PAGE 5
The Resident Patient
by
“What happened was this. Two days ago I received the letter which I now read to you. Neither address nor date is attached to it.
“‘A Russian nobleman who is now resident in England,’ it runs, ‘would be glad to avail himself of the professional assistance of Dr. Percy Trevelyan. He has been for some years a victim to cataleptic attacks, on which, as is well known, Dr. Trevelyan is an authority. He proposes to call at about quarter past six to-morrow evening, if Dr. Trevelyan will make it convenient to be at home.’
“This letter interested me deeply, because the chief difficulty in the study of catalepsy is the rareness of the disease. You may believe, then, that I was in my consulting-room when, at the appointed hour, the page showed in the patient.
“He was an elderly man, thin, demure, and commonplace–by no means the conception one forms of a Russian nobleman. I was much more struck by the appearance of his companion. This was a tall young man, surprisingly handsome, with a dark, fierce face, and the limbs and chest of a Hercules. He had his hand under the other’s arm as they entered, and helped him to a chair with a tenderness which one would hardly have expected from his appearance.
“‘You will excuse my coming in, doctor,’ said he to me, speaking English with a slight lisp. ‘This is my father, and his health is a matter of the most overwhelming importance to me.’
“I was touched by this filial anxiety. ‘You would, perhaps, care to remain during the consultation?’ said I.
“‘Not for the world,’ he cried with a gesture of horror. ‘It is more painful to me than I can express. If I were to see my father in one of these dreadful seizures I am convinced that I should never survive it. My own nervous system is an exceptionally sensitive one. With your permission, I will remain in the waiting-room while you go into my father’s case.’
“To this, of course, I assented, and the young man withdrew. The patient and I then plunged into a discussion of his case, of which I took exhaustive notes. He was not remarkable for intelligence, and his answers were frequently obscure, which I attributed to his limited acquaintance with our language. Suddenly, however, as I sat writing, he ceased to give any answer at all to my inquiries, and on my turning towards him I was shocked to see that he was sitting bolt upright in his chair, staring at me with a perfectly blank and rigid face. He was again in the grip of his mysterious malady.
“My first feeling, as I have just said, was one of pity and horror. My second, I fear, was rather one of professional satisfaction. I made notes of my patient’s pulse and temperature, tested the rigidity of his muscles, and examined his reflexes. There was nothing markedly abnormal in any of these conditions, which harmonized with my former experiences. I had obtained good results in such cases by the inhalation of nitrite of amyl, and the present seemed an admirable opportunity of testing its virtues. The bottle was downstairs in my laboratory, so leaving my patient seated in his chair, I ran down to get it. There was some little delay in finding it–five minutes, let us say–and then I returned. Imagine my amazement to find the room empty and the patient gone.
“Of course, my first act was to run into the waiting-room. The son had gone also. The hall door had been closed, but not shut. My page who admits patients is a new boy and by no means quick. He waits downstairs, and runs up to show patients out when I ring the consulting-room bell. He had heard nothing, and the affair remained a complete mystery. Mr. Blessington came in from his walk shortly afterwards, but I did not say anything to him upon the subject, for, to tell the truth, I have got in the way of late of holding as little communication with him as possible.