Doctor Pascal

Chapter 25

Chapter 254,228 wordsPublic domain

And then he made his scientific testament. He was clearly conscious that he had been himself only a solitary pioneer, a precursor, planning theories which he tried to put in practise, but which failed because of the imperfection of his method. He recalled his enthusiasm when he believed he had discovered, in his injections of nerve substance, the universal panacea, then his disappointments, his fits of despair, the shocking death of Lafouasse, consumption carrying off Valentin in spite of all his efforts, madness again conquering Sarteur and causing him to hang himself. So that he would depart full of doubt, having no longer the confidence necessary to the physician, and so enamored of life that he had ended by putting all his faith in it, certain that it must draw from itself alone its health and strength. But he did not wish to close up the future; he was glad, on the contrary, to bequeath his hypotheses to the younger generation. Every twenty years theories changed; established truths only, on which science continued to build, remained unshaken. Even if he had only the merit of giving to science a momentary hypothesis, his work would not be lost, for progress consisted assuredly in the effort, in the onward march of the intellect.

And then who could say that he had died in vain, troubled and weary, his hopes concerning the injections unrealized—other workers would come, young, ardent, confident, who would take up the idea, elucidate it, expand it. And perhaps a new epoch, a new world would date from this.

“Ah, my dear Ramond,” he continued, “if one could only live life over again. Yes, I would take up my idea again, for I have been struck lately by the singular efficacy of injections even of pure water. It is not the liquid, then, that matters, but simply the mechanical action. During the last month I have written a great deal on that subject. You will find some curious notes and observations there. In short, I should be inclined to put all my faith in work, to place health in the harmonious working of all the organs, a sort of dynamic therapeutics, if I may venture to use the expression.”

He had gradually grown excited, forgetting his approaching death in his ardent curiosity about life. And he sketched, with broad strokes, his last theory. Man was surrounded by a medium—nature—which irritated by perpetual contact the sensitive extremities of the nerves. Hence the action, not only of the senses, but of the entire surface of the body, external and internal. For it was these sensations which, reverberating in the brain, in the marrow, and in the nervous centers, were there converted into tonicity, movements, and thoughts; and he was convinced that health consisted in the natural progress of this work, in receiving sensations, and in giving them back in thoughts and in actions, the human machine being thus fed by the regular play of the organs. Work thus became the great law, the regulator of the living universe. Hence it became necessary if the equilibrium were broken, if the external excitations ceased to be sufficient, for therapeutics to create artificial excitations, in order to reestablish the tonicity which is the state of perfect health. And he dreamed of a whole new system of treatment—suggestion, the all-powerful authority of the physician, for the senses; electricity, friction, massage for the skin and for the tendons; diet for the stomach; air cures on high plateaus for the lungs, and, finally, transfusion, injections of distilled water, for the circulatory system. It was the undeniable and purely mechanical action of these latter that had put him on the track; all he did now was to extend the hypothesis, impelled by his generalizing spirit; he saw the world saved anew in this perfect equilibrium, as much work given as sensation received, the balance of the world restored by unceasing labor.

Here he burst into a frank laugh.

“There! I have started off again. I, who was firmly convinced that the only wisdom was not to interfere, to let nature take its course. Ah, what an incorrigible old fool I am!”

Ramond caught his hands in an outburst of admiration and affection.

“Master, master! it is of enthusiasm, of folly like yours that genius is made. Have no fear, I have listened to you, I will endeavor to be worthy of the heritage you leave; and I think, with you, that perhaps the great future lies entirely there.”

In the sad and quiet room Pascal began to speak again, with the courageous tranquillity of a dying philosopher giving his last lesson. He now reviewed his personal observations; he said that he had often cured himself by work, regular and methodical work, not carried to excess. Eleven o’clock struck; he urged Ramond to take his breakfast, and he continued the conversation, soaring to lofty and distant heights, while Martine served the meal. The sun had at last burst through the morning mists, a sun still half-veiled in clouds, and mild, whose golden light warmed the room. Presently, after taking a few sips of milk, Pascal remained silent.

At this moment the young physician was eating a pear.

“Are you in pain again?” he asked.

“No, no; finish.”

But he could not deceive Ramond. It was an attack, and a terrible one. The suffocation came with the swiftness of a thunderbolt, and he fell back on the pillow, his face already blue. He clutched at the bedclothes to support himself, to raise the dreadful weight which oppressed his chest. Terrified, livid, he kept his wide open eyes fixed upon the clock, with a dreadful expression of despair and grief; and for ten minutes it seemed as if every moment must be his last.

Ramond had immediately given him a hypodermic injection. The relief was slow to come, the efficacy less than before.

When Pascal revived, large tears stood in his eyes. He did not speak now, he wept. Presently, looking at the clock with his darkening vision, he said:

“My friend, I shall die at four o’clock; I shall not see her.”

And as his young colleague, in order to divert his thoughts, declared, in spite of appearances, that the end was not so near, Pascal, again becoming enthusiastic, wished to give him a last lesson, based on direct observation. He had, as it happened, attended several cases similar to his own, and he remembered especially to have dissected at the hospital the heart of a poor old man affected with sclerosis.

“I can see it—my heart. It is the color of a dead leaf; its fibers are brittle, wasted, one would say, although it has augmented slightly in volume. The inflammatory process has hardened it; it would be difficult to cut—”

He continued in a lower voice. A little before, he had felt his heart growing weaker, its contractions becoming feebler and slower. Instead of the normal jet of blood there now issued from the aorta only a red froth. Back of it all the veins were engorged with black blood; the suffocation increased, according as the lift and force pump, the regulator of the whole machine, moved more slowly. And after the injection he had been able to follow in spite of his suffering the gradual reviving of the organ as the stimulus set it beating again, removing the black venous blood, and sending life into it anew, with the red arterial blood. But the attack would return as soon as the mechanical effect of the injection should cease. He could predict it almost within a few minutes. Thanks to the injections he would have three attacks more. The third would carry him off; he would die at four o’clock.

Then, while his voice grew gradually weaker, in a last outburst of enthusiasm, he apostrophized the courage of the heart, that persistent life maker, working ceaselessly, even during sleep, when the other organs rested.

“Ah, brave heart! how heroically you struggle! What faithful, what generous muscles, never wearied! You have loved too much, you have beat too fast in the past months, and that is why you are breaking now, brave heart, who do not wish to die, and who strive rebelliously to beat still!”

But now the first of the attacks which had been announced came on. Pascal came out of this panting, haggard, his speech sibilant and painful. Low moans escaped him, in spite of his courage. Good God! would this torture never end? And yet his most ardent desire was to prolong his agony, to live long enough to embrace Clotilde a last time. If he might only be deceiving himself, as Ramond persisted in declaring. If he might only live until five o’clock. His eyes again turned to the clock, they never now left the hands, every minute seeming an eternity. They marked three o’clock. Then half-past three. Ah, God! only two hours of life, two hours more of life. The sun was already sinking toward the horizon; a great calm descended from the pale winter sky, and he heard at intervals the whistles of the distant locomotives crossing the bare plain. The train that was passing now was the one going to the Tulettes; the other, the one coming from Marseilles, would it never arrive, then!

At twenty minutes to four Pascal signed to Ramond to approach. He could no longer speak loud enough to be heard.

“You see, in order that I might live until six o’clock, the pulse should be stronger. I have still some hope, however, but the second movement is almost imperceptible, the heart will soon cease to beat.”

And in faint, despairing accents he called on Clotilde again and again. The immeasurable grief which he felt at not being able to see her again broke forth in this faltering and agonized appeal. Then his anxiety about his manuscripts returned, an ardent entreaty shone in his eyes, until at last he found the strength to falter again:

“Do not leave me; the key is under my pillow; tell Clotilde to take it; she has my directions.”

At ten minutes to four another hypodermic injection was given, but without effect. And just as four o’clock was striking, the second attack declared itself. Suddenly, after a fit of suffocation, he threw himself out of bed; he desired to rise, to walk, in a last revival of his strength. A need of space, of light, of air, urged him toward the skies. Then there came to him an irresistible appeal from life, his whole life, from the adjoining workroom, where he had spent his days. And he went there, staggering, suffocating, bending to the left side, supporting himself by the furniture.

Dr. Ramond precipitated himself quickly toward him to stop him, crying:

“Master, master! lie down again, I entreat you!”

But Pascal paid no heed to him, obstinately determined to die on his feet. The desire to live, the heroic idea of work, alone survived in him, carrying him onward bodily. He faltered hoarsely:

“No, no—out there, out there—”

His friend was obliged to support him, and he walked thus, stumbling and haggard, to the end of the workroom, and dropped into his chair beside his table, on which an unfinished page still lay among a confusion of papers and books.

Here he gasped for breath and his eyes closed. After a moment he opened them again, while his hands groped about, seeking his work, no doubt. They encountered the genealogical tree in the midst of other papers scattered about. Only two days before he had corrected some dates in it. He recognized it, and drawing it toward him, spread it out.

“Master, master! you will kill yourself!” cried Ramond, overcome with pity and admiration at this extraordinary spectacle.

Pascal did not listen, did not hear. He felt a pencil under his fingers. He took it and bent over the tree, as if his dying eyes no longer saw. The name of Maxime arrested his attention, and he wrote: “Died of ataxia in 1873,” in the certainty that his nephew would not live through the year. Then Clotilde’s name, beside it, struck him and he completed the note thus: “Has a son, by her Uncle Pascal, in 1874.” But it was his own name that he sought wearily and confusedly. When he at last found it his hand grew firmer, and he finished his note, in upright and bold characters: “Died of heart disease, November 7, 1873.” This was the supreme effort, the rattle in his throat increased, everything was fading into nothingness, when he perceived the blank leaf above Clotilde’s name. His vision grew dark, his fingers could no longer hold the pencil, but he was still able to add, in unsteady letters, into which passed the tortured tenderness, the wild disorder of his poor heart: “The unknown child, to be born in 1874. What will it be?” Then he swooned, and Martine and Ramond with difficulty carried him back to bed.

The third attack came on about four o’clock. In this last access of suffocation Pascal’s countenance expressed excruciating suffering. Death was to be very painful; he must endure to the end his martyrdom, as a man and a scientist. His wandering gaze still seemed to seek the clock, to ascertain the hour. And Ramond, seeing his lips move, bent down and placed his ear to the mouth of the dying man. The latter, in effect, was stammering some vague words, so faint that they scarcely rose above a breath:

“Four o’clock—the heart is stopping; no more red blood in the aorta—the valve relaxes and bursts.”

A dreadful spasm shook him; his breathing grew fainter.

“Its progress is too rapid. Do not leave me; the key is under the pillow—Clotilde, Clotilde—”

At the foot of the bed Martine was kneeling, choked with sobs. She saw well that monsieur was dying. She had not dared to go for a priest notwithstanding her great desire to do so; and she was herself reciting the prayers for the dying; she prayed ardently that God would pardon monsieur, and that monsieur might go straight to Paradise.

Pascal was dying. His face was quite blue. After a few seconds of immobility, he tried to breathe: he put out his lips, opened his poor mouth, like a little bird opening its beak to get a last mouthful of air. And he was dead.

XIII.

It was not until after breakfast, at about one o’clock, that Clotilde received the despatch. On this day it had chanced that she had quarreled with her brother Maxime, who, taking advantage of his privileges as an invalid, had tormented her more and more every day by his unreasonable caprices and his outbursts of ill temper. In short, her visit to him had not proved a success. He found that she was too simple and too serious to cheer him; and he had preferred, of late, the society of Rose, the fair-haired young girl, with the innocent look, who amused him. So that when his sister told him that their uncle had sent for her, and that she was going away, he gave his approval at once, and although he asked her to return as soon as she should have settled her affairs at home, he did so only with the desire of showing himself amiable, and he did not press the invitation.

Clotilde spent the afternoon in packing her trunks. In the feverish excitement of so sudden a decision she had thought of nothing but the joy of her return. But after the hurry of dinner was over, after she had said good-by to her brother, after the interminable drive in a hackney coach along the avenue of the Bois de Boulogne to the Lyons railway station, when she found herself in the ladies’ compartment, starting on the long journey on a cold and rainy November night, already rolling away from Paris, her excitement began to abate, and reflections forced their way into her mind and began to trouble her. Why this brief and urgent despatch: “I await you; start this evening.” Doubtless it was the answer to her letter; but she knew how greatly Pascal had desired that she should remain in Paris, where he thought she was happy, and she was astonished at his hasty summons. She had not expected a despatch, but a letter, arranging for her return a few weeks later. There must be something else, then; perhaps he was ill and felt a desire, a longing to see her again at once. And from this time forward this fear seized her with the force of a presentiment, and grew stronger and stronger, until it soon took complete possession of her.

All night long the rain beat furiously against the windows of the train while they were crossing the plains of Burgundy, and did not cease until they reached Macon. When they had passed Lyons the day broke. Clotilde had Pascal’s letters with her, and she had waited impatiently for the daylight that she might read again carefully these letters, the writing of which had seemed changed to her. And noticing the unsteady characters, the breaks in the words, she felt a chill at her heart. He was ill, very ill—she had become certain of this now, by a divination in which there was less of reasoning than of subtle prescience. And the rest of the journey seemed terribly long, for her anguish increased in proportion as she approached its termination. And worse than all, arriving at Marseilles at half-past twelve, there was no train for Plassans until twenty minutes past three. Three long hours of waiting! She breakfasted at the buffet in the railway station, eating hurriedly, as if she was afraid of missing this train; then she dragged herself into the dusty garden, going from bench to bench in the pale, mild sunshine, among omnibuses and hackney coaches. At last she was once more in the train, which stopped at every little way station. When they were approaching Plassans she put her head out of the window eagerly, longing to see the town again after her short absence of two months. It seemed to her as if she had been away for twenty years, and that everything must be changed. When the train was leaving the little station of Sainte-Marthe her emotion reached its height when, leaning out, she saw in the distance La Souleiade with the two secular cypresses on the terrace, which could be seen three leagues off.

It was five o’clock, and twilight was already falling. The train stopped, and Clotilde descended. But it was a surprise and a keen grief to her not to see Pascal waiting for her on the platform. She had been saying to herself since they had left Lyons: “If I do not see him at once, on the arrival of the train, it will be because he is ill.” He might be in the waiting-room, however, or with a carriage outside. She hurried forward, but she saw no one but Father Durieu, a driver whom the doctor was in the habit of employing. She questioned him eagerly. The old man, a taciturn Provençal, was in no haste to answer. His wagon was there, and he asked her for the checks for her luggage, wishing to see about the trunks before anything else. In a trembling voice she repeated her question:

“Is everybody well, Father Durieu?”

“Yes, mademoiselle.”

And she was obliged to put question after question to him before she succeeded in eliciting the information that it was Martine who had told him, at about six o’clock the day before, to be at the station with his wagon, in time to meet the train. He had not seen the doctor, no one had seen him, for two months past. It might very well be since he was not here that he had been obliged to take to his bed, for there was a report in the town that he was not very well.

“Wait until I get the luggage, mademoiselle,” he ended, “there is room for you on the seat.”

“No, Father Durieu, it would be too long to wait. I will walk.”

She ascended the slope rapidly. Her heart was so tightened that she could scarcely breathe. The sun had sunk behind the hills of Sainte-Marthe, and a fine mist was falling from the chill gray November sky, and as she took the road to Les Fenouilleres she caught another glimpse of La Souleiade, which struck a chill to her heart—the front of the house, with all its shutters closed, and wearing a look of abandonment and desolation in the melancholy twilight.

But Clotilde received the final and terrible blow when she saw Ramond standing at the hall door, apparently waiting for her. He had indeed been watching for her, and had come downstairs to break the dreadful news gently to her. She arrived out of breath; she had crossed the quincunx of plane trees near the fountain to shorten the way, and on seeing the young man there instead of Pascal, whom she had in spite of everything expected to see, she had a presentiment of overwhelming ruin, of irreparable misfortune. Ramond was pale and agitated, notwithstanding the effort he made to control his feelings. At the first moment he could not find a word to say, but waited to be questioned. Clotilde, who was herself suffocating, said nothing. And they entered the house thus; he led her to the dining-room, where they remained for a few seconds, face to face, in mute anguish.

“He is ill, is he not?” she at last faltered.

“Yes,” he said, “he is ill.”

“I knew it at once when I saw you,” she replied. “I knew when he was not here that he must be ill. He is very ill, is he not?” she persisted.

As he did not answer but grew still paler, she looked at him fixedly. And on the instant she saw the shadow of death upon him; on his hands that still trembled, that had assisted the dying man; on his sad face; in his troubled eyes, which still retained the reflection of the death agony; in the neglected and disordered appearance of the physician who, for twelve hours, had maintained an unavailing struggle against death.

She gave a loud cry:

“He is dead!”

She tottered, and fell fainting into the arms of Ramond, who with a great sob pressed her in a brotherly embrace. And thus they wept on each other’s neck.

When he had seated her in a chair, and she was able to speak, he said:

“It was I who took the despatch you received to the telegraph office yesterday, at half-past ten o’clock. He was so happy, so full of hope! He was forming plans for the future—a year, two years of life. And this morning, at four o’clock, he had the first attack, and he sent for me. He saw at once that he was doomed, but he expected to last until six o’clock, to live long enough to see you again. But the disease progressed too rapidly. He described its progress to me, minute by minute, like a professor in the dissecting room. He died with your name upon his lips, calm, but full of anguish, like a hero.”

Clotilde listened, her eyes drowned in tears which flowed endlessly. Every word of the relation of this piteous and stoical death penetrated her heart and stamped itself there. She reconstructed every hour of the dreadful day. She followed to its close its grand and mournful drama. She would live it over in her thoughts forever.

But her despairing grief overflowed when Martine, who had entered the room a moment before, said in a harsh voice:

“Ah, mademoiselle has good reason to cry! for if monsieur is dead, mademoiselle is to blame for it.”

The old servant stood apart, near the door of her kitchen, in such a passion of angry grief, because they had taken her master from her, because they had killed him, that she did not even try to find a word of welcome or consolation for this child whom she had brought up. And without calculating the consequences of her indiscretion, the grief or the joy which she might cause, she relieved herself by telling all she knew.

“Yes, if monsieur has died, it is because mademoiselle went away.”

From the depths of her overpowering grief Clotilde protested. She had expected to see Martine weeping with her, like Ramond, and she was surprised to feel that she was an enemy.

“Why, it was he who would not let me stay, who insisted upon my going away,” she said.

“Oh, well! mademoiselle must have been willing to go or she would have been more clear-sighted. The night before your departure I found monsieur half-suffocated with grief; and when I wished to inform mademoiselle, he himself prevented me; he had such courage. Then I could see it all, after mademoiselle had gone. Every night it was the same thing over again, and he could hardly keep from writing to you to come back. In short, he died of it, that is the pure truth.”