Post mortem: Essays, historical and medicalMacLaurin, C. (Charles)
History
Post mortem: Essays, historical and medical
MacLaurin, C. (Charles)
Biography; Pathology
I do not remember to have noticed any of that ecstasy which we are
told should attend the dying of the saved. Generally, so far as I
have observed, the dying man falls asleep some hours or days before
he actually dies, and does not wake again. His breathing becomes more
and more feeble; his heart beats more irregularly and feebly, and
finally it does not resume; there comes a moment when his face alters
indescribably and his jaw drops; one touches his eyes and they do
not respond; one holds a mirror to his mouth and it is not dulled;
his wife, kneeling by the bedside, suddenly perceives that she is a
widow, and cries inconsolably; one turns away sore and grieved and
defeated; and that is all about it! There is no more heroism nor pain
nor agony in dying than in falling asleep every night. Whether a man
has been a good man or a bad does not seem to make any difference. I
have seldom seen a death-agony, nor heard a death-rattle that could
be distinguished from a commonplace snore. Possibly the muscles may
become wanting in oxygenation for some time before actual death, and
thrown into convulsive movements like the dance of the highwayman
at Tyburn while he was dying of strangulation, and these convulsive
movements might be looked upon as a death-agony; but I am quite sure
that the patient never feels them. To do so would require that the
sense of self-location would persist, but what evidence we have is
that that is one of the first senses to depart. Possibly the dying man
may have some sensation such as we have all gone through while falling
asleep--that feeling as though we are falling, which is supposed to
be a survival from the days when we were apes; possibly there may be
some giddiness such as attends the going under an anæsthetic, and is
doubtless to be attributed to the same loss of power of self-location;
but the impression that has been forced upon me whenever I have seen
any struggling has been that the movements were quite involuntary,
purposeless, and meaningless. And anything like an agony or a
death-rattle is rare. Far more often the man simply falls asleep, and
it may be as difficult to decide when life passes into death as it is
to decide when consciousness passes into sleep.
Public-domain text, read in full here on John Shaqi.
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