MILK PUNCH FEVER.
A certain young woman who had great general confidence in my skill,
after I had stood by her many long hours in one of Nature's sorest
trials, was left at length in a fair way to recover, except that she was
exceedingly exhausted, and needed the most careful attendance on the
part of those around her. She no longer needed any medicine, nothing but
to be let alone. In other words, she needed nothing but good nursing and
entire freedom from all care and responsibility.
Being obliged at this juncture to leave her for nearly the whole night,
I gave the best directions to her principal nurse of which I was
capable, as well as the principal reasons on which it was founded. She
seemed entirely submissive, and perhaps, in theory, was so. But in my
zeal to make them understand that I was acting on common-sense
principles, I committed one error, a very common one, indeed, but yet an
error. It was that of reasoning with them with a view to make every
thing particularly intelligible. One has authority, in these matters, as
long as he takes the _attitude_ of authority, but the moment he descends
to the general level of his patients, and in true republican style puts
himself on a par with them, he begins to lose their confidence as a
physician. You may not be sensible of a loss of this sort, nor even the
physician. You may even think the reverse were more true. But you
deceive yourself. Though your patients may love you better as a friend
or even as a father, yet they have lost confidence in you medically, in
nearly the same proportion. Strange indeed that it should be so; but so,
according to my own observation, it ever has been. That a prophet is
"without honor"--and most so in his own country and among his own
personal friends--is as true now as it was eighteen hundred years ago.
Had I told Mrs. D.'s attendants to do so or so, and left them without
saying a word more, they would probably have done it. But I had
condescended to reason with them about the matter; their belief that
medical men dealt with the stars, and spoke with a species of
supernatural authority, had been shaken; and they were emboldened to
reason on the subject, and to hearken to the reasonings as well as to
what had but the slightest resemblance thereto in others, during my
absence.
Having occasion to use all possible precaution against the supervention
of milk fever in my patient, I left particular directions that nothing
stimulating should be administered, and assigned several good,
substantial reasons. No food was to be given, except a little bread and
some plain chicken broth, with no condiment or dressing but a little
salt; and this at intervals of about four hours. No drink--not a
particle--was to be given, except frequent very small draughts of cold
water.
While I was absent Mrs. D.'s mother came into their family, not only to
rejoice with them in an accession to their number, but to render them a
little aid. She was one of those mothers whose kindness so often defeats
their best and purest intentions. She was all eyes, ears, and attention,
and _nearly all talk_. The daughter's treatment soon underwent a special
scrutiny, and was found "wanting."
"Has the doctor ordered my daughter no milk punch?" she said to the
attendants. "Not a drop," they replied. She raised both hands in
astonishment. "How, then," she asked, "can the ninny expect she can ever
have any nourishment for that _boy_?" The attendants could not inform
her. "The doctor," they said, "gave reasons," but they could not fully
understand them.
"He did not probably understand them himself," said she. "There are no
reasons against it, I am confident. It is only a notion of his. These
young doctors are always full of their book wisdom. Why, a little
experience is worth a whole world full of theories. Now _I_ know--and so
does every other person who has nursed children--that a little milk
punch, in these cases, is necessary. Not a great deal, it is true; but a
little, just enough to give the system strength. Nature is weak in these
cases. I wish some of these young doctors themselves were obliged to
endure the trials we have to endure, and we should see whether they
could get along with no drink but cold water!"
The rebellion soon reached the daughter's ears, who, till now, had
confided in the "doctor's" prescription, and was doing well. She was
soon as uneasy with things as they were, as her mother and the nurse and
the neighbors. The husband was not of the clique; but then he was one of
those good-natured men who leave every thing to their wives; and though
they may not fully approve of every thing that is attempted, will yet do
and refrain from doing many things for the sake of peace. He interposed
no veto on the present occasion.
The mother, in short, soon reigned "sole monarch," and proceeded to
issue from her imperial throne, the sage decree that a little milk punch
must be made. Judith, the nurse, was to have it prepared so and so, and
she would herself administer it. Only just so many spoonfuls of rum must
be added to the tumbler of milk and water, and just so much sugar. It
must be weak, the decree said.
Mrs. D. drank freely of the punch, because her mother told her that it
would do her good. True, she asked after the first swallow, "what will
the doctor say to this?" but her mother bade her be quiet, she would see
to all that. "It is made very weak," said the mother, "on purpose for
you; drink of it a little and often. It will be both food and drink to
you. It will be good for the babe, dear child! how can these doctors
wish to starve folks? I have no notion of starving to death, or having
my children or grandchildren starved."
It was now past midnight, and Mrs. D. had as yet slept but very little.
Had she simply followed out my directions she might have slept an hour
or two before midnight, and several hours in the aggregate afterward.
This, though done by stealth and in short naps, would have given her
more real rest and strength than a whole gallon of milk punch, and
instead of kindling fever, would have carried off all tendencies of the
kind.
On my arrival, early the next morning, I found a good deal of headache,
such as cold water and plain food and rest seldom, if ever, create. My
fears were at once excited, and they were greatly strengthened when I
saw her mother. But the blow had been struck, and could not be recalled.
Mrs. D., in short, was already in the beginning stage of a fever which
came within a hair's breadth of destroying her.
It is indeed true that she finally recovered. No thanks, however, were
due to the mother's over-kindness, nor to my own over-communicativeness.
Had I done my duty, had I kept my own counsel, nobody, not even the
mother herself, as I now verily believe, would have ventured to disobey
my positive injunctions. And had this mother done, as she would have
been done by in similar circumstances, all would probably have been well
still. We should have saved a little reputation, and a good deal of
health.
I learned, I repeat, from this unexpected adventure, that it was wisdom
to keep my own secrets. I do not say that I have always acted up to the
dignity of this better knowledge, but I am justified in saying that I
have sometimes profited from an acquaintance with human nature that cost
me dear. It is no trifle to see an individual suffer from painful
disease a couple of weeks, and jeopard the life of a child during the
whole time, when a little knowledge how to refrain from speaking _ten
words_ of a particular kind and cast, would have prevented every evil.