For the same reasons that others scorned Anna Vyrubova, the Empress prized her. Where others thought only of themselves, Anna’s apparent selflessness set her apart and made her seem all the more rare and valuable. On no account would Alexandra listen to criticism of her young protegee. When Anna sensed dislike in a person and reported it to the Empress, Alexandra bristled toward the antagonist and increased her attentions to Anna. Almost belligerently, the Empress refused to make Anna an official lady-in-waiting and allow her to become enmeshed in the duties and intrigues which went with that rank. “I will never give Anna an official position,” she said. “She is my friend, I wish to retain her as such. Surely an Empress is allowed the right of a woman to choose her friends.”

Later, during the war, when the Empress assumed an important part in the government of Russia, Alexandra’s friendship for Anna took on political significance. Because she was known as the Empress’s most intimate confidante, every gesture Anna made, every word she uttered, was watched and commented on. Correctly or incorrectly, Anna’s opinions, activities, tastes and mistakes were associated in the public mind with Alexandra Fedorovna. This association was especially significant in connection with Anna’s unqualified devotion to the extraordinary Siberian miracle-worker Gregory Rasputin, whose influence on the Imperial couple and therefore on Russia was to grow to towering proportions. Anna met Rasputin when he first arrived in St. Petersburg; he prophesied the collapse of her marriage, and she became convinced that he was a man divinely blessed. Certain that Rasputin could help ease the burdens carried by her mistress, Anna became his most passionate advocate. When Alexandra and Rasputin communicated, Anna was often the physical link. She carried messages in person and telephoned Rasputin daily. She transmitted his opinions faithfully and urged them upon the Empress. But Anna herself was not a source of ideas or political action. Everyone who dealt with her personally—ministers, ambassadors, even Rasputin’s secretary—described her in the same terms: “a vehicle,” “an ideal gramophone disc,” “she understood nothing.”

Nevertheless, in the tumultuous days culminating in the fall of the dynasty, the unpretentious Anna was accused of holding major political influence over the Tsar and his wife. Rumor inflated her into a monster of depravity who was said to reign over sinister orgies at the palace. She was accused of conniving with Rasputin to hypnotize or drug the Tsar; she was described as sharing the beds of both Nicholas and Rasputin, with a preference for the latter and a lewd dominion over both. Ironically, both the aristocracy and the revolutionaries told the same stories with the same relish and the same small grunts of rage. After the fall of the monarchy, with the rumors swirling viciously around her head, Anna Vyrubova was dragged off to prison by the Provisional Minister of Justice, Alexander Kerensky. Later, put on trial for her “political activities,” Anna pathetically defended herself in the only way she knew: she asked for a medical examination to prove her sexual innocence. The examination was performed in May 1917 and, to the astonishment of all Russia, Anna Vyrubova, the notorious confidante of the Empress Alexandra, was medically certified to be a virgin.

   As one precarious year followed another, emotional stress took a terrible toll on Alexandra’s physical health. As a girl, she suffered from sciatica, a severe pain in the back and legs. Her pregnancies, four in the first six years of marriage, were difficult. The battle against her son’s hemophilia left her physically and emotionally drained. At times of crisis, she spared herself nothing, sitting up day and night beside Alexis’s bed. But once the danger had passed, she collapsed, lying for weeks in bed or on a couch, moving about only in a wheelchair. In 1908, when the Tsarevich was four, she began to develop a whole series of symptoms which she referred to as the result of “an enlarged heart.” She had shortness of breath, and exertion became an effort. She was “indeed a sick woman,” wrote Grand Duchess Olga Alexandrovna, the Tsar’s sister. “Her breath often came in quick, obviously painful gasps. I often saw her lips turn blue. Constant worry over Alexis had completely undermined her health.” Dr. Botkin, who came every day at nine in the morning and five in the afternoon to listen to her heart, mentioned years later to an officer in Siberia that the Empress has “inherited a family weakness of the blood vessels” which often led to “progressive hysteria.” In modern medical terminology, the Empress Alexandra undoubtedly was suffering from psychosomatic anxiety symptoms brought on by worry over the health of her son.

Alexandra’s own letters occasionally mentioned her poor health. In 1911, she wrote to her former tutor, Miss Jackson: “I have been ill nearly all the time.… The children are growing up quite fast.… I send them to reviews with their father and once they went to a big military luncheon … as I could not go—they must get accustomed to replace me as I rarely can appear anywhere, and when I do, am afterwards long laid up—overtired muscles of the heart.”

To her sister Princess Victoria of Battenberg she wrote: “Don’t think my ill health depresses me personally. I don’t care except to see my dear ones suffer on my account and that I cannot fulfill my duties. But once God sends such a cross it must be borne.… I have had so much, that, willingly I give up any pleasure—they mean so little to me, and my family life is such an ideal one, that it is a recompense for anything I cannot take part in. Baby [Alexis] is growing a little companion to his father. They row together daily. All 5 lunch with me even when I am laid up.”

Alexandra’s inability to participate in public life worried her husband. “She keeps to her bed most of the day, does not receive anyone, does not come out to lunches and remains on the balcony day after day,” he wrote to his mother. “Botkin has persuaded her to go to Nauheim [a German health spa] for a cure in the early autumn. It is very important for her to get better, for her own sake, and the children’s and mine. I am completely run down mentally by worrying over her health.”

Marie was sympathetic. “It is too sad and painful to see her [Alexandra] always ailing and incapable of taking part in anything. You have enough worries in life as it is without having the ordeal added of seeing the person you love most in the world suffer.… The best thing would be for you to travel … that would do her a lot of good.”

Taking Botkin’s and his mother’s advice, Nicholas escorted his wife to the German spa of Nauheim so that the Empress could take the cure. Nicholas enjoyed himself on these trips. Dressed in a dark suit and bowler hat, he strolled, unrecognized, through the streets of the little German town. Alexandra, meanwhile, bathed in the warm waters, drank bottled water and went shopping in Nauheim with an attendant pushing her wheelchair. At the end of several weeks, she went back to Russia, rested but not cured. For the mother of a hemophiliac, as for the son, no cure has ever been found.

Russians are a compassionate people, warm in their love of children and deeply perceptive in their understanding of suffering. Why did they not open their hearts to this anguished mother and her stricken child?

The answer, incredibly, is that Russia did not know. Most people in Moscow or Kiev or St. Petersburg did not know that the Tsarevich had hemophilia, and the few who had some inkling had only hazy ideas as to the nature of the disease. As late as 1916, George T. Marye, the American Ambassador, reported, “We hear all sorts of stories about what was the matter with him [Alexis] but the best authenticated seems to be that he has some trouble of the circulation, the blood circulates too close or too freely near the surface … [of] the skin.” Even within the Imperial household, people such as Pierre Gilliard who saw the family regularly did not know for many years precisely what was wrong with Alexis. When he missed a public function, it was announced that he had a cold or had suffered a sprained ankle. No one believed these explanations and the boy became the subject of incredible rumors. Alexis, it was said, was mentally retarded, an epileptic, the victim of anarchists’ bombs. Whatever it was, the mystery made it worse, for there was never a focus for sympathy and understanding. Just as at Khodynka Meadow after their coronation, Nicholas and Alexandra attempted to continue in the midst of disaster by pretending that nothing unusual had happened. The trouble was that everyone knew that behind the facade of normalcy something terrible was happening.

Alexis’s secret was deliberately withheld at the wish of the Tsar and the Empress. There was a basis for this in court etiquette: traditionally, the health of members of the Imperial family was never mentioned. In Alexis’s case, this secrecy was vastly extended. Doctors and intimate servants were begged not to reveal the staggering misfortune.* Alexis, his parents reasoned, was the Heir to the Throne of the world’s largest and most absolute autocracy. What would be the fate of the boy, the dynasty and the nation if the Russian people knew that their future Tsar was an invalid living under the constant shadow of death? Not knowing the answer and fearing to discover it, Nicholas and Alexandra surrounded the subject with silence.

A revelation of Alexis’s condition would inevitably have put new pressures on the Tsar and the monarchy. But the erection of a wall of secrecy was worse. It left the family vulnerable to every vicious rumor. It undermined the nation’s respect for the Empress and, through her, for the Tsar and the throne. Because the condition of the Tsarevich was never revealed, Russians never understood the power which Rasputin held over the Empress. Nor were they able to form a true picture of Alexandra herself. Unaware of. her ordeal, they wrongly ascribed her remoteness to distaste for Russia and its people. The years of worry left a look of sadness settled permanently on

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