It was cold grey dawn, and the rain had ceased, when I followed the man who had taken the dead child away to bury it, and bribed him to carry it by an unfrequented path down to the riverside, and accompany me to the thick retired bush on the opposite bank. Having persuaded him thus much, it was not difficult, with the help of silver arguments to convince him that it would be for the general benefit and his own, if I could learn from this poor little thing the secret inner workings of our common foe; and ultimately he stayed by me, and aided me in my first and last post mortem examination. It seems a strange deed to accomplish, and I am sure I could not wield the scalpel or the substitute I then used now, but at that time the excitement had strung my mind up to a high pitch of courage and determination; and perhaps the daily, almost hourly, scenes of death had made me somewhat callous. I need not linger on this scene, nor give the readers the results of my operation; although novel to me, and decidedly useful, they were what every medical man well knows.
We buried the poor little body beneath a piece of luxuriant turf, and stole back into Cruces like guilty things. But the knowledge I had obtained thus strangely was very valuable to me, and was soon put into practice. But that I dreaded boring my readers, I would fain give them some idea of my treatment of this terrible disease. I have no doubt that at first I made some lamentable blunders, and, may be, lost patients which a little later I could have saved. I know I came across, the other day, some notes of cholera medicines which made me shudder, and I dare say they have been used in their turn and found wanting. The simplest remedies were perhaps the best. Mustard plasters, and emetics, and calomel; the mercury applied externally, where the veins were nearest the surface, were my usual resources. Opium I rather dreaded, as its effect is to incapacitate the system from making any exertion, and it lulls the patient into a sleep which is often the sleep of death. When my patients felt thirsty, I would give them water in which cinnamon had been boiled. One stubborn attack succumbed to an additional dose of ten grains of sugar of lead, mixed in a pint of water, given in doses of a tablespoonful every quarter of an hour. Another patient, a girl, I rubbed over with warm oil, camphor, and spirits of wine. Above all, I never neglected to apply mustard poultices to the stomach, spine, and neck, and particularly to keep my patient warm about the region of the heart. Nor did I relax my care when the disease had passed by, for danger did not cease when the great foe was beaten off. The patient was left prostrate; strengthening medicines had to be given cautiously, for fever, often of the brain, would follow. But, after all, one great conclusion, which my practice in cholera cases enabled me to come to, was the old one, that few constitutions permitted the use of exactly similar remedies, and that the course of treatment which saved one man, would, if persisted in, have very likely killed his brother.
Generally speaking, the cholera showed premonitory symptoms; such as giddiness, sickness, diarrhoea, or sunken eyes and distressed look; but sometimes the substance followed its forecoming shadow so quickly, and the crisis was so rapid, that there was no time to apply any remedies. An American carpenter complained of giddiness and sickness—warning signs—succeeded so quickly by the worst symptoms of cholera, that in less than an hour his face became of an indigo tint, his limbs were doubled up horribly with violent cramps, and he died.
To the convicts—and if there could be grades of wretchedness in Cruces, these poor creatures were the lowest—belonged the terrible task of burying the dead; a duty to which they showed the utmost repugnance. Not unfrequently, at some fancied alarm, they would fling down their burden, until at last it became necessary to employ the soldiers to see that they discharged the task allotted to them. Ordinarily, the victims were buried immediately after death, with such imperfect rites of sepulture as the harassed frightened priests would pay them, and very seldom was time afforded by the authorities to the survivors to pay those last offices to the departed which a Spaniard and a Catholic considers so important. Once I was present at a terrible scene in the house of a New Granada grandee, whose pride and poverty justified many of the old Spanish proverbs levelled at his caste.
It was when the cholera was at its height, and yet he had left—perhaps on important business—his wife and family, and gone to Panama for three days. On the day after his departure, the plague broke out in his house, and my services were required promptly. I found the miserable household in terrible alarm, and yet confining their exertions to praying to a coarse black priest in a black surplice, who, kneeling beside the couch of the Spanish lady, was praying (in his turn) to some favourite saint in Cruces. The sufferer was a beautiful woman, suffering from a violent attack of cholera, with no one to help her, or even to take from her arms the poor little child they
