Hiroshima
Page 8
At the Red Cross Hospital, Miss Sasaki was put under the care of Dr. Sasaki. Now, a month after the explosion, something like order had been reestablished in the hospital; which is to say that the patients who still lay in the corridors at least had mats to sleep on and that the supply of medicines, which had given out in the first few days, had been replaced, though inadequately, by contributions from other cities. Dr. Sasaki, who had had one seventeen-hour sleep at his home on the third night, had ever since then rested only about six hours a night, on a mat at the hospital; he had lost twenty pounds from his very small body; he still wore the borrowed glasses.
Since Miss Sasaki was a woman and was so sick (and perhaps, he afterward admitted, just a little bit because she was named Sasaki), Dr. Sasaki put her on a mat in a semi-private room, which at that time had only eight people in it. He questioned her and put down on her record card, in the correct, scrunched-up German in which he wrote all his records: “Mittelgrosse Patientin in gutem Ernährungszustand. Fraktur am linken Unterschenkelknochen mit Wunde; Anschwellung in der linken Unterschenkelgegend. Haut und sichtbare Schleimhäute massig durchblutet und kein Oedema,” noting that she was a medium-sized female patient in good general health; that she had a compound fracture of the left tibia, with swelling of the left lower leg; that her skin and visible mucous membranes were heavily spotted with petechiae, which are hemorrhages about the size of grains of rice, or even as big as soybeans; and, in addition, that her head, eyes, throat, lungs, and heart were apparently normal; and that she had a fever. He wanted to set her fracture and put her leg in a cast, but he had run out of plaster of Paris long since, so he just stretched her out on a mat and prescribed aspirin for her fever, and glucose intravenously and diastase orally for her undernourishment (which he had not entered on her record because everyone suffered from it). She exhibited only one of the queer symptoms so many of his patients were just then beginning to show—the spot hemorrhages.
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DR. FUJII was still pursued by bad luck, which still was connected with rivers. Now he was living in the summer house of Mr. Okuma, in Fukawa. This house clung to the steep banks of the Ota River. Here his injuries seemed to make good progress, and he even began to treat refugees who came to him from the neighborhood, using medical supplies he had retrieved from a cache in the suburbs. He noticed in some of his patients a curious syndrome of symptoms that cropped out in the third and fourth weeks, but he was not able to do much more than swathe cuts and burns. Early in September, it began to rain, steadily and heavily. The river rose. On September 17th, there came a cloudburst and then a typhoon, and the water crept higher and higher up the bank. Mr. Okuma and Dr. Fujii became alarmed and scrambled up the mountain to a peasant’s house. (Down in Hiroshima, the flood took up where the bomb had left off—swept away bridges that had survived the blast, washed out streets, undermined foundations of buildings that still stood—and ten miles to the west, the Ono Army Hospital, where a team of experts from Kyoto Imperial University was studying the delayed affliction of the patients, suddenly slid down a beautiful, pine-dark mountainside into the Inland Sea and drowned most of the investigators and their mysteriously diseased patients alike.) After the storm, Dr. Fujii and Mr. Okuma went down to the river and found that the Okuma house had been washed altogether away.
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BECAUSE SO many people were suddenly feeling sick nearly a month after the atomic bomb was dropped, an unpleasant rumor began to move around, and eventually it made its way to the house in Kabe where Mrs. Nakamura lay bald and ill. It was that the atomic bomb had deposited some sort of poison on Hiroshima which would give off deadly emanations for seven years; nobody could go there all that time. This especially upset Mrs. Nakamura, who remembered that in a moment of confusion on the morning of the explosion she had literally sunk her entire means of livelihood, her Sankoku sewing machine, in the small cement water tank in front of what was left of her house; now no one would be able to go and fish it out. Up to this time, Mrs. Nakamura and her relatives had been quite resigned and passive about the moral issue of the atomic bomb, but this rumor suddenly aroused them to more hatred and resentment of America than they had felt all through the war.
Japanese physicists, who knew a great deal about atomic fission (one of them owned a cyclotron), worried about lingering radiation at Hiroshima, and in mid-August, not many days after President Truman’s disclosure of the type of bomb that had been dropped, they entered the city to make investigations. The first thing they did was roughly to determine a center by observing the side on which telephone poles all around the heart of the town were scorched; they settled on the torii gateway of the Gokoku Shrine, right next to the parade ground of the Chugoku Regional Army Headquarters. From there, they worked north and south with Lauritsen electroscopes, which are sensitive to both beta particles and gamma rays. These indicated that the highest intensity of radioactivity, near the torii, was 4.2 times the average natural “leak” of ultra-short waves for the earth of that area. The scientists noticed that the flash of the bomb had discolored concrete to a light reddish tint, had scaled off the surface of granite, and had scorched certain other types of building material, and that consequently the bomb had, in some places, left prints of the shadows that had been cast by its light. The experts found, for instance, a permanent shadow thrown on the roof of the Chamber of Commerce Building (220 yards from the rough center) by the structure’s rectangular tower; several others in the lookout post on top of the Hypothec Bank (2,050 yards); another in the tower of the Chugoku Electric Supply Building (800 yards); another projected by the handle of a gas pump (2,630 yards); and several on granite tombstones in the Gokoku Shrine (385 yards). By triangulating these and other such shadows with the objects that formed them, the scientists determined that the exact center was a spot a hundred and fifty yards south of the torii and a few yards southeast of the pile of ruins that had once been the Shima Hospital. (A few vague human silhouettes were found, and these gave rise to stories that eventually included fancy and precise details. One story told how a painter on a ladder was monumentalized in a kind of bas-relief on the stone façade of a bank building on which he was at work, in the act of dipping his brush into his paint can; another, how a man and his cart on the bridge near the Museum of Science and Industry, almost under the center of the explosion, were cast down in an embossed shadow which made it clear that the man was about to whip his horse.) Starting east and west from the actual center, the scientists, in early September, made new measurements, and the highest radiation they found this time was 3.9 times the natural “leak.” Since radiation of at least a thousand times the natural “leak” would be required to cause serious effects on the human body, the scientists announced that people could enter Hiroshima without any peril at all.
As soon as this reassurance reached the household in which Mrs. Nakamura was concealing herself—or, at any rate, within a short time, after her hair had started growing back again—her whole family relaxed their extreme hatred of America, and Mrs. Nakamura sent her brother-in-law to look for the sewing machine. It was still submerged in the water tank, and when he brought it home, she saw, to her dismay, that it was all rusted and useless.
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BY THE END of the first week in September, Father Kleinsorge was in bed at the Novitiate with a fever of 102.2, and since he seemed to be getting worse, his colleagues decided to send him to the Catholic International Hospital in Tokyo. Father Cieslik and the rector took him as far as Kobe and a Jesuit from that city took him the rest of the way, with a message from a Kobe doctor to the Mother Superior of the International Hospital: “Think twice before you give this man blood transfusions, because with atomic-bomb patients we aren’t at all sure that if you stick needles in them, they’ll stop bleeding.”
When Father Kleinsorge arrived at the hospital, he was terribly pale and very shaky. He complained that the bomb
had upset his digestion and given him abdominal pains. His white blood count was three thousand (five to seven thousand is normal), he was seriously anemic, and his temperature was 104. A doctor who did not know much about these strange manifestations—Father Kleinsorge was one of a handful of atomic patients who had reached Tokyo—came to see him, and to the patient’s face he was most encouraging. “You’ll be out of here in two weeks,” he said. But when the doctor got out in the corridor, he said to the Mother Superior, “He’ll die. All these bomb people die—you’ll see. They go along for a couple of weeks and then they die.”
The doctor prescribed suralimentation for Father Kleinsorge. Every three hours, they forced some eggs or beef juice into him, and they fed him all the sugar he could stand. They gave him vitamins, and iron pills and arsenic (in Fowler’s solution) for his anemia. He confounded both the doctor’s predictions; he neither died nor got up in a fortnight. Despite the fact that the message from the Kobe doctor deprived him of transfusions, which would have been the most useful therapy of all, his fever and his digestive troubles cleared up fairly quickly. His white count went up for a while, but early in October it dropped again, to 3,600; then, in ten days, it suddenly climbed above normal, to 8,800; and it finally settled at 5,800. His ridiculous scratches puzzled everyone. For a few days, they would mend, and then, when he moved around, they would open up again. As soon as he began to feel well, he enjoyed himself tremendously. In Hiroshima he had been one of thousands of sufferers; in Tokyo he was a curiosity. American Army doctors came by the dozen to observe him. Japanese experts questioned him. A newspaper interviewed him. And once, the confused doctor came and shook his head and said, “Baffling cases, these atomic-bomb people.”
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MRS. NAKAMURA lay indoors with Myeko. They both continued sick, and though Mrs. Nakamura vaguely sensed that their trouble was caused by the bomb, she was too poor to see a doctor and so never knew exactly what the matter was. Without any treatment at all, but merely resting, they began gradually to feel better. Some of Myeko’s hair fell out, and she had a tiny burn on her arm which took months to heal. The boy, Toshio, and the older girl, Yaeko, seemed well enough, though they, too, lost some hair and occasionally had bad headaches. Toshio was still having nightmares, always about the nineteen-year-old mechanic, Hideo Osaki, his hero, who had been killed by the bomb.
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ON HIS BACK with a fever of 104, Mr. Tanimoto worried about all the funerals he ought to be conducting for the deceased of his church. He thought he was just overtired from the hard work he had done since the bombing, but after the fever had persisted for a few days, he sent for a doctor. The doctor was too busy to visit him in Ushida, but he dispatched a nurse, who recognized his symptoms as those of mild radiation disease and came back from time to time to give him injections of Vitamin B1. A Buddhist priest with whom Mr. Tanimoto was acquainted called on him and suggested that moxibustion might give him relief; the priest showed the pastor how to give himself the ancient Japanese treatment, by setting fire to a twist of the stimulant herb moxa placed on the wrist pulse. Mr. Tanimoto found that each moxa treatment temporarily reduced his fever one degree. The nurse had told him to eat as much as possible, and every few days his mother-in-law brought him vegetables and fish from Tsuzu, twenty miles away, where she lived. He spent a month in bed, and then went ten hours by train to his father’s home in Shikoku. There he rested another month.
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DR. SASAKI and his colleagues at the Red Cross Hospital watched the unprecedented disease unfold and at last evolved a theory about its nature. It had, they decided, three stages. The first stage had been all over before the doctors even knew they were dealing with a new sickness; it was the direct reaction to the bombardment of the body, at the moment when the bomb went off, by neutrons, beta particles, and gamma rays. The apparently uninjured people who had died so mysteriously in the first few hours or days had succumbed in this first stage. It killed ninety-five per cent of the people within a half mile of the center, and many thousands who were farther away. The doctors realized in retrospect that even though most of these dead had also suffered from burns and blast effects, they had absorbed enough radiation to kill them. The rays simply destroyed body cells—caused their nuclei to degenerate and broke their walls. Many people who did not die right away came down with nausea, headache, diarrhea, malaise, and fever, which lasted several days. Doctors could not be certain whether some of these symptoms were the result of radiation or nervous shock. The second stage set in ten or fifteen days after the bombing. Its first symptom was falling hair. Diarrhea and fever, which in some cases went as high as 106, came next. Twenty-five to thirty days after the explosion, blood disorders appeared: gums bled, the white-blood-cell count dropped sharply, and petechiae appeared on the skin and mucous membranes. The drop in the number of white blood corpuscles reduced the patient’s capacity to resist infection, so open wounds were unusually slow in healing and many of the sick developed sore throats and mouths. The two key symptoms, on which the doctors came to base their prognosis, were fever and the lowered white-corpuscle count. If fever remained steady and high, the patient’s chances for survival were poor. The white count almost always dropped below four thousand; a patient whose count fell below one thousand had little hope of living. Toward the end of the second stage, if the patient survived, anemia, or a drop in the red blood count, also set in. The third stage was the reaction that came when the body struggled to compensate for its ills—when, for instance, the white count not only returned to normal but increased to much higher than normal levels. In this stage, many patients died of complications, such as infections in the chest cavity. Most burns healed with deep layers of pink, rubbery scar tissue, known as keloid tumors. The duration of the disease varied, depending on the patient’s constitution and the amount of radiation he had received. Some victims recovered in a week; with others the disease dragged on for months.
As the symptoms revealed themselves, it became clear that many of them resembled the effects of overdoses of X-ray, and the doctors based their therapy on that likeness. They gave victims liver extract, blood transfusions, and vitamins, especially B1. The shortage of supplies and instruments hampered them. Allied doctors who came in after the surrender found plasma and penicillin very effective. Since the blood disorders were, in the long run, the predominant factor in the disease, some of the Japanese doctors evolved a theory as to the seat of the delayed sickness. They thought that perhaps gamma rays, entering the body at the time of the explosion, made the phosphorus in the victims’ bones radioactive, and that they in turn emitted beta particles, which, though they could not penetrate far through flesh, could enter the bone marrow, where blood is manufactured, and gradually tear it down. Whatever its source, the disease had some baffling quirks. Not all the patients exhibited all the main symptoms. People who suffered flash burns were protected, to a considerable extent, from radiation sickness. Those who had lain quietly for days or even hours after the bombing were much less liable to get sick than those who had been active. Gray hair seldom fell out. And, as if nature were protecting man against his own ingenuity, the reproductive processes were affected for a time; men became sterile, women had miscarriages, menstruation stopped.
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FOR TEN days after the flood, Dr. Fujii lived in the peasant’s house on the mountain above the Ota. Then he heard about a vacant private clinic in Kaitaichi, a suburb to the east of Hiroshima. He bought it at once, moved there, and hung out a sign inscribed in English, in honor of the conquerors:
M. FUJII, M.D.
MEDICAL & VENEREAL
Quite recovered from his wounds, he soon built up a strong practice, and he was delighted, in the evenings, to receive members of the occupying forces, on whom he lavished whiskey and practiced English.
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&nb
sp; GIVING Miss Sasaki a local anaesthetic of procaine, Dr. Sasaki made an incision in her leg on October 23rd, to drain the infection, which still lingered on eleven weeks after the injury. In the following days, so much pus formed that he had to dress the opening each morning and evening. A week later, she complained of great pain, so he made another incision; he cut still a third, on November 9th, and enlarged it on the twenty-sixth. All this time, Miss Sasaki grew weaker and weaker, and her spirits fell low. One day, the young man who had lent her his translation of de Maupassant at Hatsukaichi came to visit her; he told her that he was going to Kyushu but that when he came back, he would like to see her again. She didn’t care. Her leg had been so swollen and painful all along that the doctor had not even tried to set the fractures, and though an X-ray taken in November showed that the bones were mending, she could see under the sheet that her left leg was nearly three inches shorter than her right and that her left foot was turning inward. She thought often of the man to whom she had been engaged. Someone told her he was back from overseas. She wondered what he had heard about her injuries that made him stay away.
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FATHER KLEINSORGE was discharged from the hospital in Tokyo on December 19th and took a train home. On the way, two days later, at Yokogawa, a stop just before Hiroshima, Dr. Fujii boarded the train. It was the first time the two men had met since before the bombing. They sat together. Dr. Fujii said he was going to the annual gathering of his family, on the anniversary of his father’s death. When they started talking about their experiences, the Doctor was quite entertaining as he told how his places of residence kept falling into rivers. Then he asked Father Kleinsorge how he was, and the Jesuit talked about his stay in the hospital. “The doctors told me to be cautious,” he said. “They ordered me to have a two-hour nap every afternoon.”