The cause of my reluctance was not the prospect of a too liberal use
of water, for by arrangement with the heads of the establishment I was
able to control that as I chose; moreover, an employment of the
hot-bath in what would ordinarily be excess is absolutely necessary as
a sedative throughout the first week of the struggle. I have had
several patients whom during this period I plunged into water at 110°
Fahrenheit as often as fifteen times in a single day--each bath
lasting as long as the patient experienced relief. In some cases this
Elysium coming after the rack has been the only period for a month in
which the sufferer had any thing resembling a doze. My reluctance
arose from the necessity of sending a patient in such an advanced
stage of the opium disease so far away from me that I must rely on
reports written by people without my eyes, for keeping personally
_au courant_ with the case; that I must consult and prescribe by
letter, subject to the execution of my plans by men, who, though
excellent and careful, were ignorant of my theories of treatment, and
had never made this particular disease a specialty. I accordingly sent
Mr. A. away to the water-cure, all friendless and alone to fight the
final battle of his life against tougher odds than he had ever before
encountered. At no time in my life have I realized with greater
bitterness the helplessness of a practitioner who has no institution
of his own to take such cases to than when I shook his poor, dry,
sallow hand and bade him good-bye at the station.
As I said in the beginning, I am just home from seeing the
result. Mr. A. has fared as special cases always do in places where
there is no special provision for them. To speak plainly, he had been
badly neglected; and that, undoubtedly, without the slightest
intention on the part of the heads of the house to do other than their
duty. Six weeks ago I heard from the first physician that my friend
was entirely free from opium, and, though still suffering, was
steadily on the mend. I had no further news from him till I was called
to his bedside by a note which said he feared he was dying, pencilled
in a hand as tremulously illegible as the confession of Guy Fawkes. I
was with him by the earliest train I could take, after arranging with
a neighbor for my practice, and found him in a condition which led him
to say, as I myself said at the commencement of this article; "Would
to God that every young person could stand for a single hour by this
bedside before Life's Responsibilities have become the sentinels and
Habit the jailer of the Will!"
Public-domain text, read in full here on John Shaqi.
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