakin public on the stage.” +</p> + +<p> +Again there was a surge of mirth, and the lecturer frowned with concern. But he +quickly covered whatever misgivings he might have had by bringing forward other +“testimonies”: old Miss Smithson whose nervousness had been quite +dispelled by two doses of the herbs; Auntie Thomas (colored) whose +“misery” had vanished before the wonder-working treatment; and the +Widow Carlin, whose boy had been “spittin’ blood like as if he was +churchyard doomed,” but hadn’t had a bad coughing spell since +taking the panacea. And all this time Dr. Strong sat quiet in his seat, with a +face of darkening sternness. +</p> + +<p> +“You have heard your fellow-citizens,” the lecturer took up his +theme again, “testify to the efficacy of my methods. And you see on this +rostrum with me that grand and good old man, the worthy pastor of so many of +you, my dear and honored friend—I feel that I may call him friend, since +I have his approval of my humble labors—the Reverend Doctor Huddleston. +You see also here, lending the support of his valued presence, the Honorable +Silas Harris, whom you have twice honored by sending him to the state +legislature. Their presence is the proudest testimonial to my professional +character. In Mr. Harris’s fearless and independent journal you have read +the sworn evidence of those who have been cured by my Godgiven remedies; +evidence which is beyond challenge—” +</p> + +<p> +“I challenge it.” +</p> + +<p> +Dr. Strong, who had been hopefully awaiting some such opening, was on his feet +again. +</p> + +<p> +“You have had your say!” cried Professor Gray, menacing him with a +shaking hand. “These people don’t want to hear you. They understand +your motives. You can’t run this meeting.” +</p> + +<p> +The gesture was a signal. The raw-boned accompanist, whose secondary function +was that of bouncer, made a quick advance from the rear, reached for the +unsuspicious Health Master—and recoiled from the impact of Mr. Thomas +Clyde’s solid shoulder so sharply that only the side wall checked his +subsidence. +</p> + +<p> +“Better stay out of harm’s way, my friend,” suggested Clyde +amiably. +</p> + +<p> +Immediately the hall was in an uproar. The more timid of the women were making +for the exits, when a high, shrill voice, calling for order strenuously, +quelled the racket, and a very fat man waddled down the middle aisle, to be +greeted by cries of “Here’s the Mayor.” Several excited +volunteers explained the situation to him from as many different points of +view, while Professor Graham Gray bellowed his appeal from the platform. +</p> + +<p> +“All I want is fair play. They’re trying to break up my +meeting.” +</p> + +<p> +“Not at all,” returned Dr. Strong’s calm voice. +“I’m more than anxious to have it continue.” +</p> + +<p> +With a happy inspiration, Mr. Clyde jumped up on his bench. +</p> + +<p> +“I move Mayor Allen take the chair!” he shouted. “Professor +Gray says that he courts fair investigation. Let’s give it to him, in +order.” +</p> + +<p> +A shout of acclaim greeted this suggestion. Bairdstown’s Suffering +Womanhood and Bored Manhood was getting more out of a free admission than it +had ever had in its life before. Ponderously the obese Mayor hoisted his weight +up the steps and shook hands with the reluctant lecturer. He then invited Dr. +Strong to come to the platform. +</p> + +<p> +“This is my meeting!” protested the Great Gray Benefactor. “I +hired this hall and paid good money for it.” +</p> + +<p> +“You said it was our meeting as much as yours!” roared an insurgent +from the crowd, and a chorus of substantiation followed. +</p> + +<p> +“Ten minutes will be all that I want,” announced Dr. Strong as he +took a chair next the Mayor. +</p> + +<p> +“That’s fair!” shrilled the Chairman. “On the +Professor’s own invitation.” In a tone lowered to the alarmed +quack’s ear, he added: “Of course, you can back out if you want to. +But I’d advise you to do it quick if you’re going to do it at all. +This is a queer-tempered town.” +</p> + +<p> +So significant was his tone that the other judged advance to be safer than +retreat. Therefore, summoning all his assurance, he sought, in an impassioned +speech, to win back his hearers. He was a natural orator, and, when he reached +his peroration, he had a large part of his audience with him again. In the +flush of renewed confidence he made a grave tactical error, just when he should +have closed. +</p> + +<p> +“Let this hireling of the Doctors’ Trust, the trust that would +strangle all honest competition, answer these if he can!” he shouted, +shaking the page of testimonials before his adversary’s face. “Let +him confute the evidence of these good and honorable women who have appeared +here to-night; women who have no selfish aims to subserve. Let him impugn the +motives of the reverend clergyman and of the honored statesman who sit here +with me. Let him do this, or let him shrink from this hall in the shame and +dishonor which he seeks to heap upon one whose sole ambition it is to relieve +suffering and banish pain and death.” +</p> + +<p> +There was hearty applause as the speaker sat down and Dr. Strong arose to face +a gathering now turned for the most part hostile. He wasted no time in +introduction or argument. “Mr. Chairman,” said he, “Professor +Gray rests his case on his testimonials. With Mr. Clyde I have investigated a +number of them, and will give you my results. Here are half a dozen +testimonials to the value of one of his nostrums, the Benefaction Pills, from +women who have been cured, so they state, of diseases ranging from eczema +through indigestion to consumption. All, please note, by the same wonderful +medicine. And here,” he drew a small box from his pocket, “is a +sample of the medicine. I have just had it analyzed. What do you suppose they +are? Sugar! Just plain sugar and nothing else.” Professor Gray leaped to +his feet. “You don’t deny the cures!” he thundered. +</p> + +<p> +“I don’t deny that these people are well to-day. And I don’t +deny that the testimonials from them are genuine, as documents. But your sugar +pills had no more to do with the cure than so much moonshine. Listen, you +people! Here is the core and secret of quackery: +</p> + +<p> +“All diseases tend to cure themselves, through the natural resistance of +the body. But for that we should all be dead. This man, or some other of his +kind, comes along with his promises and pills, and when the patient recovers +from the disease in the natural course of events, he claims the credit. +Meantime, he is selling sugar at about one hundred dollars per pound.” +</p> + +<p> +“Sugar,” said the quack, quick-wittedly. “But what kind of +sugar? This sugar, as he calls it, is crystal precipitated from the extract of +these healing herbs. No chemist can determine its properties by any +analysis.” +</p> + +<p> +“Very well turned,” said Dr. Strong, with a smile. “I +can’t immediately disprove that, though I could with time. But, whatever +the case with his sugar, any chemist can analyze this.” He held up a +small bottle, half filled with a red-brown liquid. “This is the Extract +of Gospel Herbs. Now, let us see what this does.” +</p> + +<p> +He referred to his copy of the “Bugle,” containing the +testimonials. “Here is Mrs. Sarah Jenkins, of the neighboring town of +Maresco, where Professor Gray lectured a year ago, cured of Bright’s +disease and dropsy; Miss Allie Wheat, of Weedsport, cured of cancer of the +stomach; and Mrs. Howard Cleary, of Roxton, wholly relieved of nervous +breakdown and insomnia. All genuine testimonials. Mr. Clyde and I have traced +them.” +</p> + +<p> +Professor Gray raised his head with a flash of triumph. “You see!” +he cried. “He has to admit the genuineness of my testimonials!” +</p> + +<p> +“Of your testimonials; yes. But what about your cures? Mrs. Jenkins has, +as she said, ceased to suffer from her ills. She died of Bright’s disease +and dropsy three months after Professor Gray cured her of them. Miss Wheat, +whose cancer was purely imaginary, is now a hopeless wreck, in a sanitarium +whither the Gospel Herbs drove her. Mrs. Cleary—but let me read what she +testified to. Here it is in the paper with a picture of the Cleary +home:—” +</p> + +<p> +<i>Dear Professor Gray: You have indeed been a benefactor to me. Before our +baby was born my husband and I were the happiest of couples. Then I became a +nervous wreck. I couldn’t sleep. I was cross and irritable. My nerves +seemed all on fire. Your first treatment worked wonders. I slept like a log. +Since then I have not been without Gospel Herbs in the house, and I am a well +woman.</i> +</p> + +<p> +(Signed) Mrs. Howard Cleary. +</p> + +<p> +“That was a year ago,” continued Dr. Strong. “Yesterday we +visited the Cleary home. We found a broken husband and a deserted baby. The +young wife we traced to Worthington, where we discovered her—well, I +won’t name to this audience the sort of place we found her in. +</p> + +<p> +“But so far as there can be a hell on this earth, she had descended into +it, and this,” he held the vial high to view, “<i>this</i> sent her +there.” His fingers opened; there was a crisp little crash of glass, and +the red-brown liquid crept and spread along the floor, like blood. +</p> + +<p> +“Morphine,” said Dr. Strong. “Morphine, which enslaves the +body and destroys the soul. There are your Gospel Herbs!” +</p> + +<p> +A murmur rose, and deepened into a growl. The Great Gray Benefactor, his face +livid, sprang forward. +</p> + +<p> +“Lies!” he shouted. “All lies! Where’s his proof? +What’s he got to show? Nothing but his own say-so. If there’s a law +in the land, I’ll make him sweat for this. Mr. Huddleston, I appeal to +you for justice.” +</p> + +<p> +“We shall be glad to hear from the Reverend Mr. Huddleston,” mildly +suggested the chairman, who was evincing an enjoyment of the proceedings quite +puzzling to Dr. Strong. +</p> + +<p> +The old clergyman got slowly to his feet. His mild, weak face was troubled. +“Let us bear and forbear,” he pleaded in a tremulous voice. +“I cannot believe these charges against our good friend, Professor Gray. +I am sure that he is a good and worthy man. He has given most liberally to the +church. I am informed that he is a member of his home church in good and +regular standing, and I find in the editorial columns of the ‘Church +Pillar’ a warm encomium upon his beneficent work, advising all to try his +remedies. Surely our friend, Dr. Strong, has been led astray by mistaken zeal. +</p> + +<p> +“Only yesterday two members of my congregation, most estimable ladies, +called to see me and told me how they had benefited by a visit just made to +Professor Gray. He had treated them with his new Gospel Elixir, of which he has +spoken to me. There was evidence of its efficacy in their very bearing and +demeanor—” +</p> + +<p> +“I should say there was! <i>And</i> in their breath. Did you smell +it?” +</p> + +<p> +The interruption came in a very clear, positive, and distinct contralto. +</p> + +<p> +“Great Grimes’s grass-green ghost!” exclaimed Mr. Thomas +Clyde, quite audibly amidst the startled hush. “Grandma Sharpless is +among those present!” +</p> + +<p> +“I—I—I—I do not think,” began the clergyman, +aghast, “that the matter occurred to me.” +</p> + +<p> +“Because, if <i>you</i> didn’t, <i>I</i> did,” continued the +voice composedly. “They reeked of liquor.” +</p> + +<p> +The tension to which the gathering had been strung abruptly loosened in mirth. +</p> + +<p> +“Mrs. Sharpless will please take the platform,” invited the +Mayor-chairman. +</p> + +<p> +“No, I’ll do my talking from here.” The old lady stood up, a +straight, solid, uncompromising figure, in the center of the floor. “I +met those two ladies in the parsonage hall,” she explained. “They +were coming out as I was going in. They stopped to talk to me. They both talked +at once. I wouldn’t want to say that they +were—well—exactly—” +</p> + +<p> +“Spifflicated,” suggested a helpful voice from the far rear. +</p> + +<p> +“Spifflicated; thank you,” accepted the speaker. “But they +certainly were—” +</p> + +<p> +“Lit up,” volunteered another first-aid to the hesitant. +</p> + +<p> +“Yes, lit up. One of them loaned me her bottle. If I’m any judge of +bad whiskey, that was it.” +</p> + +<p> +An appreciative roar from the house testified to the fact that Mrs. Sharpless +had her audience in hand. +</p> + +<p> +“As for you women on the stage,” she pursued, rising to her topic, +“I know what’s wrong with you.‘Mandy Gryce, if you’d +tend more to your house and less to your symptoms, you wouldn’t be +flitting from allopathic bud to homoeopathic flower like a bumblebee with the +stomach-ache.” (“Hear, hear!” from Mr. Gryce.) “Lizzie +Tompy, your fits are nine tenths temper. I’d cure you of ‘em +without morphine. Miss Smithson, if you’d quit strong green tea, three +times a day, those nerves of yours would give you a fairer chance—and +your neighbors, too.” (Tearful sniffs from Miss Smithson.) +</p> + +<p> +“Auntie Thomas, you wait and see what your rheumatism says to you +to-morrow, when the dope has died out of your system. Susan Carlin, you ought +to be home this minute, looking after your sick boy, instead of on a stage, in +your best bib and tucker, giving testimonials to you-don’t-know-what-all +poison. +</p> + +<p> +“Bairdstown’s Suffering Womanhood!” exclaimed the vigorous +old lady, her color rising with her voice. “Go home! Go home, you poor, +self-coddling fussybuddies, to your washboards and your sewing-machines and +forget your imaginary symptoms. +</p> + +<p> +“There!” she drew a long breath, looking about over the group of +wilting testimonial-givers. “That’s the first speech I have ever +made, and I guess it’ll be the last. But before I stop, I’ve got a +word to say to you, Professor Graham Gray. Bless us! Where’s the man +gone?” +</p> + +<p> +“Professor Gray,” announced the chairman with a twinkle in his +voice, “has retired to obtain fresh evidence. At least, that is what he +<i>said</i> he had gone for.” +</p> + +<p> +From the main floor came a hoarse suggestion which had the words “tar and +feathers” in it. It was cut short by a metallic shriek from without, +followed by a heavy rumbling. +</p> + +<p> +“Something seems to tell me,” said the fat Mayor solemnly, +“that the 9.30 express, which just whistled for the crossing, is the +heavier by about two hundred pounds of Great Gray Benefactor clinging to the +rear platform, and happy to be there.” +</p> + +<p> +“And your money back if not benefited,” piped a reedy voice from +the front, whereupon there was another roar. +</p> + +<p> +“The bright particular star of these proceedings having left, is there +anything else to come before the meeting?” inquired the chairman. +</p> + +<p> +“I’d like to have one more word,” said Dr. Strong. +“Friends, as one quack is, all quacks are. They differ only in method and +degree. Every one of them plays a game with stacked cards, in which you are his +victims, and Death is his partner. And the puller-in for this game is the +press. +</p> + +<p> +“You have heard to-night how a good and wellmeaning clergyman has been +made stool-pigeon for this murderous charlatan, through the lying of a +religious—God save the mark!—weekly. That publication is beyond our +reach. But there is one here at home which did the quack’s work for him, +and took his money for doing it. I suggest that the Honorable Silas Harris +explain!” +</p> + +<p> +“I’m running my paper as a business proposition,” growled the +baited editor and owner of the ‘Bugle,’ “and I’m +running it to suit myself and this community.” +</p> + +<p> +“You’re running it to suit the crooked and cruel advertisers who +prey on this community,” retorted the other. “And you’ve +served them further in the legislature, where you voted to kill the +patent-medicine bill, last session, in protection of your own profits. Good +profits, too. One third of all your advertising is medical quackery which takes +good money out of this town by sheer swindling; money which ought to stay in +town and be spent on the legitimate local products advertised in your paper. If +I were a local advertiser, I’d want to know why.” +</p> + +<p> +“If that’s the case,” remarked Mr. Stanley Gryce, quick to +catch the point, “I guess you owe my family seven dollars an’ a +half, Silas, and till it’s paid up you can just drop my laundry +announcement out of your columns.” +</p> + +<p> +“I guess I’ll stay out for a spell, too,” supplemented Mr. +Corson, the hay and feed man. “For a week, my ad’s been swamped by +Swamp Root so deep you can’t see it.” +</p> + +<p> +“While you’re about it,” added a third, “leave me out. +I’m kinder sick of appearin’ between a poisonous headache powder +and a consumption dope. Folks’ll be accusin’ me of seekin’ +trade untimely.” This was greeted with a whoop, for the speaker was the +local undertaker. +</p> + +<p> +“We’ve got a league for Clean Advertising in Worthington,” +announced Mr. Clyde. “Why not organize something of the kind here?” +</p> + +<p> +“Help!” shouted the Honorable Silas, throwing up his hands. +“Don’t shoot! I holler ‘Enough!’ As soon as the +contracts are out, I’ll quit. There’s no money in patent-medicine +advertising any more for the small paper, anyway.” +</p> + +<p> +“Well, we’ve done our evening’s chores, I reckon,” +remarked the chairman. “A motion to adjourn will now be in order.” +</p> + +<p> +“Move we adjourn with the chorus of the ‘Hymn of +Healing,’” piped the wag with the reedy voice, and the audience +filed out, uproariously and profanely singing:— +</p> + +<p class="poem"> +“Ye shall be healed! Ye shall be healed!<br /> + Trust in the gospel advice.<br /> +Cured by the herbs of the wood and the field;<br /> + Healed without money or price.” +</p> + +<p> +“Well, young man,” said Grandma Sharpless, coming forward to join +the Health Master, “you certainly carried out your programme.” +</p> + +<p> +“I?” said Dr. Strong, affectionately tucking the old lady’s +arm under his. “To you the honors of war. I only squelched a quack. You +taught Bairds-town’s self-coddling womanhood a lesson that will go down +the generations.” +</p> + +<p> +“What I want to know,” said the Mayor, advancing to shake hands +with Mrs. Sharpless, “is this: what’s a fussybuddy?” +</p> + +<p> +“A fussybuddy,” instructed Grandma Sharpless wisely, “is a +woman who catches a stomach-ache from a patent-medicine almanac. What I want to +know, Tom Allen, is what you had against the man. I seemed to get an inkling +that you didn’t exactly like him.” +</p> + +<p> +“He’s forgotten me,” chuckled the Mayor, “but I +haven’t forgotten him. Fifteen years ago he came along here +horse-doctoring and poisoned a perfectly good mare for me. He won’t try +to poison this town again in a hurry. You finished him, Mrs. Sharpless, you and +Dr. Strong.” +</p> + +<p> +“What <i>I</i> want to know,” said the Health Master, “is how +poor old Mr. Huddleston feels about that contribution, now.” +</p> + +<p> +A month later he found out. Traveling by trolley one evening, he felt a hand on +his shoulder, and turned to face Professor Graham Gray. +</p> + +<p> +“No hard feelings, I hope,” said the quack with superb urbanity. +“All in the way of business, I take it. I’d have done the same to +you, if you’d come butting in on my trade. Say, but that old lady was a +Tartar! She cooked my goose in Bairdstown. For all that, I got an unsolicited +testimonial from there two weeks ago that’s a wonder. Anonymous, too. Not +a word of writing with it to tell who the grateful patient might be.” +</p> + +<p> +“What was it?” asked Dr. Strong with polite interest. +</p> + +<p> +“A twenty-dollar bill. Now, <i>what</i> do you think of that?” +</p> + +<p> +When Dr. Strong spoke again—and the Great Gray Benefactor has always +regarded this as the most inconsequential reply he ever received to a plain +question—it was after a long and thoughtful pause. +</p> + +<p> +“I think,” said he with conviction, “that I’ll start in +going to church again, next Sunday.” +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap10"></a>X.<br /> +THE HOUSE THAT CAUGHT COLD</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">“C</span>an you cure a +cold?” asked Grandma Sharpless. +</p> + +<p> +A flare from the soft-coal fire flickered across the library, revealing a smile +on the Health Master’s face. +</p> + +<p> +“Am I a millionaire?” he countered. +</p> + +<p> +“Not from your salary as Chinese physician to the Clydes,” laughed +the head of that family. +</p> + +<p> +“If I could cure a cold, I should be, easily, more than that. I’d +be the foremost medical discoverer of the day.” +</p> + +<p> +“Then you can’t cure a cold,” pursued Mrs. Sharpless. +</p> + +<p> +“What <i>is</i> a cold?” countered the Health Master in that +insinuating tone of voice which he employed to provoke the old lady into one of +those frequent verbal encounters so thoroughly enjoyed by both of them. +</p> + +<p> +“An ordinary common cold in the head. You know what I mean perfectly +well, young man. The kind you catch by getting into drafts.” +</p> + +<p> +“Oh, <i>that!</i> Well, you see, there’s no such thing.” +</p> + +<p> +“No such thing as a cold in the head, Dr. Strong?” said Julia, +looking up from her book. “Why, we’ve all had ‘em, loads of +times.” +</p> + +<p> +“And Bettina is coming down with one now, if I’m any judge,” +said Mrs. Sharpless. “She’s had the sniffles all day.” +</p> + +<p> +“Let’s hope it isn’t a cold. Maybe it’s only +chicken-pox or mumps.” +</p> + +<p> +“Are you wishing chicken-pox and mumps on my baby?” cried Mrs. +Clyde. +</p> + +<p> +In the three years during which Dr. Strong had been the “Chinese +physician” of the household, earning his salary by keeping his patients +well instead of curing them when ill, Mrs. Clyde had never quite learned to +guard against the surprises which so often pointed the Health Master’s +truths. +</p> + +<p> +“Not by any means; I’m only hoping for the lesser of evils.” +</p> + +<p> +“But mumps and chicken-pox are real diseases,” protested Clyde. +</p> + +<p> +“And you think that a ‘cold,’ as you call it, +isn’t.” +</p> + +<p> +“Why, no,” said Clyde hesitantly. “I wouldn’t call it a +disease, any more than I’d call a sprain a broken leg.” +</p> + +<p> +“But it is. A very real, serious disease. Its actual name is +coryza.” +</p> + +<p> +“Bogy-talk,” commented Grandma Sharpless scornfully. “Big +names for little things.” +</p> + +<p> +“Not a little thing at all, as we should all realize if our official +death-records really dealt in facts.” +</p> + +<p> +“Death-records?” said Grandma Sharpless incredulously. +“People don’t die of colds, do they?” +</p> + +<p> +“Hundreds every year; all around us.” +</p> + +<p> +“Well, <i>I</i> never hear of it.” +</p> + +<p> +“Are you sure? Think back and recall how many of your friends’ +obituary notices include some such sentence as this: ‘Last Thursday +evening Mr. Smith caught a severe cold, from which he took to his bed on +Saturday, and did not leave it again until his death yesterday morning?’ +Doesn’t that sound familiar?” +</p> + +<p> +“So familiar,” cried Mr. Clyde, “that I believe the +newspapers keep it set up in type.” +</p> + +<p> +“But the newspaper always goes on to say that Mr. Smith developed +pneumonia or grip or bronchitis, and died of that, not of the cold,” +objected Mrs. Sharpless. +</p> + +<p> +“Oh, yes. In the mortality records poor Smith usually appears under the +heading of one of the well-recognized diseases. It would hardly be respectable +to die of a cold, would it?” +</p> + +<p> +“He doesn’t <i>die</i> of the cold,” insisted the old lady. +“He catches the cold and dies of something else.” +</p> + +<p> +“If I take a dose of poison,” the Health Master mildly propounded, +“and fall down and break my neck, what do I die of?” +</p> + +<p> +“It’s no parallel,” said Grandma Sharpless. “And even +if it is,” she added, tacitly abandoning that ground, “we’ve +always had colds and we always will have ‘em.” +</p> + +<p> +“Not with my approval, at least,” remarked the Health Master. +</p> + +<p> +“I guess Providence won’t wait for your approval, young man.” +</p> + +<p> +“Then you regard coryza as a dispensation of Providence? The Presbyterian +doctrine of foreordination, applied to the human nose,” smiled the +physician. “We’re all predestined to the ailment, and therefore +might as well get out our handkerchiefs and prepare to sneeze our poor sinful +heads off. Is that about it?” +</p> + +<p> +“No, it isn’t! This is a green December and it means a full +churchyard. We’re in for a regular cold-breeding season.” +</p> + +<p> +“Nonsense! Weather doesn’t breed colds.” +</p> + +<p> +“What does, then?” +</p> + +<p> +“A very mean and lively little germ. He’s rather more poisonous +than the chicken-pox and mumps variety, although he hasn’t as bad a name. +In grown-ups he prepares the soil, so to speak, for other germs, by getting all +through the system and weakening its resistant powers, thereby laying it open +to the attacks of such enemies as the pneumococcus, which is always waiting +just around the corner of the tongue to give us pneumonia. Or bronchitis may +develop, or tonsillitis, or diphtheria, or kidney trouble, or indeed almost +anything. I once heard an eminent lecturer happily describe the coryza bacillus +as the bad little boy of the gang who, having once broken into the system, +turns around and calls back to the bigger boys: ‘Come on in, fellers. The +door’s open.’ +</p> + +<p> +“With children the coryza-bug makes various trouble without necessarily +inviting the others in. A great proportion of the serious ear-troubles come +from colds; all the way from earache to mastoiditis, and the consequent +necessity of quick operations to save the patient’s life. Almost any of +the organs may be impaired by the activity of the little pest. And yet as +intelligent a family as this”—he looked around the +circle—“considers it a ‘mere cold.’” +</p> + +<p> +“Why haven’t you told us before?” asked Mr. Clyde bluntly. +</p> + +<p> +“A just reproach,” admitted the Health Master. “Not having +been attacked, I haven’t considered defense—a wretched principle in +health matters. In fact, I’ve let the little matters of life go, too +much, in my interest in the bigger.” +</p> + +<p> +“But what about Bettina?” said the mother anxiously. +</p> + +<p> +“Let’s have her in,” said the Health Master, and the +six-year-old presently trotted into the room, announcing through a somewhat +reddened nose, “I’m all stobbed ub; and Katie rubbed me with +goose-grease, and I don’d wand to take any paregoric.” +</p> + +<p> +“Paregoric?” said the physician. “Opium? I guess not. Off to +bed with you, Toots, and we’ll try to exorcise the demon with hot-water +bottles and extra blankets.” +</p> + +<p> +Following her usual custom of kissing everybody good-night around the circle, +Bettina held up her arms to her sister, who was nearest. +</p> + +<p> +“Stop!” said the Health Master. “No kissing.” +</p> + +<p> +“Not even my mamma?” queried the child. “I’m afraid +not. You remember when Charley had scarlet fever he wasn’t allowed even +to be very near any of you.” +</p> + +<p> +“But scarlet fever is the most contagious of any of the diseases, +isn’t it?” asked Julia. +</p> + +<p> +“Not as contagious as a cold in the head.” +</p> + +<p> +“I don’t know how contagious a cold is,” said Grandma +Sharpless; “but I do know this: once it gets into a house, it goes +through it like wildfire.” +</p> + +<p> +“Then the house ought to be ashamed of itself. That’s sheer +carelessness.” +</p> + +<p> +“Half the kids in our school have got stopped-up noses,” +contributed Charley. +</p> + +<p> +“Why hasn’t the Committee on Schools reported the fact?” +demanded the Health Master, turning an accusing eye on Julia. +</p> + +<p> +“Why—why, I didn’t think of it,” said she. “I +didn’t think it was anything.” +</p> + +<p> +“Oh, you didn’t! Well, if what Charley says is correct, I should +think your school ought to be put under epidemic regimen.” +</p> + +<p> +“You’d have a fine row with the Board of Education, trying to +persuade them to special action for any such cause as that,” remarked Mr. +Clyde. +</p> + +<p> +“There’s the measure of their intelligence, then,” returned +the Health Master. “Sickness is sickness, just as surely as a flame is +fire; and there is no telling, once it’s well started, how much damage it +may do.” +</p> + +<p> +“But a cold is only in the head, or rather, in the nose,” persisted +Mrs. Sharpless. +</p> + +<p> +“That’s where you’re wrong. Coryza is a disease of the whole +system, and it weakens the whole system. The symptoms are most apparent in the +nose and mouth: and it is from the nose and mouth that the disease is spread. +But if you’ve got the cold you’ve got it in every corner of your +being. You won’t be convinced of its importance, I suppose, until I can +produce facts and figures. I only hope they won’t be producible from this +house. But by the end of the season I’ll hope to have them. Meantime +we’ll isolate Bettykin.” +</p> + +<p> +Bettina was duly isolated. Meanwhile the active little coryza bacillus had got +its grip on Mr. Clyde, who for three days attended to his business with +streaming eyes, and then retired, in the company of various hot-water bags, +bottles, and foot-warmers, to the sanctuary of his own bedroom, where he led a +private and morose existence for one week. His general manager succeeded to his +desk; likewise, to his contaminated pencils, erasers, and other implements, +whereby he alternately sneezed and objurgated himself into the care of a +doctor, with the general and unsatisfactory result that the balance-sheet of +Clyde & Co., Manufacturers, showed an obvious loss for the month—as +it happened, most unfortunately, an unusually busy month—of some three +thousand dollars, directly traceable to that unconsidered trifle, a cold in the +head. +</p> + +<p> +“At that you got off cheap,” argued the Health Master. +</p> + +<p> +It was three months after the invasion of the Clyde household by +Bettina’s coryza germ. +</p> + +<p> +“I’m glad somebody considers it cheap!” observed Mr. Clyde. +“Personally I should rather have taken a trip to Europe on my share of +that three thousand dollars.” +</p> + +<p> +“Yet you were lucky,” asserted Dr. Strong. “Bettykin got +through her earache without any permanent damage. Robin’s attack passed +off without complications. Your own onset didn’t involve any organ more +vital than your bank account. And the rest of us escaped.” +</p> + +<p> +“Doesn’t it prove what I said,” demanded Grandma Sharpless; +“that a cold in the head is only a cold in the head?” +</p> + +<p> +“‘Answer is No,’ as Togo would put it,” replied the +Health Master. “In fact, I’ve got proof here of quite the opposite, +which I desire to present to this gathering.” +</p> + +<p> +“This meeting of the Household Protective Association is hereby called to +order!” announced Mr. Clyde, in the official tones proper to the +occasion. The children put aside their various occupations and assumed a solemn +and businesslike aspect which was part of the game. “The lone official +member will now report,” concluded the chairman. +</p> + +<p> +“Let the Health Officer of the city report for me,” said Dr. +Strong, taking a printed leaflet from his pocket. “He is one of those +rare officials who aren’t afraid to tell people what they don’t +know, and may not want to know. Listen to what Dr. Merritt has to say.” +And he read:— +</p> + +<p> +“‘The death-rate of the city for the month of February, like the +rate for December and January, is abnormally high, being a shade over ten per +cent above the normal for this time of year. While the causes of mortality +range through the commoner diseases, with a special rise in pulmonary troubles, +it is evident that the increase must be due to some special cause. In the +opinion of the Bureau of Health this cause is the despised and infectious +“cold,” more properly known as coryza, which has been epidemic this +winter in the city. Although the epidemic wave is now receding, its disastrous +aftereffects may be looked for in high mortality rates for some months. Should +a similar onset occur again, the city will be asked to consider seriously a +thorough school campaign, with careful isolation of all suspicious +cases.’” +</p> + +<p> +“Did you write that, young man?” asked Mrs. Sharpless suspiciously. +</p> + +<p> +“Why, no; I didn’t <i>write</i> it,” answered the Health +Master. “I’ll go as far as to admit, however, that Dr. Merritt +listens politely to my humble suggestions when I offer them.” +</p> + +<p> +“Humph! Ten per cent increase. What is that in real figures?” +</p> + +<p> +“Twenty-five extra deaths a month,” said Manny Clyde, a growing +expert on local statistics. +</p> + +<p> +“Seventy-five needless deaths for the three months, and more to +come,” said the Health Master, “besides all the disability, loss of +time and earning power and strength, and all the pain and suffering—which +things never get into the vital statistics, worse luck! So much to the account +of the busy little coryza-bug.” +</p> + +<p> +“Can’t the Health Bureau do something?” asked the practical +Mr. Clyde. +</p> + +<p> +“Not much, until its public is better educated,” said Dr. Strong +wearily. “The present business of a health official is to try and beat +the fool-killer off from his natural prey with a printed tract. It’s +quite a job, when you come to consider it.” +</p> + +<p> +“What he ought to have, is the club of the law!” said Mr. Clyde. +</p> + +<p> +“Precisely. The people won’t give it to him. In this household +we’re better off, since we can make our own laws. Since Betty’s +attack we’ve tried out the isolation plan pretty effectually; and +we’ve followed, as well as might be, the rule of avoiding contact with +people having coryza.” +</p> + +<p> +He glanced up at a flamboyant poster which Mrs. Clyde, who had a natural gift +of draftsmanship, had made in a spirit of mischief, entitling it “The Red +Nose as a Danger Signal.” +</p> + +<p> +“As much truth as fun in that,” he remarked. “But, at the +best, we can’t live among people and avoid all danger. In fact, avoidance +is only the outer line of defense. The inner line is symbolized by a homely +rule, ‘Keep Comfortable.’” +</p> + +<p> +“What’s comfort to do with keeping well?” asked Grandma +Sharpless. +</p> + +<p> +“What are your nerves for?” retorted Dr. Strong with his quizzical +smile. +</p> + +<p> +“Young man,” said the old lady plaintively, “did I ever ask +you a question that you didn’t fire another back at me before it was +fairly out of my mouth? My nerves, if I let myself have any, wouldn’t be +for anything except to plague me.” +</p> + +<p> +“Oh, those are pampered nerves. Normal nerves are to warn you. +They’re to tell you whether the little things of life are right with +you.” +</p> + +<p> +“And if they’re not?” asked Mr. Clyde. +</p> + +<p> +“Why, then you’re uncomfortable. Which is to say, there’s +something wrong; and something wrong means, in time, a lessening of vitality, +and when you let down your body’s vitality you’re simply saying to +any germ that may happen along, ‘Come right in and make yourself at +home.’ +</p> + +<p> +“Perhaps you remember when the house caught cold, how shocked Grandma +Sharpless was at my saying that colds aren’t caught in a draft. Well, +they’re not. Yet I ought to have qualified that. Now, what is a draft? +Air in motion. If there is one thing about air that we thoroughly know, +it’s this: that moving air is infinitely better for us than still air. +Even bad, stale air, if stirred vigorously into motion, seems to purify itself +and become breathable and good. Now, the danger of a draft is that it may mean +a sudden change of the body’s temperature. Nobody thinks that wind is +unhealthful, because when you’re out in the wind—which is the +biggest and freest kind of a draft—you’re prepared for it. If not, +your nerves say to you, ‘Move faster; get warm.’ It’s the +same indoors. If the draft chills you, your nerves will tell you so. Therefore, +mind your nerves. Otherwise, you’ll become specially receptive to the +coryza germ and when you’ve caught <i>that</i>, you’ll have caught +cold.” +</p> + +<p> +“I wish,” remarked Mr. Clyde, “that my nerves would tell me +why I feel so logy every morning. They don’t say anything definite. It +isn’t indigestion exactly. But I feel slow and inert after breakfast, as +if my stomach hadn’t any enthusiasm in its job.” +</p> + +<p> +“Breakfast is the only meal I don’t have with you, so I don’t +know,” replied the Health Master, who was a very early riser. “But +I should say you were eating the wrong things, perhaps.” +</p> + +<p> +“How could that be?” said Mrs. Clyde. “Tom has the simplest +kind of breakfast, and it’s the same every day.” +</p> + +<p> +“Well, there you are.” The Health Master’s tone assumed that +the solution was found. +</p> + +<p> +“Where are we?” queried Mr. Clyde. “I’m up in the +air!” +</p> + +<p> +“What is this remarkably regular breakfast?” +</p> + +<p> +“Eggs, rolls, and coffee.” +</p> + +<p> +“Oh! Eggs every morning?” +</p> + +<p> +“Two of them. Medium boiled.” +</p> + +<p> +“Not even the method is varied. Same eggs, same preparation every +morning, seven days a week, four weeks a month, twelve months—” +</p> + +<p> +“No. That’s my winter breakfast only.” +</p> + +<p> +“Very well; four or five months in the year. No wonder your poor stomach +gets bored.” +</p> + +<p> +“What’s the matter with eggs, Dr. Strong?” inquired Manny. +“They let us have ‘em, in training.” +</p> + +<p> +“Nothing is the matter with two eggs, or twenty. But when you come to two +hundred, there’s something very obvious the matter—monotony. Your +stomach is a machine, it’s true, but it’s a human machine. It +demands variety.” +</p> + +<p> +“Then Charles ought to be a model. He wants everything from soup to +pie.” +</p> + +<p> +“A thoroughly normal desire for a growing boy.” +</p> + +<p> +“He eats an awful lot of meat,” observed Julia, who was a somewhat +fastidious young lady. “My Sunday-school teacher calls meat-eaters human +tigers.” +</p> + +<p> +“Oh, that’s too easy a generalization, Junkum,” replied the +Health Master. “With equal logic she could say that vegetable-eaters are +human cows.” +</p> + +<p> +“But the vegetarians make very strong arguments,” said Mrs. Clyde. +</p> + +<p> +“A lot of pale-eyed, weak-blooded nibblers!” stated Grandma +Sharpless. “If meat weren’t good for us, we wouldn’t have +been eating it all these generations.” +</p> + +<p> +“True enough. Perhaps we eat a little too much of it, particularly in the +warm months. But in winter it’s practically a necessity.” +</p> + +<p> +“Some of the big athletes say they’re vegetarians,” said +Manny. +</p> + +<p> +“There are individual cases,” admitted the Health Master; +“but in the long run it doesn’t work. A vegetarian race is, +generally speaking, small of stature and build, and less efficient than a +meat-eating race. The rule of eating is solid food, sound food, plenty of it, +and a good variety. Give your stomach a fair chance: don’t overload it, +don’t understock it, and don’t let it get bored.” +</p> + +<p> +For some time Miss Bettina had been conducting a quiet and strategic advance +upon the Health Master, and now by a sudden onslaught she captured his knee +and, perching herself thereon, put a soft and chubby hand under his chin. +</p> + +<p> +“You want something, Miss Toodles,” he accused with a formidable +frown. “None of your wheedling ways with me! Out with it!” +</p> + +<p> +“Candy,” said the child, in no way impressed by his severity. +</p> + +<p> +“Candy, indeed! When?” +</p> + +<p> +“Now. Any time. Lots of it. Lots of sugar, too.” +</p> + +<p> +“Betty’s developing <i>such</i> a sweet tooth!” mourned her +mother. “I have to limit her rigidly.” +</p> + +<p> +“Why?” +</p> + +<p> +“You wouldn’t let the child stuff herself on sweets all the +time,” protested Grandma Sharpless, scandalized. +</p> + +<p> +“Nor on anything else. But if she craves sweets, why not let her have +them at the proper time?” +</p> + +<p> +“Well, in my day children ate plain food and were thankful.” +</p> + +<p> +“Hm! I’m a little dubious about the thankfulness. And in your day +children died more frequently and more easily than in ours.” +</p> + +<p> +“They weren’t pampered to death on candy, anyway!” +</p> + +<p> +“Possibly they weren’t pampered quite enough. Take the Cherub, +here,” he tossed Betty in the air and whisked her to his shoulder. +“She’s a perfect little bundle of energy, always in motion. She +needs energy-producing food to keep going, coal for that engine. Sugar is +almost pure carbon; that is, coal in digestible form. Of course she wants +sweets. Her little body is logical.” +</p> + +<p> +“But isn’t it bad for her teeth?” asked Mrs. Clyde. +</p> + +<p> +“No; nor for her last year’s overshoes or her tin dog’s left +hind leg,” chuckled the Health Master. “Sometimes I marvel that the +race has survived all the superstitions surrounding food and drink.” +</p> + +<p> +“In my father’s household,” said Mr. Clyde, “the family +principle was never to drink anything with meals. The mixture of solids and +liquids was held to be bad. Another superstition, I suppose.” +</p> + +<p> +“At that rate, bread and milk would be rank poison,” said Dr. +Strong. “Next to food, water has got the finest incrustation of +old-wives’ warnings. Now, there’s some doubt whether a man should +eat whenever he wants to. Appetite, in the highly nervous American +organization, is sometimes tricky. But thirst is trustworthy. The normal man is +perfectly safe in drinking all the water he wants whenever he wants it.” +</p> + +<p> +“I can still remember the agonies that I suffered when, as a boy, I had +scarlet fever, and they would allow me almost no water,” said Mr. Clyde. +</p> + +<p> +“One of medicine’s direst errors,” said Dr. Strong. +“Nobody will ever know how much that false and cruel system has added to +our death-rate in the past. To-day a practitioner who kept water from a fever +patient—unless there were unusual complications—would be properly +citable for malpractice. By the way,” he continued, “we’re +changing our views about feeding in long illnesses. Typhoid patients have +always been kept down to the lowest possible diet, nothing but milk. Now, some +of the big hospitals are feeding typhoid cases, right through the fever, on +foods carefully selected for their heat and energy values, with the result that +not only has the patient more strength to fight the disease, but he pulls +through practically free from the emaciation which has always been regarded as +inevitable.” +</p> + +<p> +“Can I have my candy?” inquired Bettina, holding to her own point. +</p> + +<p> +“If it’s good, sound candy. Now I’m going to utter an awful +heresy. Generally speaking, and in moderation, what you want is good for +you.” +</p> + +<p> +“Pure anarchy,” laughed Mr. Clyde. +</p> + +<p> +“Not at all; the law of the body, always demanding what is best for its +development.” +</p> + +<p> +“Well, I want,” declared Robin, with a sudden energy, “to +take off these hot, scratchy flannels.” +</p> + +<p> +“Too late now,” said the Health Master, “until spring. +You’ve been wearing them all winter. But another year, if I have my way, +you won’t have to put them on.” +</p> + +<p> +“You’d let him tempt pneumonia by going through a winter with light +summer underwear?” +</p> + +<p> +“Unless you get out an injunction against me,” smiled the +physician. “Bobs had a pretty tough time of it for the first week when he +changed to flannels. He’s thin-skinned, and the rough wool irritated him +pretty badly. In fact, he had a slight fever for two days. It isn’t worth +that suffering. Besides, he’s a full-blooded youngster, and doesn’t +need the extra warmth. You can’t dress all children alike in material any +more than you can dress them all from the same pattern.” +</p> + +<p> +“Then I want to leave off mine, too,” announced Charles. +</p> + +<p> +“Nonsense! You little ruffian, you could wear sandpaper on that skin of +yours. Don’t talk to me, or next time I see you without your overcoat +I’ll order a hair shirt for you.” +</p> + +<p> +“I’ve never thought much about the children’s clothes, except +to change between the seasons,” confessed Mrs. Clyde. “I supposed +that was all there is to it.” +</p> + +<p> +“Not wholly. I once knew a man who died from changing his necktie.” +</p> + +<p> +“Did he put on a red tie with a pink shirt?” interestedly queried +Manny, who had reached the age where attire was becoming a vital interest. +</p> + +<p> +“He changed abruptly from the big puff-tie which he had worn all winter, +and which was a regular chest-protector, to a skimpy bow, thereby exposing a +weak chest and getting pneumonia quite naturally. Yet he was ordinarily a +cautious old gentleman, and shifted the weight of his underclothes by the +calendar—a rather stupid thing to do, by the way.” +</p> + +<p> +“On the first of November,” began Grandma Sharpless severely— +</p> + +<p> +“Yes, I know,” cut in the Health Master. “Your whole family +went into flannels whether the thermometer was twenty or seventy. And +we’ve seen it both, more than once on that date.” +</p> + +<p> +“What harm did it ever do them?” +</p> + +<p> +“Bodily discomfort. In other words, lessened vitality. Think how much +nervous wear is suffered by a child itching and squirming in a scratchy suit of +heavy flannels on a warm day.” +</p> + +<p> +“Children can’t be changing from one weight to another every day, +can they?” asked Mrs. Clyde. +</p> + +<p> +“No need of that. But in the fall and spring we can regulate that matter +a little more by the thermometer, and a little less by the almanac. There is +also the consideration of controlling heat. Now, Charley, what would you think +of a man who, in June, say, with the mercury at seventy-five, wandered around +in a heavy suit and his winter flannels.” +</p> + +<p> +“I’d think he was sick,” said the nine-year-old promptly, +“or else foolish. But what makes you ask me?” +</p> + +<p> +“Just by way of calling your attention to the thermometer, which in this +room stands at seventy-nine. And here we all sit, dressed twenty-five per cent +warmer than if we were out doors in a June temperature several degrees colder. +You’re the Committee on Air and Light, Charley. I think this matter of +heat ought to come within your province.” +</p> + +<p> +“And it makes you feel so cold when you go out,” said Julia. +</p> + +<p> +“Of course. We Americans live in one of the most trying climates in the +world, and we add to its rigors by heating our houses like incubators. No room +over seventy, ought to be the rule.” +</p> + +<p> +“It’s hard to work in a cold room,” said Mr. Clyde. +</p> + +<p> +“Not when you’re used to it. The Chicago schools that have started +winter roof classes for sickly children, find that the average of learning +capacity goes up markedly in the cold, clean air.” +</p> + +<p> +“But they can’t be as comfortable,” said Mrs. Clyde. +</p> + +<p> +“Much more so. As soon as the children get used to it, they love it, and +they object strenuously to going back into the close rooms. The body grasps and +assimilates the truth; the mind responds.” +</p> + +<p> +“Well, I like to be comfortable as well as anybody,” said Mrs. +Sharpless, “but I don’t consider it the chief end of life.” +</p> + +<p> +“Not the chief end,” assented Dr. Strong; “the chief +means.” +</p> + +<p> +“Comfort and health,” mused Mrs. Clyde. “It seems a natural +combination.” +</p> + +<p> +“The most natural in the world. Let me put it into an allegory. Health is +the main line, the broad line, the easy line. It’s the simple line to +travel, because comfort keeps pointing it out. Essentially it is the line of +the least resistance. The trouble with most of us is we’re always +unconsciously taking transfers to the cross-lines. The transfer may be +Carelessness, or Slothfulness, or Gluttony, or one of the Dissipations in food, +drink, work or play; or it may be even Egotism, which is sometimes a poison: +but they all take you to Sick Street. Don’t get a transfer down Sick +Street. The road is rough, the scenery dismal, and at the end is the +cemetery.” +</p> + +<p> +“That’s the end of all roads,” said Grandma Sharpless. +</p> + +<p> +“Then in Heaven’s name,” said the Health Master, “let +us take the longest and sunniest route and sing as we go!” +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap11"></a>XI.<br /> +THE BESIEGED CITY</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">T</span>o Bettina falls the +credit of setting the match to the train. That lively-minded young lady had +possessed herself of a large, red square of cardboard, upon which, in the midst +of the Clyde family circle, she wrought mightily with a paint-brush. +</p> + +<p> +“What comes after p in ‘diphtheria,’ Charley?” she +presently appealed to her next older brother. +</p> + +<p> +Charley considered the matter with head aslant. “Another p,” he +answered, tactfully postponing the evil moment. +</p> + +<p> +“It doesn’t look right,” announced the Cherub, after a +moment’s contemplation. “Dr. Strong, how do you spell +‘diphtheria’?” +</p> + +<p> +“I? Why, Toots, I spell it with a capital, but leave off the final +x,” replied the Health Master cheerfully. “What kind of a game are +you playing? Quarantining your dolls?” +</p> + +<p> +“It isn’t a game.” Betty could be, on occasion, quite a +self-contained young person. +</p> + +<p> +“What is it, then, if I’m not prying too far into personal +matters?” +</p> + +<p> +“It’s for Eula Simms to put on her house.” +</p> + +<p> +“The Simmses <i>will</i> be pleased,” remarked Julia. +</p> + +<p> +“They ought to be,” said Betty complacently. “I don’t +suppose they can afford a regular one like the one we put up when Charley had +scarlet fever, two years ago. And Eula’s big sister’s got +diphtheria,” she added quite casually. +</p> + +<p> +“What’s that?” The Health Master straightened up sharply in +his chair. “How do you know that, Twinkles?” +</p> + +<p> +“Eula told me across the fence this morning. She’s excused from +school. Three other houses on the street have got it, too. I’m going to +make placards for them.” +</p> + +<p> +“And do the work in play that the Health Department ought to be doing in +the deadliest earnest! What on earth is Dr. Merritt thinking of?” And he +went to the telephone to call up the Health Officer and find out. +</p> + +<p> +“We’re due for a bad diphtheria year, too,” observed Grandma +Sharpless, whose commentaries on practical matters, being always the +boiled-down essence of first-hand observation, carried weight in the household. +“I’ve noticed that it swings around about once in every five or six +years. And it was six years ago we had that bad epidemic.” +</p> + +<p> +“Then there is the influenza epidemic of last spring to consider,” +said Mrs. Clyde. “Dr. Strong told us then that we’d have to pay for +that for months. So, I suppose, the city is still in a weakened condition and +easy soil for diphtheria or any other epidemic.” +</p> + +<p> +“There’s measles already in our school,” said Julia. +“That’ll help, too.” +</p> + +<p> +“Why haven’t you reported it, Junkum?” asked her father. +“You’re Chairman of the Committee on School Conditions of the Clyde +Household Protective Association.” +</p> + +<p> +“We only found out to-day,” said Bobs, “when they told us +maybe school would close.” +</p> + +<p> +“Three years I’ve been President of the Public Health +League,” remarked Mr. Clyde with a wry face, “and nothing has +happened. Now that I’m just about retiring I hope there isn’t going +to be serious trouble. What does the Health Department say, Strong?” he +inquired, turning as the Health Master entered. +</p> + +<p> +“Something very wrong there. Merritt won’t talk over the +‘phone. Wants me to come down.” +</p> + +<p> +“This evening?” +</p> + +<p> +“Yes. He’s ill, himself, and badly worried. What do <i>you</i> +think?” +</p> + +<p> +“It looks like some skullduggery,” declared Mr. Clyde, borrowing +one of his mother-in-law’s expressive words. “Is it possible that +reports of diphtheria are being suppressed, and that is why the infected houses +are not placarded?” +</p> + +<p> +“If it is, we’re in for trouble. As I told you, when I undertook +the Chinese job of keeping this household in health,” continued the +Health Master, addressing the family, “I can’t reliably protect a +family in a community which doesn’t protect itself. There are too many +loopholes through which infection may penetrate. So the Protective Association, +in self-defense, may have to spur up the city to its own defense. First, +though, I’m going over the throats of this family and take +cultures.” +</p> + +<p> +“You don’t think,” began the mother anxiously, “that +the children—” +</p> + +<p> +“No; I don’t think they’ve got it. But the bacteriological +analysis will show.” +</p> + +<p> +“I hate to have it done,” said Mrs. Clyde, shuddering. “It +seems so—so inviting of trouble.” +</p> + +<p> +“Superstition,” said Dr. Strong, smiling. “Aren’t you +just as anxious to find out that they <i>haven’t</i> got the infection as +that they have? Come on, Bettykin; you’re first.” And, having +prepared his material, he swabbed the throats of the whole company, after which +he took the cultures with him to Dr. Merritt. +</p> + +<p> +It was late when he returned, but he went direct to Mr. Clyde’s room. +</p> + +<p> +“It’s worse than I thought, Clyde,” said he. +“We’re in the first stage of a bad epidemic. The reports have been +suppressed by Mullins, the Deputy Health Officer.” +</p> + +<p> +“What did he do that for?” +</p> + +<p> +“To cover his own inefficiency. He is City Bacteriologist, also, and the +law requires him, in time of epidemic, to make bacteriological analyses. He +doesn’t know how. So he simply pigeonholed the case reports as they came +in.” +</p> + +<p> +“How did such a rascal ever get the job?” asked Clyde. +</p> + +<p> +“Political pull. The most destructive of all the causes of death which +never get into the mortality records,” said Dr. Strong bitterly. +</p> + +<p> +“How many cases?” +</p> + +<p> +“Three or four hundred, at least. It’s got a good start. And more +than that of measles. While he was in the business of suppressing, Mullins +threw a lot of measles reports aside, too. I don’t like the +prospect.” +</p> + +<p> +“The first thing to do,” decided Mr. Clyde, with customary energy, +“is to get Dr. Mullins out. I’ll call an emergency meeting of the +Public Health League to-morrow. By the way, Julia has some matters to report +from school.” +</p> + +<p> +“Well, suppose we call an emergency meeting of our own of the Household +Protective Association for to-morrow evening,” suggested Dr. Strong. +“Since we’re facing an epidemic, we may as well fortify the +youngsters as soundly as possible.” +</p> + +<p> +Directly after dinner on the following evening the Association was called to +order by Mr. Clyde, presiding. It was a full meeting except for Maynard, who +had not returned for dinner. First Dr. Strong reported that the cultures from +the throats of the family had turned out “negative.” +</p> + +<p> +“So we don’t have to worry about that,” he remarked. +</p> + +<p> +Whereupon Mrs. Clyde and her mother drew long breaths of relief. +</p> + +<p> +“And now for the Committee on School Conditions,” said Mr. Clyde. +</p> + +<p> +“All I’ve heard of in our school is measles,” announced +Julia. “There’s a lot of the boys and girls away.” +</p> + +<p> +“No diphtheria?” asked Mr. Clyde. +</p> + +<p> +“I asked Miss Brown that at recess, and she looked queer and said, +‘None that we know of.’ But I heard of some cases in the Academy; +so I told Manny.” +</p> + +<p> +“Why Manny?” asked Mrs. Clyde. +</p> + +<p> +“He’s Chairman of the Committee on Milk, and the Bliss children +from our dairy go to the Academy.” +</p> + +<p> +“That explains why Maynard isn’t here, then,” said the +grandmother. “I suppose he’s gone out to the farm.” +</p> + +<p> +“Yes. He took the interurban trolley out, to make sure that they’d +be careful about keeping the children away from the dairy.” +</p> + +<p> +“Good team-work, Junkum,” approved the presiding officer. +</p> + +<p> +“And I asked Mary and Jim Bliss to come around to-morrow to see Dr. +Strong and have him look at their throats.” +</p> + +<p> +“You ought to be drawing a salary from the city, young lady,” said +the Health Master warmly. “You may have stopped a milk-route infection; +one of the hardest kind to trace down.” +</p> + +<p> +“They’re talking of closing school after to-morrow,” +concluded the girl. +</p> + +<p> +“The very worst thing they could do,” declared Dr. Strong. +</p> + +<p> +“The very best, I should think,” controverted Grandma Sharpless, +who never hesitated to take issue with any authority, pending elucidation of +the question under discussion. “If you group a lot of children close +together it stands to reason they’ll catch the disease from each +other.” +</p> + +<p> +“Not unless you group them too close. Arm’s length is the striking +distance of a contagious disease. <i>There’s</i> a truth for all of us to +remember all the time.” +</p> + +<p> +“If it <i>is</i> a truth,” challenged Mrs. Sharpless. “One of +the surest and one of the most important,” averred the Health Master. +“The only substance that carries the contagion of diphtheria or measles +is the mucus from the nose or throat of an infected person. As far as that can +be coughed or sneezed is the danger area. Of course, any article contaminated +with it is dangerous also. But a hygienically conducted schoolroom is as safe a +place as could be found. I’d like to run a school in time of epidemic. +I’d make it a distributing agency for health instead of disease.” +</p> + +<p> +“How would you manage that?” +</p> + +<p> +“By controlling and training the pupils hygienically. Don’t you see +that school attendance offers the one best chance of keeping track of such an +epidemic, among the very ones who are most liable to it, the children? +Diphtheria is contagious in the early stages, as soon as the throat begins to +get sore, and before the patient is really ill. Just now there is an +indeterminate number of children in every one of our schools who have incipient +diphtheria. What is the one important thing to do about them?” +</p> + +<p> +“Find out who they are,” said Julia quickly. “Exactly. If you +close school to-morrow and scatter the scholars far and wide in their homes, +how are we going to find out this essential fact? In their own homes, with no +one to watch their physical condition, they will go on developing the illness +unsuspected for days, maybe, and spread it about them in the process of +development. Whereas, if we keep them in school under a system of constant +inspection, we shall discover these cases and surround them with safeguards. +Why, if a fireman should throw dynamite into a burning house and scatter the +flaming material over several blocks, he’d be locked up as insane. Yet +here we propose to scatter the fire of contagion throughout the city. +It’s criminal idiocy!” +</p> + +<p> +“If we could only be sure of controlling it in the schools,” said +Grandma Sharpless, still doubtful. +</p> + +<p> +“At least we can do much toward it. As a matter of fact the best +authorities are very doubtful whether diphtheria is a ‘school +disease,’ anyway. There is more evidence, though not conclusive, that +measles is.” +</p> + +<p> +“Surely we don’t have to consider measles now, in the face of the +greater danger.” +</p> + +<p> +“Most emphatically we do. For one thing, it will increase the diphtheria +rate. A child weakened by measles is so much the more liable to catch any other +disease which may be rife. Besides, measles spreads so rapidly that it often +kills a greater total than more dangerous illnesses. We must prepare for a +double warfare.” +</p> + +<p> +“At the Public Health League meeting,” said Mr. Clyde, “the +objections to closing the schools came from those who feared that an official +acknowledgment that the city had an epidemic would hurt business.” +</p> + +<p> +“A viciously wrong reason for being right,” said the Health Master. +“By the way, I suppose that Dr. Mullins will be Acting Health Officer, +now that Merritt is unfortunately out of it. Merritt went to the hospital in +collapse after the session of the Board of Education at which he appeared, to +argue for keeping the schools open.” +</p> + +<p> +“No,” said Clyde. “We’ve blocked Mullins off. But +it’s the next step that is troubling me. What would you do, Strong, if +you were in control?” +</p> + +<p> +“Put a medical inspector in every school,” answered Dr. Strong +instantly. “Send home every child with the snuffles or an inflamed +throat. And send with him full warning and instructions to the parents. Have +daily inspection and instruction of all pupils.” +</p> + +<p> +“Can you make school children understand?” +</p> + +<p> +“Why not? It is merely a matter of telling them repeatedly: ‘Keep +your fingers and other objects away from your mouth and nose. Wash your hands +frequently. Brush your teeth and rinse your mouth well. And keep your distance. +Remember, that the striking distance of disease is arm’s length.’ +Then I would break class every hour, throw open every window, and march the +children around for five minutes. This for the sake of improved general +condition. Penalize the pupils for any violation of hygienic regulations. +Hygienic martial law for war-time.” +</p> + +<p> +“Good!” applauded Mr. Clyde. “So much for the schools. What +about the general public?” +</p> + +<p> +“Educate them to the necessity of watching for danger signals; the +running nose, the sore throat, the tiny pimples on the inside of the mouth or +cheek which are the first sign of measles. Above all, furnish free anti-toxin. +Make it free to all. This is no time to be higgling over pennies.” +</p> + +<p> +“I don’t like the principle of coddling our citizens by giving to +those who can afford to pay.” +</p> + +<p> +“Better coddled citizens than dead children. Unless you give out free +anti-toxin, physicians to families where every dollar counts will say, +‘Oh, it may not be diphtheria. We’ll wait and see, and maybe save +the extra dollars.’ Diphtheria doesn’t wait. It strikes. Then there +is the vitally important use of anti-toxin as a preventive. To render a whole +family immune, where there is exposure from a known case of diphtheria, is +expensive at the present rates, but is the most valuable expedient known. It is +so much easier to prevent than to cure.” +</p> + +<p> +“All right; I give in. What else?” +</p> + +<p> +“Education, education, education; always education of the public, till +the last flame is stamped out. Get the press, first; that is the most direct +and far-reaching agency. Then organize public meetings, lectures, addresses in +churches and Sunday schools, talks wherever you can get people together to +listen. That is what I’d do.” +</p> + +<p> +“Go ahead and do it, then.” +</p> + +<p> +“Easily said,” smiled the Health Master. “Who am I, to +practice what I preach?” +</p> + +<p> +“Provisional Health Officer of Worthington,” came the quick answer. +“I have the Mayor’s assurance that he will appoint you to-morrow if +you will take the job.” +</p> + +<p> +“I’ll do it,” said the Health Master, blinking a little with +the suddenness of the announcement, but speaking unhesitatingly, “on two +conditions: open schools and free anti-toxin.” +</p> + +<p> +“I’ll get that arranged with the Mayor. Meantime, you have +unlimited leave of absence as Chinese physician to the Clyde household.” +</p> + +<p> +“But the Household Protective Association will have to back me,” +said Dr. Strong, as the meeting broke up. “I can’t get along +without you.” +</p> + +<p> +Swiftly and terribly moves an epidemic, once it has gained headway. And silence +and concealment had fostered this onset from the first. Despite the best +efforts of the new Health Officer, within a week the streets of the city were +abloom with the malign flower of the scarlet for diphtheria and the yellow for +measles. +</p> + +<p> +“First we must find out where we stand,” Dr. Strong told his +subordinates; and, enlisting the services of the great body of +physicians,—there is no other class of men so trained and inspired to +altruistic public service as the medical profession,—he instituted a +house-to-house search for hidden or undiscovered cases. From the best among his +volunteers he chose a body of auxiliary school inspectors, one for every +school, whom he held to their daily régime with military rigor. +</p> + +<p> +“But my patients are dying while I am looking after a roomful of healthy +children,” objected one of them. +</p> + +<p> +“You can save twenty lives by early detection of the disease, in the time +it takes to save one by treatment,” retorted the disciplinarian. +“In war the individual must sometimes be sacrificed. And this is +war.” +</p> + +<p> +The one bright spot in the early days of the battle was Public School Number +Three which the twins and Bettina attended. The medical inspector who had this +assignment was young, intelligent, and an enthusiast. Backed by Dr. Strong, and +effectively aided by the Clyde children, he enforced a system which brought +prompt results. In every instance where a pupil was sent home under +suspicion,—and the first day’s inspection brought to light three +cases of incipient diphtheria, and fifteen which developed into measles, +besides a score of suspicious symptoms,—Julia, or Robin Clyde, or one of +the teachers went along to deliver printed instructions as to the defense of +the household, and to explain to the family the vital necessity of heeding the +regulations until such time as the physician could come and determine the +nature of the ailment. Within a week, amidst growing panic and peril, Number +Three was standing like an isle of safety. After that time, not a single new +case of either disease developed from exposure within its limits, and in only +two families represented in the school was there any spread of contagion. +</p> + +<p> +“It’s the following-up into the house that does it,” said Dr. +Strong, at an early morning meeting of the Household Protective Association (he +still insisted on occasional short sessions, in spite of the overwhelming +demands on his time and energies, on the ground that these were “the only +chances I get to feel the support of full understanding and sympathy”), +“that and the checking-up of the three carriers we found.” +</p> + +<p> +“What’s a carrier?” asked Bettina, who had an unquenchable +thirst for finding out things. +</p> + +<p> +“A carrier, Toodlekins, is a perfectly well person who has the germs of +disease in his throat. Why he doesn’t fall ill himself, we don’t +know. He can give the disease to another person just as well as if he were in +the worst stages of it himself. Every epidemic develops a number of carriers. +One of the greatest arguments for inspection is that it brings to light these +people, who constitute the most difficult and dangerous phase of infection, +because they go on spreading the disease without being suspected. Now, +I’ve got ours from Number Three quarantined. If I could catch every +carrier in town, I’d guarantee to be in control of the situation in three +weeks.” +</p> + +<p> +“Our reports show over twenty of them discovered and isolated,” +said Mrs. Clyde, who had turned her abounding energies to the organization of a +corps of visiting nurses. +</p> + +<p> +“Perhaps I’d better say something about carriers in my next +talk,” said Grandma Sharpless, whose natural gift as a ready and +convincing speaker, unsuspected by herself as well as her family until the +night when she had met and routed the itinerating quack on his own platform, +was now being turned to account in the campaign for short talks before Sunday +schools and club gatherings. +</p> + +<p> +“Develop it as part of the arm’s-length idea,” suggested the +Health Master. “Any person may be a carrier and therefore a peril on too +close contact. Tell ‘em that in words of one syllable.” +</p> + +<p> +“Never use any other kind when I mean it,” answered Mrs. Sharpless. +“What about that party at Mrs. Ellery’s, Manny?” +</p> + +<p> +“I’ve got that fixed,” replied Maynard Clyde, who had been +acting as general factotum for the household in its various lines of endeavor. +“Mrs. Ellery gave a party to our crowd Friday night,” he explained +to Dr. Strong, “and Monday one of the Ellery girls came down with +diphtheria.” +</p> + +<p> +“What have you done about it?” asked the Health Master. +</p> + +<p> +“Notified all the people who were there. That was easy. The trouble is +that a lot of the fellows have gone back to college since: to Hamilton, +Michigan, Wisconsin, Harvard, Columbia,—I suppose there were a dozen +colleges represented.” +</p> + +<p> +“And you think that’s too wide a field for the follow-up +system?” asked his father. +</p> + +<p> +“Why, no,” said the boy thoughtfully. “I figured that +starting a new epidemic would be worse than adding to an old one. So I went to +Mrs. Ellery and got a list of her guests, and I wrote to every college the +fellows have gone back to, and wrote to the fellows themselves. They probably +won’t thank me for it.” +</p> + +<p> +“They ought to give you a life-saving medal each,” declared Dr. +Strong. “As for the situation here”—his face +darkened—“we’re not making any general headway. The public +isn’t aroused, and it won’t be until we can get the newspapers to +take up the fight. The thing that discourages me is that they won’t help. +I don’t understand it.” +</p> + +<p> +“Don’t you? I do,” said Clyde grimly. “Their +advertisers won’t let ‘em print anything about it. As I told you in +the matter of closing the schools, business is frightened. The department +stores, theaters, and other big advertisers are afraid that the truth about the +epidemic would scare away trade. So they are compelling the papers to keep +quiet.” +</p> + +<p> +“Idiots!” cried Dr. Strong. “Suppressing news is like +suppressing gas. The longer you do it, the more violent the inevitable +explosion. But when I called on the editors, they didn’t say anything to +me about the advertising pressure. It was, ‘We should be glad to help in +any way, Dr. Strong. But an alarmist policy is not for the best interests of +Worthington; and the good of our community must always be the first +consideration.’—Bah! The variations I’ve heard on that +sickening theme today! The ‘Press,’ the ‘Clarion,’ the +‘Evening News,’ the ‘Telegram, the +‘Observer’—all of ‘em.” +</p> + +<p> +“You didn’t mention the ‘Star,’” said Grandma +Sharpless. +</p> + +<p> +“That rag? It’s against everything decent and for everything rotten +in this town,” said Clyde. +</p> + +<p> +“When I need a danger signal,” observed the old lady with her most +positive air, “I’ll wave any kind of rag. The ‘Star’ +has circulation.” +</p> + +<p> +“Yes,” admitted the Health Master, “and among the very class +we want to reach. But what’s the use?” +</p> + +<p> +“I don’t know,” said Mrs. Sharpless. “But I’m +going to find out.” +</p> + +<p> +One hour later she walked into the editorial sanctum of Mr. “Bart” +Snyder, editor, proprietor, and controlling mind of as “yellow” a +sheet as ever subsisted on a combination of enterprise, real journalistic +ability, and blackmail. Mr. Snyder sat in a perfect slump of apparent languor, +his body sagging back into his tilted chair, one foot across his desk, the +other trailing like a broken wing along the floor, his shrewd, lined face +uplifted at an acute angle with the cigar he was chewing, and his green hat +achieving the most rakish effect possible to a third slant. His brilliant gray +eyes were narrowed into a hard twinkle as he surveyed his visitor. +</p> + +<p> +“Siddown,” he grunted, and shoved a chair toward her with the +grounded foot. +</p> + +<p> +Grandma Sharpless did not “siddown.” Instead she marched over to a +spot directly in front of him, halted, and looked straight into the hard, +humorous face. +</p> + +<p> +“Bartholomew Snyder,” said she crisply, “I knew you when you +were a boy. I knew your mother, too. She was a decent woman. Take off that +hat.” +</p> + +<p> +The Snyder jaw fell so unpremeditatedly that the Snyder cigar dropped upon the +littered floor. One third of a second later, the Snyder foot descended upon it +(and it was a twenty-cent cigar, too) as the Snyder chair reverted to the +perpendicular, and the Snyder hat came off. The Snyder countenance quivered +into articulation and therefrom came a stunned, “Well, I’ll +be—” +</p> + +<p> +“No, you don’t! Not in <i>my</i> presence,” cut in his +visitor. “Now, you listen.” +</p> + +<p> +“I’m listening,” he assured her in a strangled murmur. +</p> + +<p> +She seated herself and threw a quality of rigidity into her backbone calculated +to impress if not actually to appeal. “I want your help,” she said. +</p> + +<p> +“Fine, fat way you’ve got of opening up a request for a +favor,” he retorted, recovering himself somewhat, and in a particularly +discouraging voice. But the shrewd old judge of human nature before him marked +the little pursing at the corners of the mouth. “I’ll bet I know +what it is.” +</p> + +<p> +“I’ll bet all the money I’ve got in the bank and my best gold +tooth thrown in you don’t,” was the prompt retort. +</p> + +<p> +“There’s a sporting proposition, all right,” cried the editor +in great admiration. “I thought you was going to ask me to let up on the +city administration now you’ve got one of the fat jobs in the family, +with your Dr. Strong.” +</p> + +<p> +“It’s a good thing you don’t have to make guesses for a +living,” returned his caller scornfully. “Pitch into the +administration as hard as you like. I don’t care. All I want is for you +to print the news about this diphtheria epidemic.” +</p> + +<p> +“Is that all?” There was a profound sardonicism in the final word. +</p> + +<p> +“Come to think of it, it isn’t. I want you to print some +editorials, too, telling people how to take care of themselves while the +disease is spreading.” +</p> + +<p> +“Anything more?” +</p> + +<p> +“Well, you might do the same thing about the measles epidemic.” +</p> + +<p> +“Harr-rr-rr!” It was a singular growl, not wholly compounded of +wrath and disgust. “Doc Strong send you here?” +</p> + +<p> +“No; he didn’t!” +</p> + +<p> +“Don’t bite me. I believe you.” +</p> + +<p> +“Will you publish some articles?” +</p> + +<p> +“Look-a-here, Mrs. Sharpless; the ‘Star’ is a business +proposition. Its business is to make money for me. That’s all it’s +here for. People say some pretty tough things about me and the paper. Well, +we’re pretty tough. We can stand ‘em. Let ‘em talk, so long +as I get the circulation and the advertising and the cash. Now, you want me to +print something for you. Come down to brass tacks; what is there in it for +me?” +</p> + +<p> +“A chance to be of some real use to your city for once in your +life,” answered Grandma Sharpless mildly. “Isn’t that +enough?” +</p> + +<p> +Bart Snyder threw back his head and laughed immoderately. “Say, I like +you,” he gurgled. “You’ve got nerve. Me a good Samaritan! +It’s so rich, I’m half a mind to go you, if it wasn’t for +losing the advertising. Wha’ d’ ye want me to say, anyway, just for +curiosity and cussedness?” +</p> + +<p> +“Just give the people plain talk,” explained the visitor. +“Talk to ‘em in your editorials as if you had ‘em by the +buttonhole. Say to them: ‘Do you want to get diphtheria? Well, you +don’t need to. It’s just as easy to avoid it as to have it. Are you +anxious to have measles in your house? It’s for you to decide. All you +need is to take reasonable care against it. Infectious disease only kills +foo—careless people.’” +</p> + +<p> +“Let it go at ‘fools,’” interjected Mr. Snyder, smiting +his thigh. “Go on.” +</p> + +<p> +“Then I’d give them simple, straight advice; tell them how to +recognize the early symptoms; how and where to get anti-toxin. And I’d +scare ‘em, too. I’d tell ‘em there are five thousand cases of +the two diseases in town, and there will be ten thousand in a week unless +something is done.” +</p> + +<p> +Up rose the editor-proprietor, kicked over his own chair, whirled Mrs. +Sharpless’s chair with its human burden to the desk, thrust a pencil into +her hand, and slapped down a pad before her. +</p> + +<p> +“Write it,” he adjured her. +</p> + +<p> +“Who? Me?” cried Mrs. Sharpless, her astonishment momentarily +overwhelming her grammar. “Bless you, man! I’m no writer.” +</p> + +<p> +“Talk it, then, and make your pencil take down the talk. I’ll be +back in a minute.” +</p> + +<p> +That minute stretched to a good half-hour, during which period Grandma +Sharpless talked to her pencil. When Mr. Snyder returned, he had with him a +mournful-looking man who, he explained occultly, “holds down our city +desk.” +</p> + +<p> +“This is our new Health Editor,” chuckled Snyder, indicating Mrs. +Sharpless. “How many cases did you say there were in town, +ma’am?” +</p> + +<p> +“Five thousand or more.” +</p> + +<p> +The city editor whistled whisperingly. “Where do you get that?” he +asked. +</p> + +<p> +“From Dr. Strong.” +</p> + +<p> +“That’s news,” said the desk man. “I didn’t +suppose it was half so bad. If only we dared print it!” +</p> + +<p> +“No other paper in town dares,” suggested the visitor +insinuatingly. +</p> + +<p> +“Makes it all the more news,” remarked Snyder. “What if we +played it up for a big feature, eh?” +</p> + +<p> +“Advertisers,” said the city editor significantly. +</p> + +<p> +“Let ‘em drop out. They’ll come back quick enough, when +we’ve shown up one or two and told why they quit us. And think of the +splash we can make! Only paper in the city that dares tell the truth. +We’ll rub that into our highly respectable rivals. I’ll make you a +proposition,” he added, turning to his caller. +</p> + +<p> +“Make it.” +</p> + +<p> +“You know I’ve hammered at Tom Clyde pretty hard. I don’t +cotton to that saintly, holier-than-thou reform bunch at all. Well, let Clyde +come into the ‘Star’ with a signed statement as President of the +Public Health League, and we’ll make it the basis of a campaign that will +rip this town wide open for a couple of weeks. I’d like to see him in my +paper, after all the roasting we’ve handed him.” And the malicious +face wrinkled into another grin. +</p> + +<p> +“You’ve bought a bargain,” stated Mrs. Sharpless. “The +statement will be ready to-night. And another from Dr. Strong for good +measure.” +</p> + +<p> +“Fine business!” ejaculated the “Star’s” owner. +“Not open to a reasonable offer in the newspaper game, are you?” he +added, laughing. “No? Well, I’m sorry.” +</p> + +<p> +“Would there be any use in my seeing the editors of the other +papers?” asked Mrs. Sharpless. +</p> + +<p> +“Watch them fall in line,” was the grim response. “Before +we’ve been out a day, they’ll be tumbling over each other to make +the dear, deluded public believe that they’re the real pioneers in saving +the city from the deadly germ.” +</p> + +<p> +“Well, here are my notes, if you can make anything out of them.” +</p> + +<p> +“Eh? Notes?” said the newspaper man, who had been glancing at the +sheets over Mrs. Sharp-less’s shoulder. “Oh—ah. Yes, of +course. All right. Glad to have metcher,” he added, politely ushering her +to the door. “I’ll send a reporter up for the statements at eight +o’clock.” +</p> + +<p> +“Thank you very much, Bartholomew Snyder,” said Grandma Sharpless, +shaking hands. +</p> + +<p> +“Not a bit of it! Thanks the other way. You’ve given me a good tip +in my own game. Watch me—us—wake ‘em up to-morrow.” +</p> + +<p> +Only the combined insistence of Grandma Sharpless and diplomacy of the Health +Master overrode Mr. Clyde’s angry objections to “going into that +filthy sheet” when the matter was broached to him that evening. For the +good of the cause he finally acceded. And next morning the “Star” +was a sight! It blazed in red captions. It squirmed and wriggled with +illustrations of alleged germs. It shrieked in stentorian headlines. If the +city had been beset by all the dogs of war, it couldn’t have blared more +martial defiance against the enemy. It held its competitors up to infinite +scorn and derision as mean-spirited shirks and cowards, and slathered itself +with fulsome praises as the only original prop of truth and righteousness. And, +as the centerpoint and core of all this, flaunted-the statement and signature +of the Honorable Thomas Clyde, President of the Worthington Public Health +League—with photograph. The face of Mr. Clyde, as he confronted this +outrage upon his sensibilities at the breakfast table, was gloom itself until +he turned to the editorial page. Then he emitted a whoop of glee. For there, +double-leaded and double-headed was a Health Column, by “Our Special +Writer, Grandma Sharpless, the Wisest Woman in Worthington. She will contribute +opinions and advice on the epidemic to the ‘Star’ +exclusively.” (Mr. Snyder had taken a chance with this latter statement.) +</p> + +<p> +“Let me see,” gasped the old lady, when her son-in-law made known +the cause of his mirth. Then, “They’ve published that stuff of mine +just as I wrote it. I didn’t dream it was for print.” +</p> + +<p> +“That’s what makes it so bully,” said the Health Master. +“You’ve got the editorial trick of confidential, convincing, +man-to-man talk down fine. What’s more, you’ll have to keep it up, +now. Your friend, Snyder, has fairly caught you. Well, we need an official +organ in the household.” +</p> + +<p> +Vowing that she couldn’t and wouldn’t do it, nevertheless the new +“editor” began to think of so many things that she wanted to say +that, each day, when a messenger arrived from the “Star” with a +polite request for “copy,” there was a telling column ready of the +Health Master’s wisdom, simplified and pointed by Grandma +Sharpless’s own pungent, crisp, vigorous, and homely style. Thanks +largely to this, the “Star” became the mouthpiece of an +anti-epidemic campaign which speedily enlisted the whole city. +</p> + +<p> +But the “yellow” was not to have the field to itself. Once the cat +was out of the bag, the other papers not only recognized it as a cat with great +uproar, but, so to speak, proceeded to tie a can to its tail and pelt it +through the streets of the city. As a matter of fact, no newspaper wishes to be +hampered in the publishing of legitimate news; and it was only by the sternest +threats of withdrawal of patronage that the large advertisers had hitherto +succeeded in coercing the press of Worthington. Further coercion was useless, +now that the facts had found their way into type. With great unanimity and an +enthusiasm none the less genuine for having been repressed, the papers rushed +into the breach. The “Clarion” organized an Anti-Infection League +of School Children, with officers and banners. The “Press” +“attended to” the recreant Dr. Mullins so fiercely that, +notwithstanding his pull, he resigned his position in the Health Department +because of “breakdown due to overwork in the course of his duties,” +and ceased to trouble, in official circles. Enterprising reporters of the +“Observer” caused the arrest of thirty-five trolley-car conductors +for moistening transfers with a licked thumb, and then got the street-car +company to issue a new form of transfer inscribed across the back, “Keep +me away from your Mouth.” It fell to the “Evening News” to +drive the common drinking-cup out of existence, after which it instituted +reforms in soda fountains, restaurants, and barber shops, while the +“Telegram” garnered great glory by interspersing the +inning-by-inning returns of the baseball championship with bits of counsel as +to how to avoid contagion in the theater, in the street, in travel, in banks, +at home, and in various other walks of life. But the “Star” held +foremost place, and clinched it with a Sunday “cut-out” to be worn +as a badge, inscribed “Hands Off, Please, Until It’s Over.” +All of which, while it sometimes verged upon the absurd, served the +fundamentally valuable purpose of keeping the public in mind of the peril of +contact with infected persons or articles. +</p> + +<p> +Slowly but decisively the public absorbed the lesson. “Arm’s +length” became a catch-phrase; a motto; a slogan. People came slowly to +comprehend the methods by which disease is spread and the principles of +self-protection. +</p> + +<p> +And as knowledge widened, the epidemic ebbed, though gradually. Serious +epidemics are not conquered or even perceptibly checked in a day. They are like +floods; dam them in one place and they break through your defenses in another. +Inexplicable outbreaks occur just when the tide seems to have turned. And when +victory does come, it may not be ascribable to any specific achievement of the +hygienic forces. The most that can be said is that the persevering combination +of effort has at last made itself felt. +</p> + +<p> +The red placards began to disappear; many of them, alas! only after the sable +symbol of death had appeared beneath them. Dr. Strong and his worn-out aides +found time to draw breath and reckon up their accounts in human life. The early +mortality had been terrific. Of the cases which had developed in the period of +suppression, before antitoxin was readily obtainable, more than a third had +died. +</p> + +<p> +“Nobody will ever be indicted for those murders,” said Dr. Strong +to Mr. Clyde grimly. “But we have the satisfaction of knowing what can +really be done by prompt work. Look at the figures after the free anti-toxin +was established.” +</p> + +<p> +There was a drop in the death rate, first to twenty per cent, then to ten, and, +in the ebb stage of the scourge, to well below five. +</p> + +<p> +“How many infections we’ve prevented by giving anti-toxin to +immunize exposed persons, there’s no telling,” continued Dr. +Strong. “That principle of starting a back-fire in +diphtheria,—it’s exactly like starting a back-fire in a prairie +conflagration,—by getting anti-toxin into the system in time to head off +the poison of the disease itself, is one of the two or three great achievements +of medical science. There isn’t an infected household in the city today, +I believe, where this hasn’t been done. The end is in sight.” +</p> + +<p> +“Then you can go away and get a few days’ rest,” said Grandma +Sharpless, who constituted herself the Health Master’s own health +guardian and undiplomaed medical adviser, and to whom he habitually rendered +meek obedience; for she had been watching with anxiety the haggard lines in his +face. +</p> + +<p> +“Not yet,” he returned. “Measles we still have with +us.” +</p> + +<p> +“Decreasing, though,” said Mrs. Clyde. “Our nurses report a +heavy drop in new cases and a big crop of convalescents.” +</p> + +<p> +“It is those convalescents that we must watch. I don’t want a +generation of deaf citizens growing up from this onset.” +</p> + +<p> +“But can you prevent it if the disease attacks the ears?” asked +Clyde. +</p> + +<p> +“Almost certainly. We’ve got to inspect every child who has or had +measles in this epidemic, and, where the ear-drum is shiny and concave, we will +puncture it, by a very simple operation, which saves serious trouble in ninety +per cent of the cases, at least. But it means constant watchfulness, for often +the infection progresses without pain.” +</p> + +<p> +“At the same time your inspectors will watch for other after-effects, +then,” suggested Mrs. Sharpless. +</p> + +<p> +“Exactly. It’s my own opinion that nearly all the serious diseases +of the eye, ear, liver, kidney, heart, and so on in early middle age are the +late remote effects of what we carelessly call the lesser diseases of +childhood. It is only a theory as yet; though some day I think it will be +proved. At any rate, we know that a serious and pretty definite percentage of +all deafness follows measles; and we are going to carry this thing through far +enough to prevent that sequel and to turn over a reasonably cleaned-up +situation to Dr. Merritt.” +</p> + +<p> +“He’s out of danger, by the way,” said Mrs. Clyde, “and +will be back at his desk in a fortnight.” +</p> + +<p> +“Well; he’ll have an easier job henceforth,” prophesied Mr. +Clyde. “He’s got an enlightened city to watch over. And he can +thank you for that, Strong.” +</p> + +<p> +“He can thank the Clyde family,” said Dr. Strong with feeling. +“I could have done little without you back of me.” +</p> + +<p> +“It’s been interesting to extend the principles of our Household +Protective Association to the larger world,” smiled Clyde. “Beyond +our own city, too, in one case. Manny has had a letter from the Professor of +Hygiene at Hamilton College, where he enters next year, thanking him on behalf +of the faculty for his warning about young Hyland who was exposed to diphtheria +at the Ellery party. He went back to Hamilton a few days after and was starting +in to play basketball, which would have been decidedly dangerous for his team +mates; but the authorities, after getting Manny’s letter, kept him out of +the gymnasium, and kept a watch on him. He developed the disease a week later; +but there has been no infection from him.” +</p> + +<p> +“There’s direct result,” approved Dr. Strong. +“That’s what I call spreading the gospel.” +</p> + +<p> +“Grandma’s our real revivalist, at that,” said Julia. +“The children at Number Three pay more attention to her column than they +do to what the teachers tell them. The principal told us that it was the +greatest educational force for health that Worthington had ever known.” +</p> + +<p> +“Only reflected wisdom from you, young man,” said Grandma Sharpless +to the Health Master. “Thank goodness, I’m through with it. +I’m so sick of it that I can’t look at writing materials without +wanting to cut the ink bottle’s throat with my penholder. Bart Snyder has +let me off. What’s more, he sent me a check for $250. Pretty handsome of +him. But I’m going to send it back.” +</p> + +<p> +“Why waste good money, grandma?” drawled Mr. Clyde. +</p> + +<p> +“You wouldn’t have me keep it, would you, for doing that +work?” +</p> + +<p> +“Who said anything about keeping it? But don’t feed it back to Bart +Snyder. Why not contribute it to the Public Health League? It’s always +got a handsome deficit.” +</p> + +<p> +“In graceful recognition of my having a son-inlaw as president of it, I +suppose.” +</p> + +<p> +“I’m not president any more. My term was up last night. They +didn’t honor me with a reelection,” said Mr. Clyde, with a rather +too obvious glumness, which, for once, escaped the sharp old lady. +</p> + +<p> +“The slinkums!” she cried. “After all the time and work +you’ve given to it!” +</p> + +<p> +“Well,” said the ex-incumbent philosophically, “there’s +one comfort. They’ve put a better man in my place.” +</p> + +<p> +“No such a thing,” declared his mother-in-law, with vehement +partisanship. “They couldn’t find one. Who was it?” +</p> + +<p> +“Give you one guess.” +</p> + +<p> +“Was it you, young man?” queried she, fixing the Health Master with +a baleful eye. +</p> + +<p> +“Oh, no; a better man than I,” he hastened to assure her. +</p> + +<p> +“Well, in the name of sakes, who, then?” +</p> + +<p> +“You,” said Mr. Clyde, grabbing the old lady by both shoulders and +giving her a vigorous kiss. “Unanimously elected amidst an uproar of +enthusiasm, as the ‘Star’ puts it. Here it is, on the first column +of the front page.” +</p> + +<p> +For the first time in the history of the Clyde household, the senior member +thereof gave way to an unbridled license of speech, in the presence of the +family. +</p> + +<p> +“Well, I vum!” said Grandma Sharpless. +</p> + +</div><!--end chapter--> + +<div class="chapter"> + +<h2><a name="chap12"></a>XII.<br /> +PLAIN TALK</h2> + +<p class="pfirst"> +<span class="dropcap" style="font-size: 4.00em">“W</span>hat do you find +so interesting in that paper, Strong?” asked Mr. Thomas Clyde, from his +place in the corner of the big living-room. +</p> + +<p> +Dinner was just finished in the Clyde household, and the elders were sitting +about, enjoying the easy and intermittent talk which had become a feature of +the day since the Health Master had joined the family. From outside, the play +of lively voices, above the harmonized undertones of a strummed guitar, told +how the children were employing the after-dinner hour. Dr. Strong let the +evening paper drop on his knees. +</p> + +<p> +“Something that has set me thinking,” he said. +</p> + +<p> +“Don’t you ever give that restless mind of yours a vacation, young +man?” inquired Grandma Sharpless, looking up from her game of solitaire. +</p> + +<p> +“All that is good for it. Perhaps you’d like to share this problem, +and thus relieve me of part of the responsibility.” +</p> + +<p> +“Do go on, if you’ve found anything exciting,” besought Mrs. +Clyde, glancing up with her swift, interrogating smile. “The paper seemed +unusually dull to me.” +</p> + +<p> +“Because you didn’t read quite deep enough into it, +possibly.” He raised the journal, folded it neatly to a half-page, and +holding it before his eyes, began smoothly:— +</p> + +<p> +“Far, far away, as far as your conscience will let you believe, in the +Land of Parables—” +</p> + +<p> +“Wait a minute,” interrupted Mr. Clyde. “That ‘Land of +Parables’ sounds as if we were going to have some Improving +Information.” He regarded his friend and adviser with a twinkling eye. +“Ought the children to miss this?” +</p> + +<p> +“That is for you to decide later,” said the Health Master gravely. +And he resumed:— +</p> + +<p> +“Far, far away, as far as conscience will let you believe, in the Land of +Parables, there once stood a prosperous and self-contented city. Men lived +therein by rule and rote. Only what their fathers before them had believed and +received did they believe and receive. ‘As it hath been, so it is now and +ever must and shall be,’ was the principle whereby their lives were +governed. Therefore they endured, without hope as without complaint, the +depredations of a hideous Monster who preyed upon them unceasingly. +</p> + +<p> +“So loathsome was this Monster that the very thought of him was held to +taint the soul. His name was sealed away from the common speech. Only the +boldest men spoke of him, and then in paraphrases and by circumlocutions. +Fouled, indeed, was the fame of the woman who dared so much as confess to a +knowledge of his existence. +</p> + +<p> +“From time to time the wise and strong men of the city banded together +and sallied forth to drive back other creatures of prey as they pressed too +hard upon the people. Not so with the Monster. Because of the ban of silence no +plan could be mooted, no campaign formulated to check his inroads. So he grew +great and ever greater, and his blood hunger fierce and ever more fierce, and +his scarlet trail wound in and out among the homes of the people, manifest even +to those eyes which most sedulously sought to blind themselves against it. +</p> + +<p> +“Seldom did the Monster slay outright. But where his claws clutched or +his fangs pierced, a slow venom crept through the veins, and life was corroded +at its very wellsprings. Nor was this the worst. Once the blight fell upon one +member of a household, it might corrupt, by hidden and subtle ways, the others +and innocent, who knew not of the curse overhanging them. +</p> + +<p> +“Upon the foolish, the reckless, and the erring the Monster most readily +fastened himself. But man nor woman nor child was exempt. Necessity drove young +girls, struggling and shuddering, into the Monster’s very jaws. The +purity of a child or of a Galahad could not always save from the serpent-stroke +which sped from out the darkness.” +</p> + +<p> +“One moment, Strong,” broke in Mr. Clyde. “You’ve read +this before?” +</p> + +<p> +“I know what is in it, if that is what you mean. Why?” +</p> + +<p> +“Nothing,” hesitated the other, glancing toward his wife and her +mother. “Only, I suspect it isn’t going to be pleasant.” +</p> + +<p> +“It isn’t pleasant. It’s true.” +</p> + +<p> +Grandma Sharpless laid down her cards. “Let him go on, Tom,” she +said decisively. “We have no ban of silence in this house.” +</p> + +<p> +At a nod from Clyde, the Health Master continued:— +</p> + +<p> +“Always the taboo of silence hedged the Monster about and protected him; +and men secretly revolted against it, yet were restrained from speech by the +fear of public dishonor. So, in time, he came to have a Scarlet Court of Shame, +with his retinue of slaves, whose duty it was to procure victims for his +insatiate appetite. But this service availed his servitors nothing in +forbearance, for, sooner or later, his breath of fiery venom blasted and +withered them, one and all. +</p> + +<p> +“One refuge only did the people seek against the Monster. At every +doorpost of the city stood a veiled statue of the supposed Goddess and +Protectress of the Household, worshiped under the name of <i>Modesty</i>, and +to her the people appealed for succor and protection. Also they invoked her +vengeance against such as spoke the name of the Monster, and bitter were the +penalties wrought upon these in her name. Nevertheless there arose martyrs +whose tongues could not be silenced by any fear. +</p> + +<p> +“One was a brave priest who stood in his pulpit unashamed and spoke the +terrible truth of the Monster, bidding his hearers arise and band themselves +together and strike a blow for their homes and their dear ones. But the people +hurried forth in dread, and sought refuge before the Veiled Idol; and the +priest’s words rang hollow in the empty tabernacle; and his church was +deserted and crumbled away in neglect, so that the fearful said:— +</p> + +<p> +“‘Behold the righteous wrath which follows the breaking of the +prescribed silence.’ +</p> + +<p> +“Again, a learned and pious physician and healer gathered the young men +about him in the marketplace to give them solemn warning against the Monster +and his scarlet slaves. But his words returned upon himself, and he was branded +with shame as one who worshiped not the Veiled Goddess, and was presently +driven forth from his own place into the wilderness. +</p> + +<p> +“Then there came into the hall of the City Fathers a woman with +disheveled hair and tear-worn cheeks, who beat upon her breast and +cried:—“‘Vengeance, O Wise and Great Ones! My son, my little +son went to the public baths, and the venom of the Monster was upon the waters, +and my son is blind forever. What will ye do, that others may not suffer my +grief?’ +</p> + +<p> +“And the Wise and Great Ones spoke together and said:— +</p> + +<p> +“‘Surely this woman is mad, that she thus fouls her lips.’ +And they drove her out of their presence. +</p> + +<p> +“From among their own number there came a terror and a portent. For their +Leader, who had been stricken in youth, but thought himself to have thrown off +the toils of the Monster, rose in his place and spoke in a voice that piped and +shook:— +</p> + +<p> +“‘Because no man taught me in my unripe days, I strayed into the +paths of the Scarlet One. For the space of a generation I hoped; but now the +clutch is upon me again, and I die. See to it, O my Fellows, that our youth no +longer perish in their ignorance.’ +</p> + +<p> +“So he passed out from the place of honor; and the strength of his mind +and his body was loosened until he died. But, rather than violate the taboo, +the Wise and Great Ones gave a false name to his death, and he was buried under +a graven lie. +</p> + +<p> +“Finally there came to the Council Hall one with the fire of martyrdom in +his eyes. +</p> + +<p> +“‘Though I perish,’ he said, ‘I and mine, yet will I +speak the truth for once. My daughter I have given in marriage, and the Monster +has entered into the house of her marriage, and from henceforth she must go, a +maimed creature, sexless and childless, to the end of her days. Shame upon this +city, that it endures such shame; for my daughter is but one of many.’ +</p> + +<p> +“‘The shame be yours,’ replied the Fathers, ‘that you +bring scandal upon your own. Go forth into exile, in the name of the Veiled +Goddess, <i>Modesty</i>, beneath whose statue we meet.’ +</p> + +<p> +“But the man strode forward, and with a violent hand plucked the veil +from the statue. +</p> + +<p> +“‘Not the Protectress of Homes,’ he cried, ‘but the +ally of the Monster. Not the Goddess, <i>Modesty</i>, but her sham sister, +<i>Prudery</i>. Down with false gods!’ +</p> + +<p> +“So saying, he threw the idol to the ground, where it was shattered into +a thousand pieces. With those pieces the Fathers stoned him to death. +</p> + +<p> +“But in many households that night there was a baring of the Veiled Idol. +And ever, behind the folds, was revealed not the pure gaze of the True Goddess, +but the simper and leer of <i>Prudery</i>, mute accomplice of <i>Shame</i>. +</p> + +<p> +“Thus did the city awake. Fearfully it gathered its forces; tremblingly +it prepared its war upon the Monster. But the Monster is intrenched. Its venom +runs through the blood of the people, poisoning it from generation to +generation, so that neither the grandsons nor the great-grandsons of those who +stoned the martyr to the False Goddess shall escape the curse. The Prophet has +said it: ‘Even unto the third and the fourth generations.’ +</p> + +<p> +“<i>De te fabula narratur</i>; of you is the fable narrated. +</p> + +<p> +“The Land of Parables is your country. +</p> + +<p> +“The stricken city is your city. +</p> + +<p> +“The Monster coils at your doorway, lying in wait for your loved ones; +and no prudence, no precaution, no virtue can guard them safely against his +venom so long as the Silence of Prudery holds sway.” +</p> + +<p> +Dr. Strong let the newspaper fall on his lap, and looked slowly from face to +face of the silent little group. +</p> + +<p> +“Need I tell you the name of the destroyer?” he asked. +</p> + +<p> +“Not me,” said Mrs. Clyde in a low tone. “It is a two-headed +monster, isn’t it?” +</p> + +<p> +The Health Master nodded. “And because we all fear to utter the words +‘venereal disease,’ our children grow up in the peril of the +Monster whose two allies are Vice and Ignorance.” +</p> + +<p> +“One editor in this town, at least, has some gumption,” commented +Grandma Sharpless, peering over her spectacles at the sheet which Dr. Strong +had let fall. “Which paper is it?” +</p> + +<p> +“None, if you must know. The fact is, I read that allegory into the +newspaper, not out of it.” +</p> + +<p> +“Then it was your own?” asked Mrs. Clyde. “Such as it is, +mine own. But the inspiration came from this headline.” He pointed to a +legend in heavy type:— +</p> + +<p class="center"> +<big><big>DIVORCE IN THE INSIDE SET</big></big><br /> +<br /> +AFTER SEX MONTHS OF MARRIAGE, MRS. BARTLEY STARR SEEKS FREEDOM—NATURE OF +CHARGES NOT MADE PUBLIC +</p> + +<p> +“Do you know what is back of it, Strong?” asked Clyde. +</p> + +<p> +“The ruin of a life. Bartley Starr has been a ‘rounder.’ With +the curse of his vices upon him he married a young and untaught girl.” He +repeated with slow significance a passage from the allegory. “The Monster +entered into the house of her marriage, and from henceforth she must go, a +maimed creature, sexless and childless, to the end of her days.” +</p> + +<p> +“Oh, no, no!” burst out Mrs. Clyde. “Not poor little, lovely, +innocent Margaret Starr!” +</p> + +<p> +“Too innocent,” retorted the Health Master. “And more than +innocent; ignorant.” +</p> + +<p> +“But Bartley Starr!” said Mr. Clyde. “Who would have supposed +him such a scoundrel? And with his bringing-up, too!” +</p> + +<p> +“The explanation lies in his bringing-up.” +</p> + +<p> +“Nonsense! Henry Starr is as upright a man and as good a father as you +can find in Worthington.” +</p> + +<p> +“The former, perhaps. Not the latter, certainly. He is a worshiper of the +False Veiled Goddess, I suspect. Hence Bartley’s tragedy.” +</p> + +<p> +“Do you blame Bartley’s viciousness upon his father?” +demanded Mrs. Clyde. +</p> + +<p> +“In part, at least. I happen to know a good deal about this case. Bartley +got his sex-education or miseducation from chance talk at school. He took that +to college with him, and there, unguided, fell into vicious ways. I don’t +suppose his father ever had a frank talk with him in his life. And I judge that +little Mrs. Starr’s mother never had one with her, either. Look at the +result!” +</p> + +<p> +“But boys find out about such things some way,” said Mr. Clyde +uneasily. +</p> + +<p> +“Some way? What way? And from whom? How much has Manny found out?” +</p> + +<p> +“I don’t know,” said Manny’s father. +</p> + +<p> +“Why don’t you know?” persisted the Health Master +relentlessly. “You are his father, and, what is more, his friend.” +</p> + +<p> +“Why must Manny know?” cried Mrs. Clyde. “Surely my son +isn’t going to wallow in that sort of foulness.” +</p> + +<p> +“Pray God he is not!” said Grandma Sharpless, turning her old, +shrewd, kind face, the eyes bright and soft with feeling, toward her daughter. +“But, oh, my dear, my dear, the bitterest lesson we mothers have to learn +is that our children are of the common flesh and blood of humanity.” +</p> + +<p> +“Manny is clean-minded and high-spirited,” said Strong. “But +not all of his companions are. Not a month ago I heard one of the older boys in +his class assuring some of his fellows, in the terms of the most damnable lie +that ever helped to corrupt youth, ‘Why, it ain’t any worse than an +ordinary cold.’” +</p> + +<p> +“That was a stock phrase of the young toughs when I was a boy,” +said Mr. Clyde. “So it still persists, does it?” +</p> + +<p> +“Any worse than an ordinary cold?” repeated Mrs. Clyde, looking +puzzled. “What did he mean?” +</p> + +<p> +“Gonorrhoea,” said Dr. Strong. +</p> + +<p> +Mrs. Clyde winced back and half-rose from her chair. +</p> + +<p> +“Are you going?” asked the Health Master rather ‘grimly. +“Must I be mealy-mouthed on this subject? Here I am, trying to tell you +something of the most deadly import, and am I to choose perfumed words and pick +rose-tinted phrases?” +</p> + +<p> +“Speak out, Strong,” said the head of the house. “I’ve +been rather expecting this.” +</p> + +<p> +“First, then: you need not worry about Manny. I talked to him, long +ago.” +</p> + +<p> +“But he’s only a boy, still,” said Mrs. Sharpless +involuntarily. +</p> + +<p> +“He enters college this fall. And I’ve made sure that he +won’t take with him the ‘no worse than a cold’ superstition +about a disease which has wrecked the lives of thousands of Bartley +Starrs.” +</p> + +<p> +“But I thought that Starr’s was the—the other and worse +form,” said Mr. Clyde. +</p> + +<p> +“Plain talk,” adjured the Health Master. “You thought it was +syphilis?” +</p> + +<p> +“Yes.” +</p> + +<p> +“And you thought syphilis worse than gonorrhoea?” +</p> + +<p> +“Surely!” +</p> + +<p> +“Well, it isn’t. I’ll explain that in detail presently. Just +now—” +</p> + +<p> +“Do I have to hear all of this,” appealed Mrs. Clyde, with a face +of piteous disgust. +</p> + +<p> +“Well, <i>I</i> told Manny,” said the Health Master in measured +tones. “Must I be the one to tell Julia, too?” +</p> + +<p> +“Julia!” cried the mother. “Tell Julia?” +</p> + +<p> +“Some one must tell her.” +</p> + +<p> +“That child?” +</p> + +<p> +“Fourteen years old, and in high school. Last year there were ten known +cases of venereal disease among the high-school girls.”<a href="#fn3" name="fnref3" id="fnref3"><sup>[3]</sup></a> +</p> + +<p class="footnote"> +<a name="fn3" id="fn3"></a> <a href="#fnref3">[3]</a> +These and the following instances are based on actual and established medical +findings. +</p> + +<p> +“How horrible!” +</p> + +<p> +“Bad enough. I have known worse elsewhere. In a certain small city +school, several years ago, it was discovered that there was an epidemic of vice +which involved practically the whole school. And it was discovered only when +venereal disease broke out. Our school authorities are just beginning to learn +that immorality must be combated by watchfulness and quarantine, just as +contagious disease must.” +</p> + +<p> +“How was the outbreak in our high school found out?” asked Grandma +Sharpless. +</p> + +<p> +“In a curious and tragic way. One of the boys developed a sudden and +serious inflammation of the eyes. At first the ophthalmologist to whom he went +was puzzled. Then he began to suspect. A bateriological analysis showed that it +was a case of gonorrhoeal infection. It was by a hair’s breadth that the +less infected eye was saved. The sight of the other is lost. Examination showed +that the disease was confined to the eyes. By a careful bit of medical +detective work, the physician and the principal of the high school determined +that the infection came from the use of a bath-towel in the house of a +fellow-pupil where the patient had spent two or three nights. This pupil was +examined and found to have a fully developed case, which he had concealed, in +fear of disgrace. Consequently, the poison is now so deep-seated in him that it +may be years before he is cured. He made a confession implicating a girl in the +class above him. A rigid investigation followed which brought the other cases +to light.” +</p> + +<p> +“I shall take Julia out of that school at once,” said Mrs. Clyde, +half-crying. +</p> + +<p> +“No,” controverted the Health Master gently. “I +shouldn’t do that. In the complex life of a city like this, it is +impossible to shelter a girl completely and permanently. Better armor her with +knowledge. Besides, the danger in the school, being discovered, is practically +over now. In time, and using this experience as a lever with the school +authorities, we hope to get a course of lectures on hygiene established, +including simple sex-instruction. Meantime this must be carried on by the +mothers and fathers.” +</p> + +<p> +“But what am I to say to Julia?” +</p> + +<p> +“That is what I am going to tell you,” replied the Health Master, +“and look to you to pass on the truth in terms too plain to admit of any +misunderstanding. First, does she know what womanhood and motherhood +mean?” +</p> + +<p> +“Not yet, I think. She seems so young. And it’s so hard to speak of +those things. But I thought I would try to explain to her some day.” +</p> + +<p> +“Some day? At once! How can you think her too young? She has already +undergone the vital change from childhood to womanhood, and without so much as +a word of warning or reassurance or explanation as to what it means.” +</p> + +<p> +“Not quite without,” put in Grandma Sharpless quietly. +</p> + +<p> +“Good!” approved the Health Master. “But be sure that the +explanation is thorough. Tell her the significance of sex and its relation to +reproduction and life. If you don’t, be sure that others will. And their +version may well be in terms which would make a mother shudder to hear.” +</p> + +<p> +“Who would tell her?” asked Mrs. Clyde. +</p> + +<p> +“Her playmates. Do you think that girls don’t talk of the mysteries +as much as boys? If so, you’re sadly in error. The first essential is +that she should understand truly and wisely what it means to be a woman. That +is fundamental. And now for the matter of venereal disease. I am going to lay +certain facts before you all, and you can hand on to the children such +modifications as you deem best. +</p> + +<p> +“First, gonorrhoea, because it is the worse of the two. That is not the +accepted notion, I know: but the leading specialists one by one have come +around to the view, that, by and large, it does more damage to humanity than +the more greatly dreaded syphilis. For one thing, it is much more widespread. +While there are no accurate statistics covering the field in general, it is +fairly certain that forty per cent of all men over thirty-five in our larger +cities have had the disease at some time.” +</p> + +<p> +“That doesn’t seem possible,” broke in Mr. Clyde. +</p> + +<p> +“Not to you, because you married early, and your associations have been +largely with family, home-loving men. But ask any one of the traveling salesmen +in your factory his view. Your traveling man is the Ulysses of modern life, +‘knowing cities and the hearts of men.’ I think that you’ll +find that compared with the ‘commercial’ view, my forty per cent is +optimistic.” +</p> + +<p> +“But it is easily curable, isn’t it?” asked Mrs. Clyde, +insensibly yielding to the Health Master’s matter-of-fact tone, and +finding, almost insensibly, that her interest in the hygienic problem had +overcome her shamed reluctance to speak of it. +</p> + +<p> +“Often in the early stages. But it is very uncertain. And once firmly +fixed on the victim, it is one of the most obstinate and treacherous of +diseases. It may lie dormant for months or even years, deceiving its victim +into thinking himself wholly cured, only to break out again in full +conflagration, without warning. +</p> + +<p> +“This is the history of many ruined marriages. Only by the most searching +tests can a physician make certain that the infection is stamped out. Probably +no disease receives, on the average, such harmful treatment by those who are +appealed to to cure it. The reason for this is that the young man with his +first ‘dose’—that loathsome, light term of +description!—is ashamed to go to his family physician, and so takes +worthless patent medicines or falls into the hands of some ‘Men’s +Specialist’ who advertises a ‘sure cure’ in the papers. These +charlatans make their money, not by skillful and scientific treatment, of which +they know nothing, nor by seeking to effect a cure, but by actually nourishing +the flame of the disease, so as to keep the patient under their care as long as +possible, all the time building up fat fees for themselves. If they were able, +as they claim, to stop the infection in a few days at a small fee, they +couldn’t make money enough to pay for the scoundrelly lies which +constitute their advertisements. While they are collecting their long-extended +payments from the victim, the infection is spreading and extending its roots +more and more deeply, until the unfortunate may be ruined for life, or even +actually killed by the ravages of the malignant germs.” +</p> + +<p> +“I didn’t suppose that it was ever fatal,” said Clyde. +</p> + +<p> +“Oh, yes. I’ve seen deaths in hospitals, of the most +agonizing’ kind. But it is by virtue of its byproducts, so to speak, that +gonorrhoea is most injurious and is really more baneful to the race than +syphilis. The organism which causes it is in a high degree destructive to the +eyes. Newborn infants are very frequently infected in this way by gonorrhoeal +mothers. Probably a quarter of all permanent blindness in this country is +caused by gonorrhoea. The effect of the disease upon women is disastrous. Half +of all abdominal operations on married women, excluding appendicitis, are the +results of gonorrhoeal infection from their husbands. A large proportion of +sterility arises from this cause. A large proportion of the wives of men in +whom the infection has not been wholly eradicated pay the penalty in +permanently undermined health. And yet the superstition endures that +‘it’s no worse than a bad cold.’” +</p> + +<p> +“There is no such superstition about syphilis, at least,” remarked +Clyde. +</p> + +<p> +“No. The very name is a portent of terror, and it is well that it should +be so. The consequence is that the man who finds himself afflicted takes no +chances, as a rule. He goes straight to the best physician he can find, and +obeys orders under terror of his life. Thus and thus only, he often is cured. +Terrible as syphilis is, there is this redeeming feature: we can tell pretty +accurately when the organism which causes it is eliminated. Years after the +disease itself is cured, however, the victim may be stricken down by the most +terrible form of paralysis, resulting from it.” +</p> + +<p> +“Isn’t the Ehrlich treatment regarded as a sure cure?” asked +Mrs. Sharpless. +</p> + +<p> +“No cure is sure. Salvarsan, skillfully administered, is as near a +specific as any known form of treatment. But we don’t know whether it has +any effect at all upon locomotor ataxia or general paralysis, the after +effects, which may destroy the patient fifteen or twenty years after the actual +disease has been cured. All locomotor ataxia and all general paralysis come +from syphilis. And these diseases are not only incurable, but are as nearly a +hell on earth as poor humanity is ever called upon to endure. Of course, you +know that a man who is base enough to marry with syphilis dooms his children. +Fortunately seventy-five or eighty per cent of the offspring of such marriages +die in infancy or early childhood. The rest grow up deficient in mind or body +or both. Upwards of ten per cent of all insanity is syphilitic in its origin. +</p> + +<p> +“Both venereal diseases are terribly contagious. Innocence is no +protection. Syphilis may be contracted from a drinking-cup or eating-utensil, +or from the lips of an infected person having an open sore on the mouth. +Gonorrhoea is spread by towels, by bathtubs, or from contaminated toilets. No +person, however careful, is immune from either of the ‘red +plagues.’ And yet the public is just beginning to be educated to the +peril.” +</p> + +<p> +“Why wouldn’t that be a good topic for the Woman’s Club to +discuss?” asked Grandma Sharpless. +</p> + +<p> +“Splendid!” said Dr. Strong. “That is, if they would allow +you to talk about it.” +</p> + +<p> +“<i>Allow</i> me!” The old lady’s firm chin tilted up +sharply. “Who’s going to put the ban of silence on me?” +</p> + +<p> +“Nobody, I dare say, if you make up your mind to speak,” replied +Dr. Strong, smiling. “But some will probably try. Would you believe that, +only a short time since, a professor of hygiene in one of our leading +universities had to abandon a course of lectures to the students because the +wives of the faculty and trustees objected to his including venereal diseases +in his course? And a well-known lecturer, who had been invited to speak on +health protection before a list of colleges, suffered the indignity of having +the invitation withdrawn because he insisted that he could not cover the ground +without warning his hearers against the twin pestilences of vice.” +</p> + +<p> +“Are the colleges so greatly in need of that sort of warning?” +asked Mrs. Clyde. +</p> + +<p> +“Subsequent records obtained from some of the protesting institutions +showed that one third of the students had at some time been infected.” +</p> + +<p> +“I’m glad you’ve told my boy,” said Mrs. Clyde, rising. +“I’ll talk to my girls.” +</p> + +<p> +“And I to the women,” said Mrs. Sharpless. “Then I’d +better make a list, for both of you, of the literature on the subject which you +will find useful,” said the Health Master. “I’ll give it to +you later.”<a href="#fn4" name="fnref4" id="fnref4"><sup>[4]</sup></a> +</p> + +<p class="footnote"> +<a name="fn4" id="fn4"></a> <a href="#fnref4">[4]</a> +The list of publications on the sex problem and venereal disease recommended +by the Health Master to the Clyde family was as follows:— + +Published by the California Social Hygiene Society, Room 256, U.S. Custom +House, San Francisco, Calif.: The Four Sex Lies, When and How to Tell the +Children, A Plain Talk with Girls about their Health and Physical Development. +Published by the Detroit Society for Sex Hygiene, Wayne Co. Medical Society +Building, Detroit, Mich.: To the Girl who does not Know, A Plain Talk with +Boys. Published by the Chicago Society of Social Hygiene, 305 Reliance +Building, Chicago, Ill: Self Protection, Family Protection, Community +Protection. Published by the Maryland Society for Social Hygiene, 15 East +Pleasant Street, Baltimore, Md.: The So- Called Sexual Necessity in Man, The +Venereal Diseases. Published by the American Federation for Sex Hygiene, 105 +West 40th St., N.Y. City: List of Publications of the Constituent Societies, +The Teaching of Sex Hygiene, Sex Instruction as a Phase of Social Education. +Published by the Society of Sanitary and Moral Prophylaxis: The Sex Problem, +Health and the Hygiene of Sex. +</p> + +<p> +For a time after the women had left, the two men sat silent. +</p> + +<p> +“Strong,” said Mr. Clyde presently, “who is Bartley +Starr’s physician?” +</p> + +<p> +“Dr. Emery.” +</p> + +<p> +“Why didn’t he warn him not to marry?” +</p> + +<p> +“He did. He positively forbade it.” +</p> + +<p> +“And Starr married that young girl in the face of that +prohibition?” +</p> + +<p> +“He thought he was cured. Dr. Emery couldn’t say positively that he +wasn’t. He could only beg him to wait another year. Starr hadn’t +the courage—or the principle; he feared scandal if he postponed the +wedding. So he disregarded the warning and now the scandal is upon him with +tenfold weight.” +</p> + +<p> +“Isn’t there any law for such cases?” +</p> + +<p> +“Not in this state. Indiana requires that parties to a marriage swear to +their freedom from venereal disease and certain other ailments. Other states +have followed suit. Every state ought to.” +</p> + +<p> +“Why didn’t Dr. Emery go to the girl’s father, then?” +</p> + +<p> +“Because of our damnable law,” returned the Health Master with a +sudden and rare access of bitterness. +</p> + +<p> +“You mean that the law forbids?” +</p> + +<p> +“It holds the physician liable for any professional confidence +violated.” Dr. Strong rose and paced up and down the room, talking with +repressed energy. “Therein it follows medical ethics in its most +conservative and baneful phase. The code of medical conduct provides that a +physician is bound to keep secret all the private affairs of a patient, learned +in the course of practice. One body, the American Institute of Homoeopathy, has +wisely amended its code to except those cases where ‘harm to others may +result.’ That amendment was passed with particular reference to venereal +disease.” +</p> + +<p> +“What about contagious disease?” asked Mr. Clyde. +“Doesn’t the law require the physician to report diphtheria, for +instance, and thus violate the patient’s confidence?” +</p> + +<p> +“Certainly it does. All schools recognize that principle of protection to +the public. Yet, in the case of syphilis or gonorrhoea, when the harm to the +public health is far greater than from any ‘reportable’ disease +except tuberculosis, the physician must hold his peace, though he sees his +patient pass out of his hands bearing fire and sword and poison to future +generations. There’s the Ban of Silence in its most diabolical +form!” +</p> + +<p> +Mr. Clyde regarded his household physician keenly. “I’ve never +before seen you so stirred,” he observed. +</p> + +<p> +“I’ve reason to be stirred.” The Health Master whirled +suddenly upon his friend and employer. “Clyde, you’ve never +questioned me as to my past.” +</p> + +<p> +“No.” +</p> + +<p> +“Have you never wanted it cleared up?” +</p> + +<p> +“No.” +</p> + +<p> +“You’ve always been willing to take me on trust?” +</p> + +<p> +“Yes.” +</p> + +<p> +“And I appreciate it. But now I’m going to tell you how I happened +to come to you, a broken and ruined man.” +</p> + +<p> +“Think it over, Strong,” advised Mr. Clyde. “Don’t +speak now. Not that it would make any difference to me. I know you. If you were +to tell me that you had committed homicide, I’d believe that it was a +necessary and justifiable homicide.” +</p> + +<p> +“Suicide, rather,” returned the other with a mirthless laugh; +“professional suicide. I’ll speak now, if you don’t +object.” +</p> + +<p> +“Go ahead, then, if it will ease your mind.” +</p> + +<p> +“I’m a lawbreaker, Clyde. I did, years ago, what you thought Emery +should have done. I deliberately violated the profession’s Ban of +Silence. The man was my patient, in the city where I had built up a good +high-class practice. He had contracted gonorrhoea and I had treated him for a +year. The infection seemed to be rooted out. But I knew the danger, and when he +told me that he was engaged to be married, to a girl of my own set and a valued +friend, I was horror-stricken. I pleaded, argued, and finally threatened. It +was no use. He was the spoiled child of a wealthy family, impatient of any +thwarting. One day the suspicions of the girl’s mother were aroused. She +came to me in deep distress. I told her the truth. The engagement was broken. +The man did not bring suit against me, but his family used their financial and +social power to persecute and finally drive me out of the city, a nervous +wreck. That’s my history.” +</p> + +<p> +“You could have protected yourself by telling the true facts,” +suggested Clyde. . +</p> + +<p> +“Yes: but that would have been an unforgivable breach of confidence. The +public had no right to the facts. The girl’s family had.” +</p> + +<p> +“Then they should have come to your rescue with the truth.” +</p> + +<p> +“I bound them to secrecy.” +</p> + +<p> +Slowly Mr. Clyde rose, walked over, picked up the paper with the staring +headlines, folded it, laid it on the table, and, in passing the physician, set +a hand, as if by chance, upon his shoulder. From so undemonstrative a man the +action meant much. +</p> + +<p> +“So,” he said with affectionate lightness, “my Chinese +physician had been fighting dragons before he ever came to us; worse monsters +than he’s been called upon to face, since. That was a splendid defeat, +Strong.” +</p> + +<p> +“A bitter one,” said the Health Master; “and by the same old +Monster, in another manifestation that we’ve been fighting here. +We’ve downed him now and again, you and I, Clyde. But he’s never +killed: only scotched. He’s the universal ally of every ill that man +hands on to man, and we’ve only to recognize him under the thousand and +one different forms he assumes to call him out to battle under his real +name.” +</p> + +<p> +“And that is?” inquired Clyde. +</p> + +<p> +“Ignorance,” said the Health Master. +</p> + +<h3>THE END</h3> + +</div><!--end chapter--> +<div style='display:block;margin-top:4em'>*** END OF THE PROJECT GUTENBERG EBOOK THE HEALTH MASTER ***</div> +<div style='display:block;margin:1em 0;'>This file should be named 57543-h.htm or 57543-h.zip</div> +<div style='display:block;margin:1em 0;'>This and all associated files of various formats will be found in https://www.gutenberg.org/5/7/5/4/57543/</div> +<div style='display:block; margin:1em 0'> +Updated editions will replace the previous one—the old editions will +be renamed. +</div> + +<div style='display:block; margin:1em 0'> +Creating the works from print editions not protected by U.S. copyright +law means that no one owns a United States copyright in these works, +so the Foundation (and you!) can copy and distribute it in the United +States without permission and without paying copyright +royalties. 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