The ''Genius'', Theodore Dreiser [classic reads txt] 📗
- Author: Theodore Dreiser
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One chapter was devoted to the Cæsarian operation, with a description of its tremendous difficulties and a long disquisition on the ethics of killing the child to save the mother, or the mother to save the child with their relative values to society indicated. Think of it—a surgeon sitting in the seat of judge and executioner at the critical moment! Ah, life with its petty laws did not extend here. Here we came back to the conscience of man which Mrs. Eddy maintained was a reflection of immanent mind. If God were good, He would speak through that—He was speaking through it. This surgeon referred to that inmost consciousness of supreme moral law, which alone could guide the practitioner in this dreadful hour.
Then he told of what implements were necessary, how many assistants (two), how many nurses (four), the kinds of bandages, needles, silk and catgut thread, knives, clamp dilators, rubber gloves. He showed how the cut was to be made—when, where. Eugene closed the book, frightened. He got up and walked out in the air, a desire to hurry up to Angela impelling him. She was weak, he knew that. She had complained of her heart. Her muscles were probably set. Supposing these problems, any one of them, should come in connection with her. He did not wish her to die.
He had said he had—yes, but he did not want to be a murderer. No, no! Angela had been good to him. She had worked for him. Why, God damn it, she had actually suffered for him in times past. He had treated her badly, very badly, and now in her pathetic little way she had put herself in this terrific position. It was her fault, to be sure it was. She had been trying as she always had to hold him against his will, but then could he really blame her? It wasn't a crime for her to want him to love her. They were just mis-mated. He had tried to be kind in marrying her, and he hadn't been kind at all. It had merely produced unrest, dissatisfaction, unhappiness for him and for her, and now this—this danger of death through pain, a weak heart, defective kidneys, a Cæsarian operation. Why, she couldn't stand anything like that. There was no use talking about it. She wasn't strong enough—she was too old.
He thought of Christian Science practitioners, of how they might save her—of some eminent surgeon who would know how without the knife. How? How? If these Christian Scientists could only think her through a thing like this—he wouldn't be sorry. He would be glad, for her sake, if not his own. He might give up Suzanne—he might—he might. Oh, why should that thought intrude on him now?
When he reached the hospital it was three o'clock in the afternoon, and he had been there for a little while in the morning when she was comparatively all right. She was much worse. The straining pains in her side which she had complained of were worse and her face was alternately flushed and pale, sometimes convulsed a little. Myrtle was there talking with her, and Eugene stood about nervously, wondering what he should do—what he could do. Angela saw his worry. In spite of her own condition she was sorry for him. She knew that this would cause him pain, for he was not hard-hearted, and it was his first sign of relenting. She smiled at him, thinking that maybe he would come round and change his attitude entirely. Myrtle kept reassuring her that all would be well with her. The nurse said to her and to the house doctor who came in, a young man of twenty-eight, with keen, quizzical eyes, whose sandy hair and ruddy complexion bespoke a fighting disposition, that she was doing nicely.
"No bearing down pains?" he asked, smiling at Angela, his even white teeth showing in two gleaming rows.
"I don't know what kind they are, doctor," she replied. "I've had all kinds."
"You'll know them fast enough," he replied, mock cheerfully. "They're not like any other kind."
He went away and Eugene followed him.
"How is she doing?" he asked, when they were out in the hall.
"Well enough, considering. She's not very strong, you know. I have an idea she is going to be all right. Dr. Lambert will be here in a little while. You had better talk to him."
The house surgeon did not want to lie. He thought Eugene ought to be told. Dr. Lambert was of the same opinion, but he wanted to wait until the last, until he could judge approximately correctly.
He came at five, when it was already dark outside, and looked at Angela with his grave, kindly eyes. He felt her pulse, listened to her heart with his stethoscope.
"Do you think I shall be all right, doctor?" asked Angela faintly.
"To be sure, to be sure," he replied softly. "Little woman, big courage." He smoothed her hand.
He walked out and Eugene followed him.
"Well, doctor," he said. For the first time for months Eugene was thinking of something besides his lost fortune and Suzanne.
"I think it advisable to tell you, Mr. Witla," said the old surgeon, "that your wife is in a serious condition. I don't want to alarm you unnecessarily—it may all come out very satisfactorily. I have no positive reason to be sure that it will not. She is pretty old to have a child. Her muscles are set. The principal thing we have to fear in her case is some untoward complication with her kidneys. There is always difficulty in the delivery of the head in women of her age. It may be necessary to sacrifice the child. I can't be sure. The Cæsarian operation is something I never care to think about. It is rarely used, and it isn't always successful. Every care that can be taken will be taken. I should like to have you understand the conditions. Your consent will be asked before any serious steps are taken. Your decision will have to be quick, however, when the time comes."
"I can tell you now, doctor, what my decision will be," said Eugene realizing fully the gravity of the situation. For the time being, his old force and dignity were restored. "Save her life if you can by any means that you can. I have no other wish."
"Thanks," said the surgeon. "We will do the best we can."
There were hours after that when Eugene, sitting by Angela, saw her endure pain which he never dreamed it was possible for any human being to endure. He saw her draw herself up rigid time and again, the color leaving her face, the perspiration breaking out on her forehead only to relax and flush and groan without really crying out. He saw, strange to relate, that she was no baby like himself, whimpering over every little ill, but a representative of some great creative force which gave her power at once to suffer greatly and to endure greatly. She could not smile any more. That was not possible. She was in a welter of suffering, unbroken, astonishing. Myrtle had gone home to her dinner, but promised to return later. Miss De Sale came, bringing another nurse, and while Eugene was out of the room, Angela was prepared for the final ordeal. She was arrayed in the usual open back hospital slip and white linen leggings. Under Doctor Lambert's orders an operating table was got ready in the operating room on the top floor and a wheel table stationed outside the door, ready to remove her if necessary. He had left word that at the first evidence of the genuine childbearing pain, which the nurse understood so well, he was to be called. The house surgeon was to be in immediate charge of the case.
Eugene wondered in this final hour at the mechanical, practical, business-like manner in which all these tragedies—the hospital was full of women—were taken. Miss De Sale went about her duties calm, smiling, changing the pillows occasionally for Angela, straightening the disordered bedclothes, adjusting the window curtains, fixing her own lace cap or apron before the mirror which was attached to the dresser, or before the one that was set in the closet door, and doing other little things without number. She took no interest in Eugene's tense attitude, or Myrtle's when she was there, but went in and out, talking, jesting with other nurses, doing whatever she had to do quite undisturbed.
"Isn't there anything that can be done to relieve her of this pain?" Eugene asked wearily at one point. His own nerves were torn. "She can't stand anything like that. She hasn't the strength."
She shook her head placidly. "There isn't a thing that anyone can do. We can't give her an opiate. It stops the process. She just has to bear it. All women do."
"All women," thought Eugene. Good God! Did all women go through a siege like this every time a child was born? There were two billion people on the earth now. Had there been two billion such scenes? Had he come this way?—Angela? every child? What a terrible mistake she had made—so unnecessary, so foolish. It was too late now, though, to speculate concerning this. She was suffering. She was agonizing.
The house surgeon came back after a time to look at her condition, but was not at all alarmed apparently. He nodded his head rather reassuringly to Miss De Sale, who stood beside him. "I think she's doing all right," he said.
"I think so, too," she replied.
Eugene wondered how they could say this. She was suffering horribly.
"I'm going into Ward A for an hour," said the doctor. "If any change comes you can get me there."
"What change could come," asked Eugene of himself, "any worse than had already appeared?" He was thinking of the drawings, though, he had seen in the book—wondering if Angela would have to be assisted in some of the grim, mechanical ways indicated there. They illustrated to him the deadly possibilities of what might follow.
About midnight the expected change, which Eugene in agonized sympathy was awaiting, arrived. Myrtle had not returned. She had been waiting to hear from Eugene. Although Angela had been groaning before, pulling herself tense at times, twisting in an aimless, unhappy fashion, now she seemed to spring up and fall as though she had fainted. A shriek accompanied the movement, and then another and another. He rushed to the door, but the nurse was there to meet him.
"It's here," she said quietly.
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