HKB
POISONING WITH LEAD.
Nearly at the beginning of my practice in medicine, I was called to see a fine and hitherto healthy youth, twelve years old, but who had for several weeks before application was made to me, complained of a steady and sometimes severe pain in his bowels, attended with more or fewer febrile symptoms and a loss of appetite.
In endeavoring to trace out carefully the causes of his disease, the first thing that attracted my attention was his employment. His father was a blacksmith, and being in moderate circumstances and destitute of any other help besides this son, had for a considerable time required him to perform the work of an adult, or nearly such. It had not been suspected at the time, that the work injured him, though he had sometimes complained of great fatigue, and of a slight weakness and uneasiness in the place where the pain had now become fixed. As the result of my investigations, I came to the conclusion that he had been overworked, and certain ligaments of the bowels had been weakened.
My treatment in the case was at first mild and palliative, in the hope that after a few days of rest the trouble would disappear. Instead of this, however, it grew worse. At my special request, various counselling physicians were called in; but I do not know that they were of any service to me. No new light was thrown on the case, though we could all converse very learnedly on the subject.
Like many other young practitioners, I was at that time apt to indulge in gloomy fears about poisons. I seldom had a case of acute disease, without suspecting their influence. I suspected poison now, and accordingly made search into every possible nook and corner whence such an influence could possibly have emanated. For a long time nothing could be found.
One day, on examining a pot of pickled cucumbers which had hitherto escaped observation, I found that a part of its glazing had been destroyed by the acid. I no sooner saw this than I was ready to say, eureka (I have found it), and to inform the family and my patient. It appeared that the pickles had been there for some time, and that the boy had eaten of them very freely. The parents and friends, though they had much confidence in the wisdom and skill of their physician, were very slow to believe in the injurious tendency of the pickles. They admitted the danger of such cases generally; but how could the boy be injured, and not the rest of them? they asked. They forgot, or did not know, that the poison would be more likely to affect one who was weakened in the abdomen from other causes, than those who were sound; especially when he took much more of it into his stomach than they did.
In my suspicion about lead poisoning, I had very little sympathy from those around me. Even the counselling physicians had little confidence in any such existing cause of disease. They were nearly as ready as other people to leave the case in the dark, and to say, practically, "The finger of Providence is here;" or, in other words, It comes of some cause which God alone knows or can know.
How much of human ignorance--ay, and of human credulity and folly, too--is clustered round the well-known decision of many a court of inquest; viz., "Died by the visitation of God!" What do they mean by it? Do they suppose that since Satan or some other personage whom we call Death, is guilty of striking us down here and there, those who are not "struck with death" are struck down by the great Source of light and life?
The far greater probability is, that they know not what they do mean. Mankind are not addicted to thinking, especially on subjects of this sort. It is much easier, or at least much lazier, to refer all our ills and complaints, as well as their unfavorable terminations, to God or Satan, friend or foe,--to some agency exterior to themselves,--than to consider themselves as the probable cause, and proceed to make diligent search for their own errors.