CHAPTER XVII

_Interesting adventure leading to acquaintance with Ralph Waldo

Emerson--Marie receives the degree of M.D.--The faculty presents

her, as a gift, with the note which she had given in payment for her

lecture fees--Reflections: direct benefit which the men students

derived from co-education; tribute to her college teachers, especially

Drs. Delamater and Kirtland. (Twenty-six years of age: 1856.)_

This second year of my stay in Cleveland was therefore a most valuable

episode of my life, turning all my views topsy-turvy, uprooting me, so

to say, from all German conservatism and throwing me into this chaotic

medley of contradictions.

However, the one straight aim of preparing myself for the examinations

leading to a medical diploma kept me from any alarming detour in my

progress of evolution, and the year closed without any other than

the usual events in the course of life, as, for instance, the birth

of a nephew which arrived in December and which I superintended, my

brother-in-law defraying my expenses to and from New York.

But I did have one very interesting adventure. And one daughter,

Virginia Vaughan, who had been really the means of my being asked to

become the guest of the house, was the leader in this. Mr. Ralph Waldo

Emerson had lectured in Cleveland and he was as usual a guest of Mrs.

Vaughan; she had been his pupil when a young lady and at school in

Boston and quite an intimacy existed between them. From Cleveland, Mr.

Emerson went to Hudson, ten miles away, the real seat of the Western

Reserve College, and he was advertised to lecture there at six in the

evening.

Virginia, anxious to hear Mr. Emerson again, came to the medical

college which closed at four in the afternoon, and proposed our going

to Hudson on the half-past four o’clock train to return on the one

leaving there at nine. On arriving at the Hudson lecture hall, we found

a notice posted on the door informing the public that the lecture would

be at seven o’clock.

We went back to the station intending to return to Cleveland and there

we found there was no train until the one at nine o’clock. The station

was a crude, cold room, having only an insignificant little stove, so

Virginia proposed that we find Mr. Emerson who, she knew, was at the

house of his cousin, Professor Emerson, a member of the college faculty.

It was a cold, bitter day with plenty of snow everywhere, so we could

do nothing better than seek the house of the Professor. There we were

made so cordially welcome by Mrs. Emerson that we forgot even our very

improper appearance in our common everyday working attire. These kind

hosts would not allow us to return in that last train but telegraphed

to the family in Cleveland of our whereabouts, insisting that we remain

with them over Sunday, there being no trains till Monday morning at

eight o’clock.

That evening, after returning from the lecture and while partaking of a

cup of hot tea, we noticed a bright rosy light upon the parlor windows.

Thinking it was an exhibition of “northern lights,” we all started for

the door. Alas! it was a great conflagration of magnificent hues of

dark red flame.

We went to see the spectacle from a little hill between the house and

the fire where hundreds of people were already assembled, all of whom

were warmed and pleased by the wonderful flames, without any one making

any effort to extinguish them or to try to prevent their spreading from

the burning cheese storehouse to the adjacent factory. Mr. Ralph Waldo

Emerson asked in astonishment of the men standing nearest, “Why don’t

you try to extinguish the fire?” One replied in a very phlegmatic way,

“Because we have no firemen or machines.” While another added, “Even if

we had, there would be no use for them as we have no water.” The little

town of Hudson, with its pretty streets and with a college aspiring to

become soon a university, was without water. This seemed impossible to

believe, yet it was true, as Professor Emerson assured us.

This night will always remain a memorable one, for independently of

that glorious illumination of the snow-covered city and landscape

which was so fearful and yet so wondrously beautiful, it gave me an

opportunity to get acquainted with one of the greatest philosophers

of our times. This opportunity was well used during the Sunday

morning when all but Mr. Ralph Waldo Emerson and myself went to

church, I having no suitable clothes for such attendance. This short

acquaintance gave rise to the many kind and pleasant words to people

with which Mr. Emerson favored me in later years, and to a very

interesting friendship with members of Professor Emerson’s family

residing in New York and Boston.

During the winter of 1855-1856, my life in Cleveland became doubly

interesting because I began to speak English and thus was able to

manifest my appreciation of the delightful impressions which I

received, directly and indirectly, through the channels outside of my

medical studies.

How often was I surprised by the doubts of these more or less radical

reformers concerning the success of women as medical practitioners.

Only Ralph Waldo Emerson spoke rationally about the innovation of

women physicians; yet he doubted that women would enter upon any other

profession except that of teaching.

Having spent Christmas in New York with my sisters and the family, who

enjoyed the newly arrived baby as only the first one can be enjoyed, I

returned to my college life with new zest, and I now had the extra task

to perform of writing my thesis for examination.

New Year’s Day, 1856, was cold and windy and brought a snowstorm. The

lake opposite the house presented a sad and terrible aspect in the

presence of an icebound schooner with several dead sailors covered

with ice and hanging in its rigging. Attempts to reach the vessel in

small boats had failed, and a number of sturdy, sympathizing men were

standing on the shore discussing plans for relief that still might be

given to some unseen fellow beings on board.

As the day was no holiday, I, of course, had to go to college. But it

was a bitter day. I thought my first winter in Cleveland was a severe

one, but this was cruelly so and it continued till late in March.

The first ten weeks of the year were spent very industriously by me in

preparing to pass my examinations, after my thesis was accepted. The

latter was considered exceptionally good, and was the cause of my not

failing as a candidate for a diploma, because I received only mediocre

marks in all the branches of study, even falling below the passing mark

in one branch.

I wish to make a statement of this fact here for many good reasons.

One is, that it shows the utter absurdity of giving marks or numbers

at all, for independently of my being still very awkward in English

expressions, I was, and still am, very slow in thinking out any subject

and I have a very poor mechanical memory.

Among my three companions I was very much liked when discussing or

reasoning out problems of our studies, often systematizing what seemed

to us chaotic on a first reading. They often made me the “quizzer,” and

I was not a little ashamed to hear with what readiness they gave names

and relations of organs, knowing how impossible it would be for me to

do the same.

But when it came to practical deductions or applications they always

relied upon me. I enjoyed the confidence of those professors with whom

I had practical instruction, and I had always out-patients on hand

to look after. For this latter, my companions felt they had no time,

sitting and committing to memory their lessons, and only one of them

had had any practical work in that she had lived in a “water-cure”

establishment.

I envied my three friends not a little when I found they graduated with

full marks and high honors. However, the desired diploma of “M.D.” was

also awarded to me. I felt grateful for it, intending to make the most

conscientious use of the power thus given to me and which I felt I

fully deserved, as I could not help judging my medical knowledge to be

as complete as that of any one of the forty-two graduates.

And it is for this reason, also, that I condemn the method of judging

of the ability or competence of any student simply from questions and

answers. So much knowledge can be acquired by storing the memory with

all sorts of details, without making one’s self fit to digest what

is learned and to assimilate even a part of it. But how necessary is

this latter when one is called upon to help all sorts of conditions

in people who seek advice for physical, mental or moral ailments.

And a physician, in the full sense of the word, must be qualified to

help human nature from these three points of view. The mere studying

and learning by heart of the symptoms of diseases, and of the origin,

preparation and doses of drugs, ought to be the last chapter to be

examined upon.

My private studies in which examinations would have given much

more satisfactory results, were “biology,” “cellular anatomy” and

“comparative anatomy,” in none of which subjects had we any instruction

in the college. And it is my opinion that the medical profession will

not, and cannot, make medicine a science as long as these branches

(in both their physiological and pathological forms) are not studied

profoundly and made a foundation upon which to build methods for

averting or controlling disease. So long as physicians are taught to

talk of “curing disease,” so long will the whole profession wander in

the realm of empiricism, if not outright quackery.

It may be excusable that I thus use myself in illustrating what I

think is so pernicious, namely, cramming the memory with learning

isolated facts and filling the brain to its fullest capacity with the

names of authors and their opinions, leaving no room for individual

reasoning or research or for the power of making original deductions

and applications.

After this apparent digression, I must return to my theme, namely,

the last few weeks of my student life in Cleveland. As I have already

stated how distrustful the so-called “good society” was concerning

female medical students and how ready the so-called “reformers” were to

seek them, I must here mention a peculiar aberration which had taken

hold of the whole community. I refer to what was then called Mesmerism.

The individual thinking and theorizing on this subject assumed with

many persons a perfectly preposterous form. The views held were based

on no scientific research or study but simply on memorizing what was

published (often after the most superficial observation) regarding

hysterical or somnambulistic manifestations.

The faith with which statements of so-called “cures” in all sorts of

illnesses were received was just as widespread as that which later

accepted Clairvoyance, Hypnotism and Christian Science. These, one

after the other, followed the Mesmerism and Magnetism waves; but they

are all precisely the same thing, under other names, and they are

all more or less influenced by what is called Spiritualism. And the

countless “miracle” workers, under a host of names, are all of the same

class.

The desire for the assistance of superrational influences is one of

the greatest obstacles which the human mind has to overcome. It will

take centuries of education before the majority of thinking beings will

learn that a cell will produce only its like, that modifications of the

cell are produced only after a time of slow and, as yet, imperceptible

changes, and not suddenly by prayer or personal magnetism.

One of the most perplexing phenomena which I observed was that educated

men themselves became victims of these delusions. For instance, I knew

a professor of botany who was so completely absorbed in the phenomena

of _Spiritualism_ and _Magnetism_ that he submitted himself

to treatment by these uneducated pretenders for an ailment produced by

malaria. It is sometimes almost discouraging to see that even education

will not prevent faith in the superrational or supernatural.

But the Earth has billions and billions of years to live, and at the

rate of mental development as we have observed it, I have no doubt

that the human intellect will grow out of its present infantile

condition into a maturity of which even the present generations have

no conception, although, unconsciously, we all assist in nursing the

embryo of intelligence which we call “knowledge” and “science.”

One may dream of the greatness of the human mind when all the

inhabitants of the earth will be as well-developed mentally as the few

out of the billions are to-day. One may imagine that the lowest of the

Pygmies in mid-Africa or the stupidest Esquimaux near the North Pole

will be able to think, to reason and to enjoy, as much as I do now; and

that the then great minds will work and struggle to bring up in the

scale such poor ignorant mortals as those of my present level, these

then existing by the billions as we have the billions of illiterate

existing to-day.

[Walt Whitman had a similar thought, and it is interesting to compare

her and his expression of it, remembering the difference between prose

and poetry, and the obstruction to expression caused by a foreign

tongue which never became easy to her. In “Leaves of Grass,” he says:

This day before dawn I ascended a hill and looked at the crowded

heaven,

And I said to my Spirit, _When we become the enfolders of those

orbs, and the pleasure and knowledge of everything in them, shall

we be filled and satisfied then?_

And my Spirit said, _No, we but level that lift to pass and continue

beyond._]

In March, 1856, the great event took place. On Commencement Day,

forty-two students, four of whom were women, received the degree of

“M.D.” The hall in which the exercises took place was crowded, not only

with friends of the graduates but with a goodly number of the curious

of the city who had come to get a look at the women doctors. A deep

silence prevailed after the president had alluded to the female portion

of the students, and the dropping of a pin might have been heard when

one after the other, according to alphabetical arrangement, they

stepped up to the platform, each to receive her roll of parchment. No

sign for or against them was made and all went home in a dull, somber

mood.

The doors of the college had closed behind us, and the words of advice

to “go out and do honor to your chosen profession” with which the whole

event had concluded, rang in my ears, though I had not the slightest

idea how to realize them.

Shortly after Commencement, the dean of the college (Dr. Delamater)

called upon me. A call from this venerable gentleman was a thing so

unusual that numberless conjectures as to what this visit might mean

flitted through my brain on my way to the parlor. He received me, as

usual, paternally, wished me a thousand blessings, and handed back to

me the note for one hundred and twenty dollars, payable in two years,

which I had given for the lecture fees. He told me that in the meeting

of the faculty after graduation day, it was proposed by one of the

professors to return the note to me as a gift. To this, those present

cheerfully gave a unanimous vote, adding their wishes for my success

and appointing Dr. Delamater as their delegate to inform me of the

proceedings.

This was a glorious beginning, for which I am more than thankful, and

for which I was especially so at that time when I had barely money

enough to return to New York, with very small prospects of getting

means wherewith to commence practice. The mention of this fact might

be thought indiscreet by the faculty in Cleveland were they still so

organized as to admit women, which I am sorry to say is no longer the

case, though they give as their reason that women at present have their

own medical colleges and, consequently, no longer have need of theirs.

Before I quit the subject of the Cleveland College, I must mention a

fact which may serve as an argument against the belief that the sexes

cannot study together without exerting an injurious effect upon each

other. During the last winter of my study, there was such emulation in

respect to the graduating honors among the candidates for graduation,

comprising thirty-eight male and four female students, that all studied

more closely than they had ever done before--the men not wishing

to be excelled by the women, nor the women by the men. One of the

professors afterwards told me that whereas it was usually a difficult

thing to decide upon the best three theses to be read publicly at the

Commencement, since all were more or less indifferently written, this

year the theses were all so good that it was necessary, to avoid doing

absolute injustice, to select thirteen from which parts should be read.

Does not this prove that the stimulus of the one sex upon the other

would act favorably rather than otherwise upon the profession? And

would not the very best tonic that could be given to the individual be

to pique his _amour propre_ by the danger of being excelled by one

of the opposite sex? Is not this natural, and would not this be the

best and the surest reformation of humanity and its social condition,

if left free to work out its own development?

On the day following the visit of Dr. Delamater, I received a letter

from my brother-in-law in which he told me that his business compelled

him to go to Europe for half a year, and that he had, therefore, made

arrangements for me to procure money, in case that I should need it to

commence my practice. He said that he intended to assist me afterwards,

but that as he thought it best for my sister (his wife) to live out of

New York during his absence, he was willing to lend me as much money

as I required until his return. I accepted his offer with infinite

pleasure, for it was another instance of real friendship. He was by

no means a rich man but was simply in the employ of a large importing

house.

By giving lessons in German, I had earned a little money that served

to cover my most necessary expenses. For the last months that I spent

in Cleveland, I carried in my purse one solitary cent as a sort of

talisman, firmly believing that some day it would turn into gold; but

this did not happen, and on the day that I was expecting the receipt of

the last eighteen dollars for my lessons, which were designed to bear

my expenses to New York, I gave it to a poor woman in the street who

begged me for a cent, and it doubtless ere long found its way into a

ginshop.

The twenty months that I spent in Cleveland were chiefly devoted to the

study of medicine in the English language, and in this I was assisted

by most noble-hearted men. Dr. Delamater’s office became a pleasant

spot and its occupants a necessity to me. On the days that I did not

meet them, my spirits fell below zero.

In spite of the pecuniary distress from which I constantly suffered,

I was happier in Cleveland than ever before or since. I lived in my

element, having a fixed purpose in view and enjoying the warmest tokens

of real friendship. I was liked in college, and though the students

often found it impossible to repress a hearty laugh at my ridiculous

blunders in English, they always showed me respect and fellowship in

the highest sense of the terms.

After receiving the degree of “M.D.” and leaving the college behind me,

it seems quite right to stop for a few moments and cast a retrospective

glance at my own situation, objectively. I wonder whether any one can

justly claim that one has always followed a well-laid plan in life, or

whether conditions and environment do not mold our actions, sustain our

firmness and fortify our persistence in following or working towards a

positive aim.

I do not think that in youth the individual shapes the _modus

operandi_ of any undertaking. In spite of having a vague idea, or

even a strong desire to carry into effect such an idea, environment

as well as outside influences must come to the aid, in order to keep

alive and to nourish the hope that his preconceived idea or desire

can ever be realized. Without such assistance, the young aspirant can

easily be diverted and led into spheres of action not intended or

desired in the first instance.

After we become older, we may honestly imagine that we followed a

regularly planned course in life, when we really lived simply according

to whatever chances from time to time molded or influenced our activity.

During the years from 1850 to March, 1856, it now seems to me that no

definite plan determined my action, and that all that guided me was the

strong desire to make for myself “an independent livelihood” and to

assist all persons who felt that same strong desire.

Several times I was tempted to change my field of work so as to

obtain this independence. For instance, in Berlin, after leaving the

Charité Hospital, offers were made to me by eminent physicians to take

charge of private hospitals which were then beginning to be started,

especially for surgery. I did not accept these offers, partly because

they again placed me in dependence and partly because surgery had been

distasteful to me as it was then practiced, without anesthetics, the

use of neither ether nor chloroform having become general.

So, as we reason from the concrete to the abstract, I doubt that any

one, man or woman, can stand up and declare that one has achieved

exactly what one hoped to achieve when entering upon the battlefield of

active life. There is no doubt that an intrinsic fitness for a certain

kind of activity guides us towards such influences as we need to

develop this fitness, but that is all.

It is for this reason, perhaps, that I never married, although educated

and trained with the idea that the true sphere of woman is to be a

wife and mother. Also, I was very sentimentally inclined towards men,

to moonlight walks and to the exchange of friendly letters; but I

always grew tired of it all in a very short time and decided that none

of these attachments was the right one, proving that my desire for

independence was innate. So, happy the man who got released from me and

happy was I to remain free.

Again, after arriving in New York, I might just as well have become a

manufacturer, as I had begun to be, if I had become familiar with the

English language. I was quite happy in that branch of work and was

able to assist many a woman in various ways. But the impossibility of

acquiring the language in that limited sphere prevented the enlargement

of my knowledge and connections necessary in that branch of activity.

Then later came, last but not least, the temptation to go as missionary

to the Cherokee Indians. I have not a doubt that in that direction I

could have developed my independence and have been extremely useful,

had I not been influenced by people in whose judgment I had full

confidence--a rare thing in young, impulsive, enthusiastic natures, to

accept the advice of others. I was bridled and held in check, not by a

clear vision but by influences which overpowered me as the magnet does

the iron which it attracts.

Also, do I consider it fair and right and not out of place to speak of

the lecturers and teachers connected with the medical department of the

Western Reserve College. At the time as well as in the following years,

I often heard depreciatory remarks about our professors and their

methods of instruction.

There was no doubt that a very few of the students in attendance had

a collegiate education superior to that which some of the professors

might have had in their younger days, for instance, Dr. John J.

Delamater, then over seventy years old, and Dr. J. B. Kirtland, not far

from seventy, both of them the kindest of men, true philanthropists and

men of a natural genius who had attained a high position among their

fellow men.

They had had, perhaps, less advantages in booklearning when young, yet

they had the power of inspiring youth to a higher and more thorough

study, and their influence in developing the thinking powers of the

students was something remarkable. Originality of thought, reasoning

and deduction was the example given to us by them. And the form of

their teachings was not so much memorizing prescribed methods as the

teaching of the students how to observe closely all the phenomena of

the case of illness in question and how to study the smallest details,

physical, mental and moral, in order to find the primary cause. Such

instruction can never be gained from books, although medical literature

has now begun to attempt it. Many of the students ridiculed the hints

and directions given, while to others they were the inspiration for

deeper study even after the degree was obtained.

I know it was so in my case, and works like Kölliker’s _Comparative

Anatomy_, later Virchow’s _Cellular Pathology_, and works on

biology, embryology and histology became really the foundation upon

which I built my practice, taking little heed of recommendations of how

to treat cases or how to administer doses of this or that old or new

remedy or system of remedies. I did my own reasoning, I made my own

deductions, in as logical a method as possible as the cases revealed

themselves to my understanding through physical or psychical symptoms.

Originality and spontaneity of mental action are injured by unthinking

cramming of mind and memory with booklearning.

It is for these reasons that I love to think, with gratitude and a deep

feeling of honor, of the men who then constituted the medical faculty,

although two of them were greatly annoyed by the presence of the four

women students and did not hesitate to manifest their feelings in word

and deed, without being offensive.

Indeed, even this feeling that our presence was objectionable was of

use in our training, as it gave us a strong foretaste of the prejudice

which we were to meet in our professional lives. And it helped us in

many ways to develop the courage which we were to need in meeting the

offensive behavior of many physicians and students with whom we were

obliged to come in contact when trying to seek fellowship in private

practice, or to increase our knowledge, or to gain admittance to public

institutions.

A Woman's Quest: The life of Marie E. Zakrzewska, M.D. · 第 17 / 28 章