The Autobiography of a Quack [33]
tort, it is no longer remembered or recognized. But in some cases, such as mine proved at last to my sorrow, the ends of the nerves undergo a curious alteration, and get to be enlarged and altered. This change, as I have seen in my practice of medicine, sometimes passes up the nerves toward the centers, and occasions a more or less constant irritation of the nerve- fibers, producing neuralgia, which is usually referred by the brain to that part of the lost limb to which the affected nerve belonged. This pain keeps the brain ever mindful of the missing part, and, imperfectly at least, preserves to the man a consciousness of possessing that which he has not.
Where the pains come and go, as they do in certain cases, the subjective sensations thus occasioned are very curious, since in such cases the man loses and gains, and loses and regains, the consciousness of the presence of the lost parts, so that he will tell you, ``Now I feel my thumb, now I feel my little finger.'' I should also add that nearly every person who has lost an arm above the elbow feels as though the lost member were bent at the elbow, and at times is vividly impressed with the notion that his fingers are strongly flexed.
Other persons present a peculiarity which I am at a loss to account for. Where the leg, for instance, has been lost, they feel as if the foot were present, but as though the leg were shortened. Thus, if the thigh has been taken off, there seems to them to be a foot at the knee; if the arm, a hand seems to be at the elbow, or attached to the stump itself.
Before leaving Nashville I had begun to suffer the most acute pain in my left hand, especially the little finger; and so perfect was the idea which was thus kept up of the real presence of these missing parts that I found it hard at times to believe them absent. Often at night I would try with one lost hand to grope for the other. As, however, I had no pain in the right arm, the sense of the existence of that limb gradually disappeared, as did that of my legs also.
Everything was done for my neuralgia which the doctors could think of; and at length, at my suggestion, I was removed, as I have said, from the Stump Hospital to the United States Army Hospital for Injuries and Diseases of the Nervous System. It was a pleasant, suburban, old-fashioned country- seat, its gardens surrounded by a circle of wooden, one-story wards, shaded by fine trees. There were some three hundred cases of epilepsy, paralysis, St. Vitus's dance, and wounds of nerves. On one side of me lay a poor fellow, a Dane, who had the same burning neuralgia with which I once suffered, and which I now learned was only too common. This man had become hysterical from pain. He carried a sponge in his pocket, and a bottle of water in one hand, with which he constantly wetted the burning hand. Every sound increased his torture, and he even poured water into his boots to keep himself from feeling too sensibly the rough friction of his soles when walking. Like him, I was greatly eased by having small doses of morphia injected under the skin of my shoulder with a hollow needle fitted to a syringe.
As I improved under the morphia treatment, I began to be disturbed by the horrible variety of suffering about me. One man walked sideways; there was one who could not smell; another was dumb from an explosion. In fact, every one had his own abnormal peculiarity. Near me was a strange case of palsy of the muscles called rhomboids, whose office it is to hold down the shoulder-blades flat on the back during the motions of the arms, which, in themselves, were strong enough. When, however, he lifted these members, the shoulder-blades stood out from the back like wings, and got him the sobriquet of the ``Angel.'' In my ward were also the cases of fits, which very much annoyed me, as upon any great change in the weather it was common to have a dozen convulsions in view at once. Dr. Neek, one of our physicians, told me that on one occasion a hundred and fifty fits took place within thirty-six hours. On my complaining of these sights,
Where the pains come and go, as they do in certain cases, the subjective sensations thus occasioned are very curious, since in such cases the man loses and gains, and loses and regains, the consciousness of the presence of the lost parts, so that he will tell you, ``Now I feel my thumb, now I feel my little finger.'' I should also add that nearly every person who has lost an arm above the elbow feels as though the lost member were bent at the elbow, and at times is vividly impressed with the notion that his fingers are strongly flexed.
Other persons present a peculiarity which I am at a loss to account for. Where the leg, for instance, has been lost, they feel as if the foot were present, but as though the leg were shortened. Thus, if the thigh has been taken off, there seems to them to be a foot at the knee; if the arm, a hand seems to be at the elbow, or attached to the stump itself.
Before leaving Nashville I had begun to suffer the most acute pain in my left hand, especially the little finger; and so perfect was the idea which was thus kept up of the real presence of these missing parts that I found it hard at times to believe them absent. Often at night I would try with one lost hand to grope for the other. As, however, I had no pain in the right arm, the sense of the existence of that limb gradually disappeared, as did that of my legs also.
Everything was done for my neuralgia which the doctors could think of; and at length, at my suggestion, I was removed, as I have said, from the Stump Hospital to the United States Army Hospital for Injuries and Diseases of the Nervous System. It was a pleasant, suburban, old-fashioned country- seat, its gardens surrounded by a circle of wooden, one-story wards, shaded by fine trees. There were some three hundred cases of epilepsy, paralysis, St. Vitus's dance, and wounds of nerves. On one side of me lay a poor fellow, a Dane, who had the same burning neuralgia with which I once suffered, and which I now learned was only too common. This man had become hysterical from pain. He carried a sponge in his pocket, and a bottle of water in one hand, with which he constantly wetted the burning hand. Every sound increased his torture, and he even poured water into his boots to keep himself from feeling too sensibly the rough friction of his soles when walking. Like him, I was greatly eased by having small doses of morphia injected under the skin of my shoulder with a hollow needle fitted to a syringe.
As I improved under the morphia treatment, I began to be disturbed by the horrible variety of suffering about me. One man walked sideways; there was one who could not smell; another was dumb from an explosion. In fact, every one had his own abnormal peculiarity. Near me was a strange case of palsy of the muscles called rhomboids, whose office it is to hold down the shoulder-blades flat on the back during the motions of the arms, which, in themselves, were strong enough. When, however, he lifted these members, the shoulder-blades stood out from the back like wings, and got him the sobriquet of the ``Angel.'' In my ward were also the cases of fits, which very much annoyed me, as upon any great change in the weather it was common to have a dozen convulsions in view at once. Dr. Neek, one of our physicians, told me that on one occasion a hundred and fifty fits took place within thirty-six hours. On my complaining of these sights,