The garrison, in spite of everything and without the assistance of the Collector, continued to labour between one downpour and the next to prevent their walls of mud from oozing back into the plain from which they had been dug, but the number of men available to wield a shovel had suddenly begun to decrease alarmingly. This was not because of the enemy fire, which was less frequent now than it had ever been, for evidently the sepoys had decided to bide their time until the end of the rains. It was because an epidemic of cholera, with black banners fluttering, was advancing in solemn, deadly procession through the streets of the enclave.
In the hospital the constant retching of the cholera patients made breathing a torment; the air was alive with flies which crawled over your face and beneath your shirt, covered the food of those who were able to eat, and floated in their tea. The Padre found that they even sometimes flew into his throat while he was reading or praying with a dying man. By the last week of August the mortal sickness in the wards had become so general that he could no longer hope to pray individually with the dying. The best he could do was to take up a central position in the ward, using a chair for a hassock, and to make a general supplication for all the patients collectively. Afterwards, he would read aloud from the Bible, but with difficulty because the letters on the page seemed to crawl before his eyes like flies, and sometimes were flies. Once, in a moment of despair, he snapped his Bible shut and squashed them to a paste.
It was in these unpromising circumstances that the great cholera controversy, which had been smouldering for some time, at last burst into flame. The rift between the two doctors had grown steadily wider as the siege progressed. It had become clear to the garrison that not only did the doctors sometimes apply different remedies to the same illness, in certain cases these remedies were diametrically opposed to each other. So what was a sick man to do? As cholera began its measured advance through the garrison people instructed their friends privately as to which doctor they should be carried to in case of illness.
Certain people, perhaps because they were friendly with one doctor but held a higher opinion of the professional ability of the other, took to carrying cards in their pockets which gave the relevant instructions in case they should find themselves too far gone to claim the doctor they wanted. Sometimes, too, there was evidence on these cards of the conflicts which were raging in the minds of the garrison. You might read: “In case of cholera please carry the bearer of this card to Dr Dunstaple” … the name of Dr McNab being carefully scratched out and that of Dr Dunstaple substituted. And you might even find the names of both doctors scratched out and substituted more than once, such was the atmosphere of indecision which gripped the enclave.
Of the two doctors it was undoubtedly Dr Dunstaple who bad the largest number of adherents; he had been the civil surgeon in Krishnapur for some years and was known to everyone as a kindly and paternal man. In more peaceful times he had assisted many of the ladies of the cantonment in childbirth. Besides, he was what they felt a doctor ought to be: a family man, with authority and good humour. After all, when you are ill, or when someone whom you love is ill, what you most want is someone to take the responsibility. Dr Dunstaple was very good at doing this.
By contrast, though Dr McNab also possessed authority and combined it with a calm and dignified manner, he seemed to lack Dr Dunstaple’s good humour. He seldom smiled. He seemed to take a pessimistic view of your complaint, whatever it was. No doubt this was only his manner. Scots very often appear bleak in the eyes of the English. But the garrison, distressed by the revelation that Dr McNab had actually written a description in his diary of his own wife’s death by cholera, feared that in the case of Dr McNab even the caricature of a Scot might be mild in comparison with the truth; they could think of few less tantalizing prospects than that their deaths should become medical statistics. On the other hand, nobody could have failed to notice that Dr Dunstaple was in a state approaching nervous collapse. His denunciations and his shouting made even his staunchest admirers wonder sometimes whether it might not be better to change their allegiance to the calmer Dr McNab. But, of course, there was still no getting round the fact that Dr Dunstaple was the more experienced, and hence the more reliable, of the two.
It was after the evening service in the vast cellar beneath the Residency that Dr Dunstaple suddenly chose to speak his mind. Hardly had the Padre finished saying the Nunc Dimittis when the Doctor, who had been kneeling innocently in the front row, sprang to his feet. While skirts were still rustling and prayer-books being closed, he shouted: “Cholera!” Silence fell immediately, a silence only made more absolute by the sound of a distant cannon and by the gurgling of rainwater. This was the word that every member of the garrison most dreaded.
“Ladies and gentlemen, I need not tell you how we are ravaged by this disease in Krishnapur! Many have already departed by way of this terrible illness, no doubt others will follow before our present travail is over. That is the will of God. But it is surely not the will of God that a gentleman who has come here to practise medicine … I cannot dignify him with the name of ‘physician’ … should send to their doom many poor souls who might, with the proper treatment, recover!”
“Father!” exclaimed Louise in dismay.
Some of the tattered congregation turned their heads to right and left, searching for Dr McNab; others, though merely ragged skeletons these days, were required by their good breeding to remain facing to the front with expressions of indifference. Dr McNab was quickly located, half sitting and half leaning on a stone ledge at the back. The thoughtful look on his face did not change under Dr Dunstaple’s abuse, but he frowned slightly and stood up a little straighter, evidently waiting to hear what else Dr Dunstaple had to say.
“I don’t pretend that medical science has yet found a method of treating cholera that’s quite satisfactory, I don’t say there isn’t room for improvement, ladies and gentlemen … but what I do say is that it’s the duty of a member of the medical profession to use the best available treatment known and accepted by his fellow physicians! It’s his duty. A licence to practise medicine isn’t a licence to perform whatever hare-brained experiments may come into his head.”
“Dr Dunstaple, please!” protested the Magistrate, who was one of the few cantonment-dwellers who had never experienced any affection for Dr Dunstaple. “I must ask you to withdraw these abusive remarks which are clearly aimed at your colleague. Whatever the rights and wrongs of the matter medically speaking you’ve no right at all to impugn the motives of a dedicated member of our community.”
“It’s no time for niceties of etiquette when there are lives at stake, Willoughby. I challenge Dr McNab to justify his socalled remedies which fly in the face of all that’s known about the pathology of this disease.”
“Father!” cried Louise again, and burst into tears.
“I’m perfectly willing to discuss the pathology of cholera with Dr Dunstaple,” said Dr McNab in a mild and gloomy manner, “but I doubt if there’s anything to be gained by doing so publicly and in front of those who may tomorrow become our patients.”
“See! He tries to avoid the issue. Sir, there is everything to be gained from exposing a charlatan.”
The Magistrate’s eye moved from one doctor to the other over the passive rows of tattered skeletons and he forgot for a moment that he was as thin and ragged as they were. What chance was there of this little community, riddled with prejudice and of limited intelligence, being able to discriminate between the strength of one argument and the strength of another? They would inevitably support the man who shouted loudest. But what better opportunity could there be of examining the fate of those seeds of reason that might be cast on the stony ground of the communal intelligence?”