Thursday, March 11th, 2010

1889 / London

Collecting Symptoms

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It was my liver that was out of order. I knew it was my liver that was out of order, because I had just been reading a patent liver-pill circular, in which were detailed the various symptoms by which a man could tell when his liver was out of order. I had them all.

It is a most extraordinary thing, but I never read a patent medicine advertisement without being impelled to the conclusion that I am suffering from the particular disease therein dealt with in its most virulent form. The diagnosis seems in every case to correspond exactly with all the sensations that I have ever felt.

I remember going to the British Museum one day to read up the treatment for some slight ailment of which I had a touch—hay fever, I fancy it was. I got down the book and read all I came to read, and then, in an unthinking moment, I idly turned the leaves and began to study indolently diseases in general. I forget which was the first distemper I plunged into—some fearful, devastating scourge, I know—and before I had glanced half down the list of “premonitory symptoms,” it was borne in upon me that I had fairly got it.

I sat for a while frozen with horror, and then, in the listlessness of despair, I again turned over the pages. I came to typhoid fever—read the symptoms—discovered that I had typhoid fever, must have had it for months without knowing it—wondered what else I had got; turned up St. Vitus’ Dance—found, as I expected, that I had that too—began to get interested in my case and determined to sift it to the bottom, and so started alphabetically—read up ague and learnt that I was sickening for it, and that the acute stage would commence in about another fortnight. Bright’s disease, I was relieved to find, I had only in a modified form, and so far as that was concerned, I might live for years. Cholera I had, with severe complications; and diphtheria I seemed to have been born with. I plodded conscientiously through the twenty-six letters, and the only malady I could conclude I had not got was housemaid’s knee.

I felt rather hurt about this at first; it seemed somehow to be a sort of slight. Why hadn’t I got housemaid’s knee? Why this invidious reservation? After a while, however, less grasping feelings prevailed. I reflected that I had every other known malady in the pharmacology, and I grew less selfish—and determined to do without housemaid’s knee. Gout, in its most malignant stage, it would appear, had seized me without my being aware of it; zymosis I had evidently been suffering with from boyhood. There were no more diseases after zymosis, so I concluded there was nothing else the matter with me.

I sat and pondered. I thought what an interesting case I must be from a medical point of view, what an acquisition I should be to a class! Students would have no need to “walk the hospitals” if they had me. I was a hospital in myself. All they need do would be to walk round me, and after that, take their diploma.

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Medicine
About the Text

Jerome K. Jerome, from "Victim to One Hundred and Seven Fatal Maladies." Jerome left school at the age of fourteen, working as a railway clerk and then an actor before transcribing his experiences as the latter for his first book, On the Stage--and Off. A novelist and playwright, Jerome also edited two humorous journals in which he published works by Mark Twain, Arthur Conan Doyle, and Robert Louis Stevenson.

Physician, heal yourself: thus you help your patient too. Let his best help be to see with his own eyes the man who makes himself well.
Friedrich Nietzsche, c. 1884
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