In all sincerity

(but without permission)

to the

MEMBERS OF THE JENNER SOCIETY

© T8RUGRAM, 2018

© Original, 2018

Author’s Note

Some months since the leaders of the Government dismayed their supporters and astonished the world by a sudden surrender to the clamour of the anti-vaccinationists. In the space of a single evening, with a marvellous versatility, they threw to the agitators the ascertained results of generations of the medical faculty, the report of a Royal Commission, what are understood to be their own convictions, and the President of the Local Government Board. After one ineffectual fight the House of Lords answered to the whip, and, under the guise of a “graceful concession,” the health of the country was given without appeal into the hand of the “Conscientious Objector.”

In his perplexity it has occurred to an observer of these events – as a person who in other lands has seen and learned something of the ravages of smallpox among the unvaccinated – to try to forecast their natural and, in the view of many, their almost certain end. Hence these pages from the life history of the pitiable, but unfortunate Dr. Therne.^[1] Absit omen! May the prophecy be falsified! But, on the other hand, it may not. Some who are very competent to judge say that it will not; that, on the contrary, this strange paralysis of “the most powerful ministry of the generation” must result hereafter in much terror, and in the sacrifice of innocent lives.

The importance of the issue to those helpless children from whom the State has thus withdrawn its shield, is this writer’s excuse for inviting the public to interest itself in a medical tale. As for the moral, each reader can fashion it to his fancy.

Chapter 1
The Diligence

James Therne is not my real name, for why should I publish it to the world? A year or two ago it was famous – or infamous – enough, but in that time many things have happened. There has been a war, a continental revolution, two scandals of world-wide celebrity, one moral and the other financial, and, to come to events that interest me particularly as a doctor, an epidemic of Asiatic plague in Italy and France, and, stranger still, an outbreak of the mediaeval grain sickness, which is believed to have carried off 20,000 people in Russia and German Poland, consequent, I have no doubt, upon the wet season and poor rye harvest in those countries.

These occurrences and others are more than enough to turn the public mind from the recollection of the appalling smallpox epidemic that passed over England last autumn two years, of which the first fury broke upon the city of Dunchester, my native place, that for many years I had the honour to represent in Parliament. The population of Dunchester, it is true, is smaller by over five thousand souls, and many of those who survive are not so good-looking as they were, but the gap is easily filled and pock-marks are not hereditary. Also, such a horror will never happen again, for now the law of compulsory vaccination is strong enough! Only the dead have cause of complaint, those who were cut off from the world and despatched hot-foot whither we see not. Myself I am certain of nothing; I know too much about the brain and body to have much faith in the soul, and I pray to God that I may be right. Ah! there it comes in. If a God, why not the rest, and who shall say there is no God? Somehow it seems to me that more than once in my life I have seen His Finger.

Yet I pray that I am right, for if I am wrong what a welcome awaits me yonder when grief and chloral and that “slight weakness of the heart” have done their work.

Yes – five thousand of them or more in Dunchester alone, and, making every allowance, I suppose that in this one city there were very many of these – young people mostly – who owed their deaths to me, since it was my persuasion, my eloquent arguments, working upon the minds of their prejudiced and credulous elders, that surely, if indirectly, brought their doom upon them. “A doctor is not infallible, he may make mistakes.” Quite so, and if a mistake of his should kill a few thousands, why, that is the act of God (or of Fate) working through his blindness. But if it does not happen to have been a mistake, if, for instance, all those dead, should they still live in any place or shape, could say to me, “James Therne, you are the murderer of our bodies, since, for your own ends, you taught us that which you knew not to be the truth.”

How then? I ask. So – let them say it if they will. Let all that great cloud of witnesses compass me about, lads and maidens, children and infants, whose bones cumber the churchyards yonder in Dunchester. I defy them, for it is done and cannot be undone. Yet, in their company are two whose eyes I dread to meet: Jane, my daughter, whose life was sacrificed through me, and Ernest Merchison, her lover, who went to seek her in the tomb.

They would not reproach me now, I know, for she was too sweet and loved me too well with all my faults, and, if he proved pitiless in the first torment of his loss, Merchison was a good and honest man, who, understanding my remorse and misery, forgave me before he died. Still, I dread to meet them, who, if that old fable be true and they live, read me for what I am. Yet why should I fear, for all this they knew before they died, and, knowing, could forgive? Surely it is with another vengeance that I must reckon.

Well, after her mother’s death my daughter was the only being whom I ever truly loved, and no future mental hell that the imagination can invent would have power to make me suffer more because of her than I have always suffered since the grave closed over her – the virgin martyr sacrificed on the altar of a false prophet and a coward.

* * *

I come of a family of doctors. My grandfather, Thomas Therne, whose name still lives in medicine, was a doctor in the neighbourhood of Dunchester, and my father succeeded to his practice and nothing else, for the old gentleman had lived beyond his means. Shortly after my father’s marriage he sold this practice and removed into Dunchester, where he soon acquired a considerable reputation as a surgeon, and prospered, until not long after my birth, just as a brilliant career seemed to be opening itself to him, death closed his book for ever. In attending a case of smallpox, about four months before I was born, he contracted the disease, but the attack was not considered serious and he recovered from it quickly. It would seem, however, that it left some constitutional weakness, for a year later he was found to be suffering from tuberculosis of the lungs, and was ordered to a warmer climate.

Selling his Dunchester practice for what it would fetch to his assistant, Dr. Bell, my father came to Madeira – whither, I scarcely know why, I have also drifted now that all is over for me – for here he hoped to be able to earn a living by doctoring the English visitors. This, however, he could not do, since the climate proved no match for his disease, though he lingered for nearly two years, during which time he spent all the money that he had. When he died there was scarcely enough left to pay for his funeral in the little churchyard yonder that I can see from the windows of this quinta. Where he lies exactly I do not know as no record was kept, and the wooden cross, the only monument that my mother could afford to set over him, has long ago rotted away.

Some charitable English people helped my mother to return to England, where we went to live with her mother, who existed on a pension of about 120 pounds a year, in a fishing-village near Brighton. Here I grew up, getting my education – a very good one by the way – at a cheap day school. My mother’s wish was that I should become a sailor like her own father, who had been a captain in the Navy, but the necessary money was not forthcoming to put me into the Royal Navy, and my liking for the sea was not strong enough to take me into the merchant service.

From the beginning I wished to be a doctor like my father and grandfather before me, for I knew that I was clever, and I knew also that successful doctors make a great deal of money. Ground down as I had been by poverty from babyhood, already at nineteen years of age I desired money above everything on earth. I saw then, and subsequent experience has only confirmed my views, that the world as it has become under the pressure of high civilisation is a world for the rich. Leaving material comforts and advantages out of the question, what ambition can a man satisfy without money? Take the successful politicians for instance, and it will be found that almost every one of them is rich. This country is too full; there is scant room for the individual. Only intellectual Titans can force their heads above the crowd, and, as a rule, they have not even then the money to take them higher. If I had my life over again – and it is my advice to all young men of ability and ambition – I would leave the old country and settle in America or in one of the great colonies. There, where the conditions are more elastic and the competition is not so cruel, a hard-working man of talent does not need to be endowed with fortune to enable him to rise to the top of the tree.

Well, my desire was to be accomplished, for as it chanced a younger brother of my father, who during his lifetime had never taken any notice of me, died and left me 750 pounds. Seven hundred and fifty pounds! To me at that time it was colossal wealth, for it enabled us to rent some rooms in London, where I entered myself as a medical student at University College.

There is no need for me to dwell upon my college career, but if any one were to take the trouble to consult the old records he would find that it was sufficiently brilliant. I worked hard, and I had a natural, perhaps an hereditary liking, for the work. Medicine always fascinated me. I think it the greatest of the sciences, and from the beginning I was determined that I would be among the greatest of its masters.

At four and twenty, having finished my curriculum with high honours – I was gold medallist of my year in both medicine and surgery – I became house-surgeon to one of the London hospitals. After my term of office was over I remained at the hospital for another year, for I wished to make a practical study of my profession in all its branches before starting a private practice. At the end of this time my mother died while still comparatively young. She had never really recovered from the loss of my father, and, though it was long about it, sorrow sapped her strength at last. Her loss was a shock to me, although in fact we had few tastes in common. To divert my mind, and also because I was somewhat run down and really needed a change, I asked a friend of mine who was a director of a great steamship line running to the West Indies and Mexico to give me a trip out, offering my medicine services in return for the passage. This he agreed to do with pleasure; moreover, matters were so arranged that I could stop in Mexico for three months and rejoin the vessel on her next homeward trip.

After a very pleasant voyage I reached Vera Cruz. It is a quaint and in some ways a pretty place, with its tall cool-looking houses and narrow streets, not unlike Funchal, only more tropical. Whenever I think of it, however, the first memories that leap to my mind are those of the stench of the open drains and of the scavenger carts going their rounds with the zaphilotes or vultures actually sitting upon them. As it happened, those carts were very necessary then, for a yellow fever epidemic was raging in the place. Having nothing particular to do I stopped there for three weeks to study it, working in the hospitals with the local doctors, for I felt no fear of yellow fever – only one contagious disease terrifies me, and with that I was soon destined to make acquaintance.

At length I arranged to start for the City of Mexico, to which in those days the journey from Vera Cruz was performed by diligence as the railway as not yet finished. At that time Mexico was a wild country. Wars and revolutions innumerable, together with a certain natural leaning that way, had reduced a considerable proportion of its inhabitants to the road, where they earned a precarious living – not by mending it, but by robbing and occasionally cutting the throats of any travellers whom they could catch.

The track from Vera Cruz to Mexico City runs persistently uphill; indeed, I think the one place is 7000 feet above the level of the other. First, there is the hot zone, where the women by the wayside sell you pineapples and cocoanuts; then the temperate zone, where they offer you oranges and bananas; then the cold country, in which you are expected to drink a filthy liquid extracted from aloes called pulque, that in taste and appearance resembles soapy water.

It was somewhere in the temperate zone that we passed a town consisting of fifteen adobe or mud houses and seventeen churches. The excessive religious equipment of this city is accounted for by an almost inaccessible mountain stronghold in the neighbourhood. This stronghold for generations had been occupied by brigands, and it was the time-honoured custom of each chieftain of the band, when he retired on a hard-earned competence, to expiate any regrettable incidents in his career by building a church in the town dedicated to his patron saint and to the memory of those whose souls he had helped to Paradise. This pious and picturesque, if somewhat mediaeval, custom has now come to an end, as I understand that the Mexican Government caused the stronghold to be stormed a good many years ago, and put its occupants, to the number of several hundreds, to the sword.

We were eight in the coach, which was drawn by as many mules – four merchants, two priests, myself and the lady who afterwards became my wife. She was a blue-eyed and fair-haired American from New York. Her name, I soon discovered, was Emma Becker, and her father, who was dead, had been a lawyer. We made friends at once, and before we had jolted ten miles on our journey I learned her story. It seemed that she was an orphan with a very small fortune, and only one near relative, an aunt who had married a Mexican named Gomez, the owner of a fine range or hacienda