"I was sure of it," he seemed to say to himself. He was the illustrious Brisset, the successor of Cabanis and Bichat, head of the Organic School, a doctor popular with believers in material and positive science, who see in man a complete individual, subject solely to the laws of his own particular organization; and who consider that his normal condition and abnormal states of disease can both be traced to obvious causes.
After this reply, Brisset looked, without speaking, at a middle-sized person, whose darkly flushed countenance and glowing eyes seemed to belong to some antique satyr; and who, leaning his back against the corner of the embrasure, was studying Raphael, without saying a word.
Doctor Cameristus, a man of creeds and enthusiasms, the head of the "Vitalists," a romantic champion of the esoteric doctrines of Van Helmont, discerned a lofty informing principle in human life, a mysterious and inexplicable phenomenon which mocks at the scalpel, deceives the surgeon, eludes the drugs of the pharmacopoeia, the formulae of algebra, the demonstrations of anatomy, and derides all our efforts; a sort of invisible, intangible flame, which, obeying some divinely appointed law, will often linger on in a body in our opinion devoted to death, while it takes flight from an organization well fitted for prolonged existence.
A bitter smile hovered upon the lips of the third doctor, Maugredie, a man of acknowledged ability, but a Pyrrhonist and a scoffer, with the scalpel for his one article of faith. He would consider, as a concession to Brisset, that a man who, as a matter of fact, was perfectly well was dead, and recognize with Cameristus that a man might be living on after his apparent demise.
He found something sensible in every theory, and embraced none of them, claiming that the best of all systems of medicine was to have none at all, and to stick to facts.
This Panurge of the Clinical Schools, the king of observers, the great investigator, a great sceptic, the man of desperate expedients, was scrutinizing the Magic Skin.
"I should very much like to be a witness of the coincidence of its retrenchment with your wish," he said to the Marquis.
"Where is the use?" cried Brisset.
"Where is the use?" echoed Cameristus.
"Ah, you are both of the same mind," replied Maugredie.
"The contraction is perfectly simple," Brisset went on.
"It is supernatural," remarked Cameristus.
"In short," Maugredie made answer, with affected solemnity, and handing the piece of skin to Raphael as he spoke, "the shriveling faculty of the skin is a fact inexplicable, and yet quite natural, which, ever since the world began, has been the despair of medicine and of pretty women."
All Valentin's observation could discover no trace of a feeling for his troubles in any of the three doctors.
The three received every answer in silence, scanned him unconcernedly, and interrogated him unsympathetically.
Politeness did not conceal their indifference; whether deliberation or certainty was the cause, their words at any rate came so seldom and so languidly, that at times Raphael thought that their attention was wandering.
From time to time Brisset, the sole speaker, remarked, "Good! just so!" as Bianchon pointed out the existence of each desperate symptom. Cameristus seemed to be deep in meditation; Maugredie looked like a comic author, studying two queer characters with a view to reproducing them faithfully upon the stage.
There was deep, unconcealed distress, and grave compassion in Horace Bianchon's face.
He had been a doctor for too short a time to be untouched by suffering and unmoved by a deathbed; he had not learned to keep back the sympathetic tears that obscure a man's clear vision and prevent him from seizing like the general of an army, upon the auspicious moment for victory, in utter disregard of the groans of dying men.
After spending about half an hour over taking in some sort the measure of the patient and the complaint, much as a tailor measures a young man for a coat when he orders his wedding outfit, the authorities uttered several commonplaces, and even talked of politics. Then they decided to go into Raphael's study to exchange their ideas and frame their verdict.
"May I not be present during the discussion, gentlemen?"
Valentin had asked them, but Brisset and Maugredie protested against this, and, in spite of their patient's entreaties, declined altogether to deliberate in his presence.
Raphael gave way before their custom, thinking that he could slip into a passage adjoining, whence he could easily overhear the medical conference in which the three professors were about to engage.
"Permit me, gentlemen," said Brisset, as they entered, "to give you my own opinion at once.
I neither wish to force it upon you nor to have it discussed. In the first place, it is unbiased, concise, and based on an exact similarity that exists between one of my own patients and the subject that we have been called in to examine; and, moreover, I am expected at my hospital.
The importance of the case that demands my presence there will excuse me for speaking the first word.
The subject with which we are concerned has been exhausted in an equal degree by intellectual labors—what did he set about, Horace?" he asked of the young doctor.
"A 'Theory of the Will,'"
"The devil! but that's a big subject.
He is exhausted, I say, by too much brain-work, by irregular courses, and by the repeated use of too powerful stimulants. Violent exertion of body and mind has demoralized the whole system.
It is easy, gentlemen, to recognize in the symptoms of the face and body generally intense irritation of the stomach, an affection of the great sympathetic nerve, acute sensibility of the epigastric region, and contraction of the right and left hypochondriac.
You have noticed, too, the large size and prominence of the liver.
M. Bianchon has, besides, constantly watched the patient, and he tells us that digestion is troublesome and difficult.
Strictly speaking, there is no stomach left, and so the man has disappeared.
The brain is atrophied because the man digests no longer.
The progressive deterioration wrought in the epigastric region, the seat of vitality, has vitiated the whole system.
Thence, by continuous fevered vibrations, the disorder has reached the brain by means of the nervous plexus, hence the excessive irritation in that organ.
There is monomania.
The patient is burdened with a fixed idea.
That piece of skin really contracts, to his way of thinking; very likely it always has been as we have seen it; but whether it contracts or no, that thing is for him just like the fly that some Grand Vizier or other had on his nose.
If you put leeches at once on the epigastrium, and reduce the irritation in that part, which is the very seat of man's life, and if you diet the patient, the monomania will leave him.
I will say no more to Dr. Bianchon; he should be able to grasp the whole treatment as well as the details.
There may be, perhaps, some complication of the disease—the bronchial tubes, possibly, may be also inflamed; but I believe that treatment for the intestinal organs is very much more important and necessary, and more urgently required than for the lungs.
Persistent study of abstract matters, and certain violent passions, have induced serious disorders in that vital mechanism. However, we are in time to set these conditions right. Nothing is too seriously affected.
You will easily get your friend round again," he remarked to Bianchon.
"Our learned colleague is taking the effect for the cause," Cameristus replied.
"Yes, the changes that he has observed so keenly certainly exist in the patient; but it is not the stomach that, by degrees, has set up nervous action in the system, and so affected the brain, like a hole in a window pane spreading cracks round about it.
It took a blow of some kind to make a hole in the window; who gave the blow?
Do we know that?
Have we investigated the patient's case sufficiently?