Fasting Girls: Their Physiology and Pathology
Chapter 2
About February 15th, 1867, when she was not quite ten years of age, she complained of pain in the pit of the stomach, and one morning on getting up, she told her mother that she had found her mouth full of bloody froth. The pain continued, and medical attendance was obtained. Soon afterwards she had strong convulsions of an epileptiform character and then other spasms of a clearly hysterical form, during which her body was bent in the form of a bow as in tetanus, the head and heels only touching the bed. Then the muscular spasm ceased and she fell at full length on the bed. For a whole month she continued in a state of unconsciousness, suffering from frequent repetitions of severe convulsive attacks, during which time she took little food. Mr. Davies, the surgeon, said in his evidence, that she was for a whole month, in a kind of permanent fit, lying on her back, with rigidity of all the muscles. For some time her life was despaired of, then her fits ceased to be convulsive and consisted of short periods of loss of consciousness with sudden awakings. For the next two or three months (till August, 1867) she took daily, from six, gradually decreasing to four, teacupfuls of rice and milk, or oatmeal and milk, which according to her father's account, was cast up again immediately and blood and froth with it. During this time the bowels were only acted on once in six or nine days. "Up to this time," said her father, "she could move both arms and one leg, but the other leg was rigid."
By the beginning of October, 1867, her quantity of daily food had, it was affirmed, dwindled down to nothing but a little apple about the size of a pill, which she took from a tea-spoon. At this time she made water about every other day; she looked very bad in the face, but was not thin. On the tenth day of October, it was solemnly declared that she ceased to take any food whatever, and so continued till the day of her death, December 17th, 1869, a period of two years, two months, and one week.
"Of the veracity of the assertion in respect of _the one week_," says Dr. Fowler, "there is unfortunately plenty of evidence. To the absurdity of believing in the barest possibility of twenty-six months absolute abstinence, it is sufficient to reply that when to our knowledge, she was completely deprived of food, the girl died! The parents most persistently impressed upon every private as well as official visitor, both before and during the last fatal watching, that the girl did not take food; that she could not swallow; that whenever food was mentioned to her she became as it were, excited; that when it was offered to her she would have a fit, or the offer would make her ill. The sworn testimony of the vicar, the Rev. Wm. Thomas, Sister Clinch, Ann Jones, and the other nurses, is sufficiently confirmative on this point. Furthermore, the parents went so far as to expressly forbid the mere mention of food in the girl's presence."
Towards the end of October, 1867, the case had attracted so much attention that the inhabitants in the neighborhood first began visiting the marvellous little girl.
"In the beginning of November of the same year, the Rev. Evan Jones, B.D., the vicar of the parish, was sent for by the parents to visit Sarah Jacob. He was at once--by the mother--told of the girl's wonderful fasting powers; it was admitted she took water occasionally. He was also informed of the extraordinary perversion of her natural functions (the suppression of urine and fæcal evacuations.) He found her lying on her back in bed, which was covered with books. There was nothing then remarkable about her dress. The girl looked weak and delicate, though not pale, and answered only in monosyllables. 'The mother said her child was very anxious about the state of her soul, that it had such an effect upon her mind that she could not sleep.' I asked her myself if she had a desire to become a member of the Church of England? She said, 'Yes!' She continued to express that wish until July, 1869. At this time the reverend gentleman did not believe in the statements relative to the girl's abstinence. 'Every time,' he says, 'that I had a conversation with her up to the end of 1868, the parents both persisted that she lived without food, and continued their statements in January and February, 1869. I remonstrated with them and dwelt upon the apparent impossibility of the thing. They still persisted that it was a fact.'
"Even as late as September, 1869, the vicar reiterated his ministerial remonstrances. When, in the beginning of the spring of 1869, he observed the fantastical changes the parents made in the girl's daily attire, he told them about the remarks made in the papers about this dressing and dwelt upon the impropriety of it. They replied, 'She had no other pleasure--they did not like denying it to her.' During the following summer, finding that the girl looked more plump in the face and that her general improvement was more conspicuous, he said, 'Sarah is evidently improving and gaining, and you say she takes no food; you are certainly imposing on the public.' I then dwelt on the sinfulness of continuing the fraud on the public. I said there were on record several cases of alleged fasting, some of which had been put to the test and had been discovered to be impositions; that those families would ever be held in execration by posterity, and such would be the case with them whenever this imposture was found out. The mother then assured me no imposition would be discovered in that house, because there was none."
The father and mother both said that the Lord provided for her in a most natural way, and that it was a miracle. The father always talked about the "Doctor Mawr," meaning God Almighty; that she was supported by that "Big Doctor."
Then soon began the custom of leaving money or other presents with the child, till at last every one who visited her, was expected to give something. Open house was kept and pilgrims came from near and far to see the wonderful girl who lived without food.
When money was not forthcoming, presents of clothes, finery, books, or flowers, appear to have been substituted. Advantage was taken of these presents to bedeck the child in every variety of smartness. At one time she had a victorine about her neck and a wreath about her hair, then again, ornaments and a jacket on, and her hair neatly dressed with ribbons. At another time she had a silk shawl, a victorine around her neck, a small crucifix attached to a necklace, and little ribbons above the wrists. She had drab gloves on and her bed was nearly covered with books.
Notwithstanding the alleged fasting, Sarah Jacob continued to improve in health.
And now comes an astounding feature of this most remarkable case. The vicar became convinced that the instance was one of real abstinence. A little hysterical girl twelve years of age, by her perseverance in lying, had actually succeeded in inducing an educated gentleman to accept the truth of her statements! The following letter which was published on the 19th of February, 1869, speaks for itself:--
"A STRANGE CASE.
"To the Editor of the _Welshman_.
"Sir: Allow me to invite the attention of your readers to a most extraordinary case. Sarah Jacob, a little girl twelve years of age, and daughter of Mr. Evan Jacob, Lletherneuadd, in this parish, has not partaken of a single grain of any kind of food whatever, during the last sixteen months. She did occasionally swallow a few drops of water during the first few months of this period; but now she does not even do that. She still looks pretty well in the face and continues in the possession of all her mental faculties. She is in this and several other respects, a wonderful little girl.
"Medical men persist in saying that the thing is quite impossible, but all the nearest neighbors, who are thoroughly acquainted with the circumstances of the case, entertain no doubt whatever of the subject, and I am myself of the same opinion.
"Would it not be worth their while for medical men to make an investigation into the nature of this strange case? Mr. Evan Jacob would readily admit into his house any respectable person who might be anxious to watch it and to see for himself.
"I may add, that Lletherneuadd is a farm-house about a mile from New Inn, in this parish.
"Yours faithfully,
"THE VICAR OF LLANFIHANGEL-AR-ARTH."
The suggestions of the vicar relative to an investigation, were soon after afterwards acted upon by certain gentlemen of the neighborhood. A public meeting was called and a committee of watchers was appointed to be constantly in attendance in the room with Sarah Jacob, and to observe to the best of their ability, whether or not she took any food during the investigation. It was agreed that the watching was to continue for a fortnight.
Prior to the beginning of this watching, no precautions were taken against food being conveyed into the room and concealed there. The parents actually debarred the watchers from touching the child's bed. The very first element of success was therefore denied, and no wonder that the whole affair was subsequently regarded as an absurdity. The watching consisted in two different men taking alternate watches from eight till eight. The watching to see whether the child partook of food, commenced on March 22d, and ended April 5th, 1869--a period of fourteen days.
During the above fortnight, one of the watchers, in turn, was always close to her bed, and in her sight day and night, and at the time the bed was being made, which was generally every other morning, the four persons were always present and had every article thoroughly examined. The parents were allowed to go near the bed, as also was the little sister, six years old, who had been Sarah's constant companion and bed-fellow.
On Wednesday, April 7th, 1869, a public meeting was held at the Eagle Inn, Llandyfeil, to hear the statements of the parents and of the several persons who had watched the child during the fourteen days. The parents briefly detailed the condition and symptoms of their daughter from the commencement of her illness. At no time during the whole fourteen days did the pulse ever reach above ninety per minute, although exceedingly changeable, as it always had been. The following evidence was received from the watchers, and it is _said_ that their statements were duly verified on oath before a magistrate:--
Watcher No. 1 said: I, Evan Edward Smith, watched Sarah Jacob for two consecutive nights, (_i. e._, nights 22d and 23d of March) at the request of Mr. H. H. Davies, surgeon. The parents gave every facility to investigate the matter. I watched her with all possible care, and found nothing to suspect that food or drink was given her by foul means. I am quite sure she had nothing during my watch. I was dismissed on account of being suspected to doze on the second night.
Watcher No. 2. This watcher watched Sarah Jacob for a whole fortnight, and found no indications that the child had anything to eat or drink. He was a college student, Daniel Harris Davies.
Watcher No. 3. John Jones, a shopkeeper, gave similar evidence. He was a decided sceptic before he began watching, but after twelve days was thoroughly convinced of the fact that nothing in the shape of nourishment was given to the poor child. He watched every movement of all the inmates, and found nothing that would lead him to suspect that any nourishment was given to the little girl.
Watcher No. 4. James Harris Davies, a medical student, spoke in like manner, and was perfectly positive that nothing had been given to her during the fortnight he had watched there, with the exception of three drops of water, once, to moisten her lips with. He was as great a sceptic as any one before he began watching, but as he saw nothing to confirm his suspicions, he could conscientiously say that nothing had been given her during his watch.
Watcher No. 5. Evan Davies, of Powel Castle, who only watched her for one day, gave similar evidence, but as he was a neighbour he was dismissed for a stranger.
Watcher No. 6. Herbert Jones, watched only one day, and spoke in a similar manner, and was dismissed on account of his credulity.
Watcher No. 7. Thomas Davies, who had been the greatest sceptic of all, was strongly convinced. He watched Sarah Jacob twelve days, and was quite positive that nothing could have been given her during his watch. He watched her with all possible care, and was very cautious to be in a prominent place, where Sarah Jacob's mouth was always in sight.
Evidence, however, was given which went to show that the watching was very imperfectly performed; that occasionally the watchers left before their time had expired; that intoxicating liquors were taken by them to the house, and that one of them was drunk while there. It was also shown that the father and mother had free access to the bed, while the watchers were absolutely prohibited from examining it. It is therefore with entire justification that Dr. Fowler states that the watching "was the greatest possible farce and mockery."
After the report of the watchers the notoriety of Sarah Jacob of course became still greater; crowds came to visit her, and among others the Rev. Frederic Rowland Young went to see her, and made an unsuccessful effort to cure her by laying on of hands. When Dr. Fowler visited her, August 30th, 1869, on getting out at the nearest railway station, he was met by little boys bearing placards with the words "Fasting Girl," and "This is the shortest way to Llethernoryadd-ucha," on them. In his letter to the _Times_, giving an account of his visit, Dr. Fowler says:--
"The first impression was most unfavorable, and to a medical man the appearances were most suspicious. The child was lying on a bed decorated as a bride, having around her head a wreath of flowers, from which was suspended a smart ribbon, the ends of which were joined by a small bunch of flowers, after the present fashion of ladies' bonnet strings. Before her, at proper reading distance, was an open Welsh book, supported by two other books on her body. The blanket covering was clean, tidy, and perfectly smooth. Across the fire-place, which was nearly opposite the foot of her bed, was an arrangement of shelves, well stocked with English and Welsh books, the gifts of various visitors to the house. The child is thirteen years of age, and is undoubtedly very pretty. Her face was plump, and her cheeks and lips of a beautiful rosy color. Her eyes were bright and sparkling, the pupils were very dilated, in a measure explicable by the fact of the child's head and face being shaded from the window-light by the projecting side of the cupboard bedstead. There was that restless movement and frequent looking out at the corners of the eyes so characteristic of simulative disease. Considering the lengthened inactivity of the girl, her muscular development was very good, and the amount of fat layer not inconsiderable. My friend stated that she looked even better than she did about a twelvemonth ago. There was a slight perspiration over the surface of the body. The pulse was perfectly natural, as were also the sounds of the lungs and heart, so far as I was enabled to make a stethoscopic examination. Having received permission to do this, I proceeded to make the necessary derangement of dress, when the girl went off into what the mother called a fainting fit. This consisted of nothing but a little and momentary hysterical crying and sobbing. The color never left the lips or cheeks. The pulse remained of the same power. Consciousness could have been but slightly diminished, inasmuch as on my then opening the eyelids I perceived a distinct upward and other movement of the eyeballs. Each percussion stroke of my examination, and even the pressure of the stethoscope, produced an expression of pain, which elicited a natural sympathy from the mother, and an assertion that a continuance of such examination would bring on further fits. On percussing the region of the stomach, I most distinctly perceived the sound of gurgling, which we know to be caused by the admixture of air and fluid in motion. The most positive assertion of the parents was subsequently made that saving a fortnightly moistening of her lips with cold water, the child had neither ate nor drank anything for the last twenty-three months. The whole region of the belly was tympanitic, and the muscular walls of this cavity were tense and drum-like--a condition not infrequently concomitant of a well-known class of nervous disorders. The child's intellectual faculties and special senses were perfectly healthy. Before her illness she was very much devoted to religious reading. This devotion has lately considerably increased. She is a member of the Church of England, and has been confirmed."
Dr. Fowler then adds some other interesting particulars, all going to show the impossibility of the girl's being the subject of any exhausting disease, or of even having been continuously in bed, as her parents asserted, for nearly two years; and then says:--
"The whole case is in fact one of simulative hysteria, in a young girl having the propensity to deceive very strongly developed. Therewith may be probably associated the power or habit of prolonged fasting. Both patient and mother admitted the occasional occurrence of the choking sensation called _globus hystericus_."
This letter excited renewed discussion in the newspapers, and a second public meeting was called to make arrangements for a second watching. At this meeting it was decided to bring down from Guy's Hospital, London, several trained nurses, who were to conduct the watching; and the following resolutions were adopted, as expressing the terms under which the inquiry was to be conducted:--
1. It would be advisable, before taking any steps in the matter, to obtain a written legal guarantee from the father of Sarah Jacob sanctioning the necessary proceedings. 2. That the duty of the nurses shall be to watch Sarah Jacob with a view to ascertain whether she partakes of any kind of food, and at the end of a fortnight to report upon the case before the local committee in Carmarthenshire, and, if required, at Guy's Hospital. 3. That two nurses shall be constantly awake and on the watch in the girl's room, night and day. 4. It would be advisable for the nearest medical practitioner to watch the progress of the case; and it will be absolutely necessary for him to _be prepared against any serious symptoms of exhaustion, supervening on the strict enforcement of the watching, and to act according to his judgment_. 5. That the room in which the girl sleeps shall be bared of all unnecessary furniture, and all possible places in the room for the concealment of food shall be closed and kept under the continual scrutiny of the watchers. 6. That if considered desirable by the local medical practitioner, or by the nurses, the bedstead on which the girl now lies shall be replaced by a single iron one. 7. That the bed on which the parents now sleep, in Sarah Jacob's room, shall be given up absolutely to the nurses. 8. That the parents be not allowed to sleep in the same room as the girl; that if they cannot at all times be prevented from approaching her, they should be previously searched (their pockets and other recesses of clothing as well as the interior of their mouths); and that no wetted towels or other such articles be allowed to be used about the girl by the parents, or any other person save the nurses; that the children of the family, and in fact every other person whatever (except the nurses), have similar restraints put upon them. 9. That the nurses have the sole management of preparing the room, bed, and patient, prior to the commencement of the watching. 10. That, as it is asserted the action of the bowels and bladder is entirely suspended, special attention must be directed to these organs.
Four experienced women nurses were accordingly deputed from Guy's Hospital to take the entire charge of Sarah Jacob, and to watch her for fourteen days. They were instructed not to prevent her having food if she asked for it, but they were to see that she got none without their knowledge. On the 9th of December, 1869, at 4 P.M., the room was cleared of people and the watching began.
In the first place it was ascertained that the girl had repeated evacuations of urine, and once, at least, of fæces.
Gradually evidences of mental and physical disturbance began to appear. The watch was so closely kept that no food or drink reached the child, and she did not ask for any.
"At 10 P.M.," to quote the language of the journal kept by the sister nurse, "she was restless and threw her arms about. She was very cold, and the nurses put warm flannels on her. This was the last day on which she passed urine."
Thursday, December 16, 3 A.M.--She was rolling from one side of the bed to the other. At half-past three she wished the bed made, and they made it. She was looking very pale and anxious. Her eyes were sunk and her nose pinched, and the cheek bones were prominent. Her arms and hands were cold, her feet and legs were the same. Ann Jones, one of the nurses, says in her memoranda, "She was very restless and appeared to me to be sinking. Her lips were very dry, and her mouth seemed parched." The peculiar smell (the starvation smell) about the bed was so strong as to make the sister nurse quite ill.
At 11 A.M., the vicar saw her and told the parents that the child was gradually failing, and suggested to them the propriety of sending the nurses away and giving her a chance to obtain food, but they refused, saying that there was nothing to do but what the nurses were doing, and that they had seen her quite as weak before. The parents were urged by others to give up the fight by sending the nurses away, but they refused on the ground that want of food had nothing to do with the symptoms, and that she would not eat whether the nurses were there or not.
Ann Jones subsequently testified before the coroner: "Before one and two o'clock on Thursday afternoon (Dec. 16), she kept talking to herself. I could not understand whether she was speaking Welsh or English. Up to that time I could understand her. She pointed her fingers at some books; I gave her one, but she took no notice of it; she was not able to read it. _Both parents were then told the girl was dying._"
Repeatedly they were begged to withdraw the nurses, and again and again they refused, saying there was no occasion--that she had often been in that way, that it was not from want of food, etc. The girl became weaker and weaker; low, muttering delirium ensued, and on the 17th of December, 1869, at about half-past three o'clock, P.M., the "Welsh Fasting Girl" died, actually starved to death, in the middle of the nineteenth century and in one of the most Christian and civilized countries of the world!
But this was not the end. Public opinion was much excited both against those who had sanctioned and conducted what appeared to have been a senseless and cruel experiment, and against the father and mother who had wilfully and persistently refused to allow food to be given to the dying child. A coroner's inquest was held, and the coroner appears to have made a very satisfactory charge to the jury after the rendition of the testimony. He said there could be no doubt of the child having died of starvation, and that the responsibility rested with the father, who had knowingly and designedly failed to cause his child to take food. The mother was not responsible unless it could be shown that she had been given food for the child by the father, and had withheld it from her. It was marvellous, he said, how the father could have made out such a story--such a hideous mass of nonsense, as he had under oath attempted to impose on the jury.