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“In the greater number of epidemic diseases,” McNab went on, “the morbid poison appears to enter the blood in some way, and after multiplying during a period of so-called incubation, it affects the whole system. Such is undoubtedly the case in smallpox, measles, scarlet fever and the various kinds of continued fever … but it must be remarked that in these diseases the illness always begins with general symptoms, such as headache, rigors, fever and lassitude … while particular symptoms only appear afterwards. Cholera, on the other hand, begins with an effusion of fluid into the alimentary canal, without any previous illness whatsoever. Indeed, after this fluid has begun to flow away as a copious diarrhoea the patient often feels so little indisposed that he ca
“Irrelevant!” muttered Dr Dunstaple loudly but McNab paid no attention and continued calmly.
“The symptoms which follow this affection of the alimentary canal are exactly what one would expect. If you analyse the blood of someone with cholera you’ll find that the watery fluid effused into the stomach and bowels isn’t replaced by absorption. The experiments of Dr O’Shaughnessy and others during the cholera of 1831-2 show that the amount of water in the blood was very much diminished in proportion to the solid constituents, as also were the salts … Well, the basis of my treatment of cholera is quite simply to try to restore the fluid and salts which have been lost from the blood, by injecting solutions of carbonate of soda or phosphate of soda into the blood vessels. Does that sound unreasonable? I don’t believe so. At the same time I try to combat the morbid action by using antiseptic agents such as sulphur, hyposulphite of soda, creosote or camphor at the seat of the disease … that’s to say, in the alimentary canal …”
“How eminently full of reason!” thought the Magistrate. “It will be too much for them, the dolts!”
“It’s often been regretted by physicians that calomel and other medicines aren’t absorbed in cholera … but this regret is needless, in my opinion, as they don’t need to be absorbed. If calomel is given in cholera it should obviously not be in pills, as Dr Dunstaple suggests, but as a powder for the sake of better diffusion.”
To say that the audience had found Dr McNab’s discourse dull would not be entirely accurate; they had found it soothing, certainly, and perhaps monotonous. Many of those present had found it hard to pick up the thread of what he was saying and instead had thought with a shiver: “Needles driven into your belly! Good heavens!” But Dr McNab had at least one attentive listener and that was Dr Dunstaple.
“Dr McNab has omitted to mention certain post mortem appearances which refute his view of cholera and support mine,” cried Dr Dunstaple waving his arms violently in his excitement and making thrusting gestures as if about to spear a particularly fine pig. “He hasn’t mentioned the distended state of the pulmonary arteries and the right cavities of the heart. Nor has he mentioned the breathlessness suffered by the patient after he has inhaled the cholera poison!”
Dr McNab shrugged negligently and said: “These symptoms are obviously the result of the diminished volume of the blood … Its thickened and tarry condition impedes its passage through the pulmonary capillaries and the pulmonary circulation in general. This is also the cause of the coldness found in cholera.”
“Pure reason!” barked the Magistrate, unable to contain himself a moment longer.
“Nonsense!” roared Dr Dunstaple and started forward as if he meant to make a physical assault on Dr McNab. He was halted in his tracks, however, by a shout from the Padre.
“Gentlemen! Remember that you are in the presence of the altar. I must ask you to stop this quarrelling instantly, or to continue it in another place.” Furious, Dr Dunstaple now seemed on the point of turning on the Padre and mowing the wiry cleric down with his fists, but by this time Louise and Mrs Dunstaple had hastened to his side and now they dragged him away, hushing him desperately.
26
It was only to be expected that sooner or later the Collector’s sense of duty would reassert itself. Sure enough, within a day or two of this regrettable difference of opinion between the two physicians word went round the garrison that he had been seen up and about again. On the first day of his reappearance he contented himself with walking about, avoiding people’s eyes, or shovelling at the still melting ramparts like a man with a crime to expiate. But on the following day he had shaved the red stubble from his chin, was wearing a cleaner shirt, and was once more begi
Food within the enclave had become so critically short by now that it was evident to the Magistrate that anything edible must now be used. So many people had died during the siege either from wounds or illness that a considerable quantity of private stores had accumulated. Their distribution could wait no longer. The Magistrate was in a position to order the confiscation of this food for the good of the community, to order that it should be equally divided among the survivors. But the relatives of the dead, when they heard what was afoot, raised a storm of protest and demanded that their rights to the stores should be respected. The Magistrate hesitated, stroking those terrible, radical, flaring whiskers of his… since he had shouted himself hoarse as a young man in 1832 he had been devoted to the radical cause, a supporter of Chartism, of factory reform, and of every other progressive notion which crossed his path. Now at last he had an opportunity to act, not merely to argue. Would he dare to grasp this chance and order the abolition of property within the community?
The Magistrate, standing in hesitation on the verandah, was illuminated by a rare shaft of watery sunlight for a moment and his whiskers flared more brilliantly than ever … but then the sun moved on, extinguishing them. He realized now that his belief in people was no longer alive … he no longer loved the poor as a revolutionary must love them. People were stupid. The poor were just as stupid as the rich; he had only contempt for both of them. His interest in humanity now was stone dead, and probably had been for some time. He no longer believed that it was possible to struggle against the cruel forces of capitalist wealth. Nor did he particularly care. He had given up in despair.
“Yes, we’ll hold an auction,” he muttered. “That’s the easiest thing.”
At the time appointed for the auction the poor and the thrifty were left to man the ramparts; everyone else crowded into the hall of the Residency which was considered to be the most suitable place for the proceedings. The goods to be sold had been piled up on the stairs where once “the possessions” had been piled; bottles of jam and honey, heaps of hermetically sealed provisions, bottles of wine, cakes of chocolate pliable with the heat, tins of biscuits and even a few mouldy hams had been stacked against the splintered stumps which were all that now remained of the banisters Fleury had found so elegant the first evening he had entered the Residency.
With an effort the Collector removed his eyes from the food and looked at the crowd assembled to bid for it. How starved they looked! Only Rayne, standing on the stairs with his fingers idly drumming on the lid of a tin of Scottish shortbread, still looked as sleek as he had before the siege. Was this because Rayne had been in charge of the Commissariat? Behind Rayne stood his two servants, Ant and Monkey, as thin as their master was fat; their job was to deliver the food to those who bid successfully for it.