Sent home w/ mild sedative. Mr. McFarland, with gastritis I suspect is inflamed by a habit of taking alcohol. Rx Aconite, 5 drops; Ipecac, 5 drops, into 4 oz water, 1t/hour. Advised on simple diet & no spirits. Home for supper-whitefish in sauce & sponge-cake.
Despite the unattractive recitations of secretions and foul smells, Dr. Stillman’s ready list of meals and desserts set Clare’s stomach rumbling. She put the diary down and went into the kitchen for something sweet. Since, unlike the doctor, she didn’t have a wife at home cooking for her, all she could find was a tin of flaked coconut and a bag of chocolate chips. She ripped the bag open, tossed a handful into her mouth, and went back to the sofa.
March 11th. Clear and cold. Called on Mrs. B, Jan DeG., McA. twins. The latter show the only improvement, although I suspect J. will pass through the disease unharmed after he expectorates all exudate & hardened membrane. Kept Rx unchanged. Home for dinner. Told Ellen I was sending her & the children to her mother’s house in Ft. Ann. While Charles & Elizabeth have been inoculated with the serum, I have no wish to put it to the test, & I fear there will be more cases of the diphtheria, not fewer. Put them on the 4:00 train. No surgical hours to-day. Telephoned Dr. Whittinger & Dr. McKernon to consult re: advising schools to close for the next few days. Dr. Whittinger volunteered to call the Superintendent with our concerns. At suppertime, was called to Mrs. Kenneth Clow’s for her labor. As this was her eighth child, I scarcely had time to deliver her. Healthy, well-formed girl, 7 lbs 1 oz. I warned Mr. C. of the diphtheria & explained the danger of the contagion in a large family such as his.
March 12th. Clear & cold. Roads improved much so that I took out my automobile, which proved a mistake, as I was mistaken for a bootlegger traveling home from the Adamses, where I was called for at mid-night. Fearing the diphtheria I brought with me doses of the serum, & found two of the three girls ag’d 11 and 9 w/ poor color, imperfect respiration, occluded & throats & tonsils coated w/ brown exudate. Fever over 103 in both children. I explained the extreme gravity of their condition to the parents, & told them w/o the anti-toxin I would not expect the girls to live out the next 24 hrs. They consented. After inoculation, Rx aconite, 5 drops to 4 oz water and phytolacca, 15-20 drops to 4 oz Water. Also hydrochloric acid 20 to 2 oz simple syrup & 2 oz Water. Driving home I was much startled when confronted by armed men at Powell’s Corners and ordered to stand out of my car. Police officer Harry McN. who knew me well as I have delivered all of his children, apologized at once they recognized me. Bootlegger activity is v. high w/ police on road as a result. Continued home where I slept late this morning. Breakfast Poached eggs and bacon and oatmeal.
Dr. Stillman’s entries for March 12 and 13 were the shortest ones Clare had seen. They simply listed the current diphtheria patients and added two more, Maud Williamson, aged fifteen, and Roland Henke, aged eight. She tried to imagine how much time the doctor must have spent, driving around the countryside at, what, twenty-five miles an hour? And that was when he could use his car. Snow or mud or rain, he evidently went by horse-drawn buggy. No X rays, no penicillin, no anticoagulants or insulin or reliable blood transfusions. Did they even have aspirin back then? It seemed like a different world. And yet there were plenty of people around who had been born into that world. Mrs. Marshall. Mr. Madsen. Mrs. Johnson. Her own grandmother Fergusson had been fifteen when George Stillman wrote these entries. The same age as Maud Williamson.
March 14th. Light Rain & cold. Called on Mrs. B. Temp. above 102, breathing v. strained & sibilous. Dx bronchitis secondary to sloughing off of exudate into larynx. Rx Veratrum, 20-60 drops in 4 oz Water for fever; directed Mr. B. on use of steam and pounding her back to loosen secretions. Called on Jan DeG., improved, though v. weak. Impressed on Mrs. DeG. importance of complete rest as the toxin may have affected the muscles of his heart. Called on Adamses, where girls are much improved, temp. normal, throats v. sore but respiration eased. Mrs. A. v. emotional and wishing for some way to express gratitude; I asked her to tell her friends and neighbors the importance of timely inoculation. I have become convinced only a steady diet of personal testimony will lead many of my patients to accept the anti-toxin & other inoculants. Called on McA. twins, steady improvement, but warned mother of dangers of too early exertion. Called on Maud W. & Roland H., both unchanged, Rx unchanged. Spoke to Mr. W. and Mr. H. further on benefits of the serum. Mr. H. has heard stories that vaccination causes idiocy! It becomes hard to listen to such ignorance knowing science has the power to alleviate their children’s distress. I am grateful Ellen and the children are gone away. No surgical hours, home early for supper, cold meat pie and chocolate pudding.
Mar. 15th. Clear and cold. Called around midnight by Jonathon Ketchem, of the valley, in great distress. Arriving before 2 am, to my great sorrow found two children had died. Sx as described by Mrs. K. diphtheria, in the boy the more malignant laryngeal form. Mary K. ag’d 2, gravely ill, lowered temp., palpitations, sibilous & inadequate respiration, extremities blue-tinged. Throat almost completely occluded by pseudomembrane. Mrs. K. reported the baby had been fighting hard for breath and seemed sleepy & eased now. It was my heavy duty to tell her the fatal termination was likely close. Peter K., ag’d 7, was post-acute stage, livid but clear throat, prostrate, weak & irregular pulse. I inoculated both children, though expect the baby will not survive the day. Explained the effects of the diphtheria toxin on the heart & warned Mr. & Mrs. K. of the dangers of exertion for Peter. Offered to reset Mr. K.’s fingers broken the day before in accident and set by himself. He refused tx. Not wishing me to sit for the death watch, I returned home & telephoned Mr. K.’s parents in Cossayuharie, who will join the Ks immediately. V. low in spirits & much discouraged by wastefulness since children might have been saved had I been called earlier this week. No appetite for breakfast and prayed the other households in my care will be Passed Over.
Clare shut the diary at that point. She felt as tired right then as George Stillman must have felt, hunched over a rolltop desk, writing carefully in his neat Palmer penmanship. She stacked the leather-bound books one atop the other on the coffee table. She closed the fireplace’s glass screens and turned off each light one by one. On the stair landing, she paused for a moment, looking at the journals etched in the light of the dying fire. She went upstairs to bed. It took her a long time to fall asleep.
Chapter 31
Friday, March 31
Clare didn’t tell Debba exactly why she wanted to see her when she called after the seven o’clock Eucharist.
“Can we get together and talk? Today? I had an idea about the custody case.”
“Sure,” Debba said. In the background, Clare could hear the sounds of children shrieking and the watery grinding of a dishwasher. “Do you want me to call Karen Burns and see if she can come, too?”
“No. Not yet.” If she could use Dr. Stillman’s journal to drive an emotional wedge between Debba and her antivaccination beliefs, maybe Karen’s cool logic could make the break clean by pointing out that vaccinating Whitley would meet one of the major arguments in the ex-husband’s claim. But Clare was flying by instinct now, and her instinct was telling her Karen would just get in the way. She flipped open her agenda. “I’ve got a counseling session coming up and then a meeting with the church musician. How about ten o’clock?”
“Okeydokey. See you then.”
Clare reflected, as she was hanging up, that Debba was pretty upbeat for a woman facing some serious questions by the police. But then again, that was Debba. Upbeat and peaceable. Except when she wasn’t.
The purple buses were out. That was the first thing Clare saw as she shifted into neutral and began rolling down the hill toward the Clow house. Two figures-it looked like Debba and her mother, Lilly-were hosing the behemoths down, and the kids were dancing around the spray, leaping in and out of mud puddles. Clare coasted into the drive in front of the house, inspiring Whitley to dash across the road from the barn, and her mother, screeching, to run after her.
“Don’t ever, ever run across the road!” Debba snatched the three-year-old up, squeezing her hard. “You didn’t even look! You’re going to get squashed flat as a pancake!”
