Saturday, February 4th, 2012
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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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Published In
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.

Because the newer methods of treatment are good, it does not follow that the old ones were bad: for if our honorable and worshipful ancestors had not recovered from their ailments, you and I would not be here today.
Confucius, c. 515 BC
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