But though, like all other mortals, Cuticle was subject at times to these fits of passion-at least under outrageous provocation- nothing could exceed his coolness when actually employed in his imminent vocation. Surrounded by moans and shrieks, by features distorted with anguish inflicted by himself, he yet maintained a countenance almost supernaturally calm; and unless the intense interest of the operation flushed his wan face with a momentary tinge of professional enthusiasm, he toiled away, untouched by the keenest misery coming under a fleet-surgeon's eye. Indeed, long habituation to the dissecting-room and the amputation-table had made him seemingly impervious to the ordinary emotions of humanity. Yet you could not say that Cuticle was essentially a cruel-hearted man. His apparent heartlessness must have been of a purely scientific origin. It is not to be imagined even that Cuticle would have harmed a fly, unless he could procure a microscope powerful enough to assist him in experimenting on the minute vitals of the creature.
But notwithstanding his marvellous indifference to the sufferings of his patients, and spite even of his enthusiasm in his vocation-not cooled by frosting old age itself-Cuticle, on some occasions, would effect a certain disrelish of his profession, and declaim against the necessity that forced a man of his humanity to perform a surgical operation. Especially was it apt to be thus with him, when the case was one of more than ordinary interest. In discussing it previous to setting about it, he would veil his eagerness under an aspect of great circumspection, curiously marred, however, by continual sallies of unsuppressible impatience. But the knife once in his hand, the compassionless surgeon himself, undisguised, stood before you. Such was Cadwallader Cuticle, our Surgeon of the Fleet.
CHAPTER LXII
A CONSULTATION OF MAN-OF-WAR SURGEONS
It seems customary for the Surgeon of the Fleet, when any important operation in his department is on the anvil, and there is nothing to absorb professional attention from it, to invite his brother surgeons, if at hand at the time, to a ceremonious consultation upon it. And this, in courtesy, his brother surgeons expect.
In pursuance of this custom, then, the surgeons of the neighbouring American ships of war were requested to visit the Neversink in a body, to advise concerning the case of the top-man, whose situation had now become critical. They assembled on the half-deck, and were soon joined by their respected senior, Cuticle. In a body they bowed as he approached, and accosted him with deferential regard.
"Gentlemen," said Cuticle, unostentatiously seating himself on a camp-stool, handed him by his cot-boy, "we have here an extremely interesting case. You have all seen the patient, I believe. At first I had hopes that I should have been able to cut down to the ball, and remove it; but the state of the patient forbade. Since then, the inflammation and sloughing of the part has been attended with a copious suppuration, great loss of substance, extreme debility and emaciation. From this, I am convinced that the ball has shattered and deadened the bone, and now lies impacted in the medullary canal. In fact, there can be no doubt that the wound is incurable, and that amputation is the only resource. But, gentlemen, I find myself placed in a very delicate predicament. I assure you I feel no professional anxiety to perform the operation. I desire your advice, and if you will now again visit the patient with me, we can then return here and decide what is best to be done. Once more, let me say, that I feel no personal anxiety whatever to use the knife."
The assembled surgeons listened to this address with the most serious attention, and, in accordance with their superior's desire, now descended to the sick-bay, where the patient was languishing. The examination concluded, they returned to the half-deck, and the consultation was renewed.
"Gentlemen," began Cuticle, again seating himself, "you have now just inspected the limb; you have seen that there is no resource but amputation; and now, gentlemen, what do you say? Surgeon Bandage, of the Mohawk, will you express your opinion?"
"The wound is a very serious one," said Bandage-a corpulent man, with a high German forehead-shaking his head solemnly.
"Can anything save him but amputation?" demanded Cuticle.
"His constitutional debility is extreme," observed Bandage, "but I have seen more dangerous cases."
"Surgeon Wedge, of the Malay," said Cuticle, in a pet, "be pleased to give _your_ opinion; and let it be definitive, I entreat: " this was said with a severe glance toward Bandage.
"If I thought," began Wedge, a very spare, tall man, elevating himself still higher on his toes, "that the ball had shattered and divided the whole _femur_, including the _Greater_ and _Lesser Trochanter_ the _Linear aspera_ the _Digital fossa_, and the _Intertrochanteric_, I should certainly be in favour of amputation; but that, sir, permit me to observe, is not my opinion."
"Surgeon Sawyer, of the Buccaneer," said Cuticle, drawing in his thin lower lip with vexation, and turning to a round-faced, florid, frank, sensible-looking man, whose uniform coat very handsomely fitted him, and was adorned with an unusual quantity of gold lace; "Surgeon Sawyer, of the Buccaneer, let us now hear _your_ opinion, if you please. Is not amputation the only resource, sir?"
"Excuse me," said Sawyer, "I am decidedly opposed to it; for if hitherto the patient has not been strong enough to undergo the extraction of the ball, I do not see how he can be expected to endure a far more severe operation. As there is no immediate danger of mortification, and you say the ball cannot be reached without making large incisions, I should support him, I think, for the present, with tonics, and gentle antiphlogistics, locally applied. On no account would I proceed to amputation until further symptoms are exhibited."
"Surgeon Patella, of the Algerine," said Cuticle, in an ill-suppressed passion, abruptly turning round on the person addressed, "will _you_ have the kindness to say whether _you_ do not think that amputation is the only resource?"
Now Patella was the youngest of the company, a modest man, filled with a profound reverence for the science of Cuticle, and desirous of gaining his good opinion, yet not wishing to commit himself altogether by a decided reply, though, like Surgeon Sawyer, in his own mind he might have been clearly against the operation.
"What you have remarked, Mr. Surgeon of the Fleet," said Patella, respectfully hemming, "concerning the dangerous condition of the limb, seems obvious enough; amputation would certainly be a cure to the wound; but then, as, notwithstanding his present debility, the patient seems to have a strong constitution, he might rally as it is, and by your scientific treatment, Mr. Surgeon of the Fleet"-bowing-"be entirely made whole, without risking an amputation. Still, it is a very critical case, and amputation may be indispensable; and if it is to be performed, there ought to be no delay whatever. That is my view of the case, Mr. Surgeon of the Fleet."
"Surgeon Patella, then, gentlemen," said Cuticle, turning round triumphantly, "is clearly of opinion that amputation should be immediately performed. For my own part-individually, I mean, and without respect to the patient-I am sorry to have it so decided. But this settles the question, gentlemen-in my own mind, however, it was settled before. At ten o'clock to-morrow morning the operation will be performed. I shall be happy to see you all on the occasion, and also your juniors" (alluding to the absent _Assistant Surgeons_). "Good- morning, gentlemen; at ten o'clock, remember."
And Cuticle retreated to the Ward-room.
CHAPTER LXIII
THE OPERATION
Next morning, at the appointed hour, the surgeons arrived in a body. They were accompanied by their juniors, young men ranging in age from nineteen years to thirty. Like the senior surgeons, these young gentlemen were arrayed in their blue navy uniforms, displaying a profusion of bright buttons, and several broad bars of gold lace about the wristbands. As in honour of the occasion, they had put on their best coats; they looked exceedingly brilliant.
The whole party immediately descended to the half-deck, where preparations had been made for the operation. A large garrison- ensign was stretched across the ship by the main-mast, so as completely to screen the space behind. This space
included the whole extent aft to the bulk-head of the Commodore's cabin, at the door of which the marine-orderly paced, in plain sight, cutlass in hand.
Upon two gun-carriages, dragged amidships, the Death-board (used for burials at sea) was horizontally placed, covered with an old royal-stun'-sail. Upon this occasion, to do duty as an amputation-table, it was widened by an additional plank. Two match-tubs, near by, placed one upon another, at either end supported another plank, distinct from the table, whereon was exhibited an array of saws and knives of various and peculiar shapes and sizes; also, a sort of steel, something like the dinner-table implement, together with long needles, crooked at the end for taking up the arteries, and large darning-needles, thread and bee's-wax, for sewing up a wound.
At the end nearest the larger table was a tin basin of water, surrounded by small sponges, placed at mathematical intervals. From the long horizontal pole of a great-gun rammer-fixed in its usual place overhead-hung a number of towels, with "U.S." marked in the corners.
All these arrangements had been made by the "Surgeon's steward," a person whose important functions in a man-of-war will, in a future chapter, be entered upon at large. Upon the present occasion, he was bustling about, adjusting and readjusting the knives, needles, and carver, like an over-conscientious butler fidgeting over a dinner-table just before the convivialists enter.
But by far the most striking object to be seen behind the ensign was a human skeleton, whose every joint articulated with wires. By a rivet at the apex of the skull, it hung dangling from a hammock-hook fixed in a beam above. Why this object was here, will presently be seen; but why it was placed immediately at the foot of the amputation-table, only Surgeon Cuticle can tell.
While the final preparations were being made, Cuticle stood conversing with the assembled Surgeons and Assistant Surgeons, his invited guests.
"Gentlemen," said he, taking up one of the glittering knives and artistically drawing the steel across it; "Gentlemen, though these scenes are very unpleasant, and in some moods, I may say, repulsive to me-yet how much better for our patient to have the contusions and lacerations of his present wound-with all its dangerous symptoms-converted into a clean incision, free from these objections, and occasioning so much less subsequent anxiety to himself and the Surgeon. Yes," he added, tenderly feeling the edge of his knife, "amputation is our only resource. Is it not so, Surgeon Patella?" turning toward that gentleman, as if relying upon some sort of an assent, however clogged with conditions.
"Certainly," said Patella, "amputation is your only resource, Mr. Surgeon of the Fleet; that is, I mean, if you are fully persuaded of its necessity."
The other surgeons said nothing, maintaining a somewhat reserved air, as if conscious that they had no positive authority in the case, whatever might be their own private opinions; but they seemed willing to behold, and, if called upon, to assist at the operation, since it could not now be averted.
The young men, their Assistants, looked very eager, and cast frequent glances of awe upon so distinguished a practitioner as the venerable Cuticle.
"They say he can drop a leg in one minute and ten seconds from the moment the knife touches it," whispered one of them to another.
"We shall see," was the reply, and the speaker clapped his hand to his fob, to see if his watch would be forthcoming when wanted.
"Are you all ready here?" demanded Cuticle, now advancing to his steward; "have not those fellows got through yet?" pointing to three men of the carpenter's gang, who were placing bits of wood under the gun-carriages supporting the central table.
"They are just through, sir," respectfully answered the steward, touching his hand to his forehead, as if there were a cap-front there.
"Bring up the patient, then," said Cuticle.
"Young gentlemen," he added, turning to the row of Assistant Surgeons, "seeing you here reminds me of the classes of students once under my instruction at the Philadelphia College of Physicians and Surgeons. Ah, those were happy days!" he sighed, applying the extreme corner of his handkerchief to his glass-eye. "Excuse an old man's emotions, young gentlemen; but when I think of the numerous rare cases that then came under my treatment, I cannot but give way to my feelings. The town, the city, the metropolis, young gentlemen, is the place for you students; at least in these dull times of peace, when the army and navy furnish no inducements for a youth ambitious of rising in our honourable profession. Take an old man's advice, and if the war now threatening between the States and Mexico should break out, exchange your navy commissions for commissions in the army. From having no military marine herself, Mexico has always been backward in furnishing subjects for the amputation-tables of foreign navies. The cause of science has languished in her hands. The army, young gentlemen, is your best school; depend upon it. You will hardly believe it, Surgeon Bandage," turning to that gentleman, "but this is my first important case of surgery in a nearly three years' cruise. I have been almost wholly confined in this ship to doctor's practice prescribing for fevers and fluxes. True, the other day a man fell from the mizzen-top-sail-yard; but that was merely an aggravated case of dislocations and bones splintered and broken. No one, sir, could have made an amputation of it, without severely contusing his conscience. And mine-I may say it, gentlemen, without ostentation is-peculiarly susceptible."
And so saying, the knife and carver touchingly dropped to his sides, and he stood for a moment fixed in a tender reverie but a commotion being heard beyond the curtain, he started, and, briskly crossing and recrossing the knife and carver, exclaimed, "Ali, here comes our patient; surgeons, this side of the table, if you please; young gentlemen, a little further off, I beg. Steward, take off my coat-so; my neckerchief now; I must be perfectly unencumbered, Surgeon Patella, or I can do nothing whatever."
These articles being removed, he snatched off his wig, placing it on the gun-deck capstan; then took out his set of false teeth, and placed it by the side of the wig; and, lastly, putting his forefinger to the inner angle of his blind eye, spirited out the glass optic with professional dexterity, and deposited that, also, next to the wig and false teeth.
Thus divested of nearly all inorganic appurtenances, what was left of the Surgeon slightly shook itself, to see whether anything more could be spared to advantage.
"Carpenter's mates," he now cried, "will you never get through with that job?"
"Almost through, sir-just through," they replied, staring round in search of the strange, unearthly voice that addressed them; for the absence of his teeth had not at all improved the conversational tones of the Surgeon of the Fleet.
With natural curiosity, these men had purposely been lingering, to see all they could; but now, having no further excuse, they snatched up their hammers and chisels, and-like the stage- builders decamping from a public meeting at the eleventh hour, after just completing the rostrum in time for the first speaker- the Carpenter's gang withdrew.
The broad ensign now lifted, revealing a glimpse of the crowd of man-of-war's-men outside, and the patient, borne in the arms of two of his mess-mates, entered the place. He was much emaciated, weak as an infant, and every limb visibly trembled, or rather jarred, like the head of a man with the palsy. As if an organic and involuntary apprehension of death had seized the wounded leg, its nervous motions were so violent that one of the mess-mates was obliged to keep his hand upon it.
The top-man was immediately stretched upon the table, the attendants steadying his limbs, when, slowly opening his eyes, he glanced about at the glittering knives and saws, the towels and sponges, the armed sentry at the Commodore's cabin-door, the row of eager-eyed students, the meagre death's-head of a Cuticle, now with his shirt sleeves rolled up upon his withered arms, and knife in hand, and, finally, his eyes settled in horror upon the skeleton, slowly vibrating and jingling before him, with the slow, slight roll of the frigate in the water.
"I would advise perfect repose of your every limb, my man," said Cuticle, addressing him; "the precision of an operation is often imp
aired by the inconsiderate restlessness of the patient. But if you consider, my good fellow," he added, in a patronising and almost sympathetic tone, and slightly pressing his hand on the limb, "if you consider how much better it is to live with three limbs than to die with four, and especially if you but knew to what torments both sailors and soldiers were subjected before the time of Celsus, owing to the lamentable ignorance of surgery then prevailing, you would certainly thank God from the bottom of your heart that _your_ operation has been postponed to the period of this enlightened age, blessed with a Bell, a Brodie, and a Lally. My man, before Celsus's time, such was the general ignorance of our noble science, that, in order to prevent the excessive effusion of blood, it was deemed indispensable to operate with a red-hot knife"-making a professional movement toward the thigh- "and pour scalding oil upon the parts"-elevating his elbow, as if with a tea-pot in his hand-"still further to sear them, after amputation had been performed."
"He is fainting!" said one of his mess-mates; "quick! some water!" The steward immediately hurried to the top-man with the basin.
Cuticle took the top-man by the wrist, and feeling it a while, observed, "Don't be alarmed, men," addressing the two mess-mates; "he'll recover presently; this fainting very generally takes place." And he stood for a moment, tranquilly eyeing the patient.
Now the Surgeon of the Fleet and the top-man presented a spectacle which, to a reflecting mind, was better than a church-yard sermon on the mortality of man.
Here was a sailor, who four days previous, had stood erect-a pillar of life-with an arm like a royal-mast and a thigh like a windlass. But the slightest conceivable finger-touch of a bit of crooked trigger had eventuated in stretching him out, more helpless than an hour-old babe, with a blasted thigh, utterly drained of its brawn. And who was it that now stood over him like a superior being, and, as if clothed himself with the attributes of immortality, indifferently discoursed of carving up his broken flesh, and thus piecing out his abbreviated days. Who was it, that in capacity of Surgeon, seemed enacting the part of a Regenerator of life? The withered, shrunken, one-eyed, toothless, hairless Cuticle; with a trunk half dead-a _memento mori_ to behold!
White Jacket or, The World on a Man-of-War Page 28