eat anything—had taken my place between them when, in the act of swallowing the first mouthful of a particularly tempting cutlet, a nausea, a giddiness stopped me, the feverish reaction of a malady that had already begun, the symptoms of which had been masked, retarded by the ice of my indifference, but which obstinately refused the nourishment that I was not in a fit state to absorb. Then, at the same moment, the thought that they would stop me from going out if they saw that I was unwell gave me, as the instinct of self-preservation gives a wounded man, the strength to crawl to my own room, where I found that I had a temperature of 104, and then to get ready to go to the Champs-Elysées. Through the languid and vulnerable shell which encased them, my eager thoughts were urging me towards, were clamouring for the soothing delight of a game of prisoner’s base with Gilberte, and an hour later, barely able to keep on my feet, but happy in being by her side, I had still the strength to enjoy it.
Françoise, on our return, declared that I had been ‘taken bad,’ that I must have caught a ‘hot and cold,’ while the doctor, who was called in at once, declared that he ‘preferred’ the ‘severity,’ the ‘virulence’ of the rush of fever which accompanied my congestion of the lungs, and would be no more than ‘a fire of straw,’ to other forms, more ‘insidious’ and ‘septic.’ For some time now I had been liable to choking fits, and our doctor, braving the disapproval of my grandmother, who could see me already dying a drunkard’s death, had recommended me to take, as well as the caffeine which had been prescribed to help me to breathe, beer, champagne or brandy when I felt an attack coming. These attacks would subside, he told me, in the ‘euphoria’ brought about by the alcohol. I was often obliged, so that my grandmother should allow them to give it to me, instead of dissembling, almost to make a display of my state of suffocation. On the other hand, as soon as I felt an attack coming, never being quite certain what proportions it would assume, I would grow distressed at the thought of my grandmother’s anxiety, of which I was far more afraid than of my own sufferings. But at the same time my body, either because it was too weak to keep those sufferings secret, or because it feared lest, in their ignorance of the imminent disaster, people might demand of me some exertion which it would have found impossible or dangerous, gave me the need to warn my grandmother of my attacks with a punctiliousness into which I finally put a sort of physiological scruple. Did I perceive in myself a disturbing symptom which I had not previously observed, my body was in distress so long as I had not communicated it to my grandmother. Did she pretend to pay no attention, it made me insist. Sometimes I went too far; and that dear face, which was no longer able always to control its emotion as in the past, would allow an expression of pity to appear, a painful contraction. Then my heart was wrung by the sight of her grief; as if my kisses had had power to expel that grief, as if my affection could give my grandmother as much joy as my recovery, I flung myself into her arms. And its scruples being at the same time calmed by the certainty that she now knew the discomfort that I felt, my body offered no opposition to my reassuring her. I protested that this discomfort had been nothing, that I was in no sense to be pitied, that she might be quite sure that I was now happy; my body had wished to secure exactly the amount of pity that it deserved, and, provided that someone knew that it ‘had a pain’ in its right side, it could see no harm in my declaring that this pain was of no consequence and was not an obstacle to my happiness; for my body did not pride itself on its philosophy; that was outside its province. Almost every day during my convalescence I passed through these crises of suffocation. One evening, after my grandmother had left me comparatively well, she returned to my room very late and, seeing me struggling for breath, “Oh, my poor boy,” she exclaimed, her face quivering with sympathy, “you are in dreadful pain.” She left me at once; I heard the outer gate open, and in a little while she came back with some brandy which she had gone out to buy, since there was none in the house. Presently I began to feel better. My grandmother, who was rather flushed, seemed ‘put out’ about something, and her eyes had a look of weariness and dejection.
“I shall leave you alone now, and let you get the good of this improvement,” she said, rising suddenly to go. I detained her, however, for a kiss, and could feel on her cold cheek something moist, but did not know whether it was the dampness of the night air through which she had just passed. Next day, she did not come to my room until the evening, having had, she told me, to go out. I considered that this shewed a surprising indifference to my welfare, and I had to restrain myself so as not to reproach her with it.
As my chokings had persisted long after any congestion remained that could account for them, my parents asked for a consultation with Professor Cottard. It is not enough that a physician who is called in to treat cases of this sort should be learned. Brought face to face with symptoms which may or may not be those of three or four different complaints, it is in the long run his instinct, his eye that must decide with which, despite the more or less similar appearance of them all, he has to deal. This mysterious gift does not imply any superiority in the other departments of the intellect, and a creature of the utmost vulgarity, who admires the worst pictures, the worst music, in whose mind there is nothing out of the common, may perfectly well possess it. In my case, what was physically evident might equally well have been due to nervous spasms, to the first stages of tuberculosis, to asthma, to a toxi-alimentary dyspnoea with renal insufficiency, to chronic bronchitis, or to a complex state into which more than one of these factors entered. Now, nervous spasms required to be treated firmly, and discouraged, tuberculosis with infinite care and with a ‘feeding-up’ process which would have been bad for an arthritic condition such as asthma, and might indeed have been dangerous in a case of toxi-alimentary dyspnoea, this last calling for a strict diet which, in return, would be fatal to a tuberculous patient. But Cottard’s hesitations were brief and his prescriptions imperious. “Purges; violent and drastic purges; milk for some days, nothing but milk. No meat. No alcohol.” My mother murmured that I needed, all the same, to be ‘built up,’ that my nerves were already weak, that drenching me like a horse and restricting my diet would make me worse. I could see in Cottard’s eyes, as uneasy as though he were afraid of missing a train, that he was asking himself whether he had not allowed his natural good-humour to appear. He was trying to think whether he had remembered to put on his mask of coldness, as one looks for a mirror to see whether one has not forgotten to tie one’s tie. In his uncertainty, and, so as, whatever he had done, to put things right, he replied brutally: “I am not in the habit of repeating my instructions. Give me a pen. Now remember, milk! Later on, when we have got the crises and the agrypnia by the throat, I should like you to take a little clear soup, and then a little broth, but always with milk; au lait! You’ll enjoy that, since Spain is all the rage just now; ollé, ollé!” His pupils knew this joke well, for he made it at the hospital whenever he had to put a heart or liver case on a milk diet. “After that, you will gradually return to your normal life. But whenever there is any coughing or choking—purges, injections, bed, milk!” He listened with icy calm, and without uttering a word, to my mother’s final objections, and as he left us without having condescended to explain the reasons for this course of treatment, my parents concluded that it had no bearing on my case, and would weaken me to no purpose, and so they did not make me try it. Naturally they sought to conceal their disobedience from the Professor, and to succeed in this avoided all the houses in which he was likely to be found. Then, as my health became worse, they decided to make me follow out Cottard’s prescriptions to the letter; in three days my ‘rattle’ and cough had ceased, I could breathe freely. Whereupon we realised that Cottard, while finding, as he told us later on, that I was distinctly asthmatic, and still more inclined to ‘imagine things,’ had seen that what was really the matter with me at the moment was intoxication, and that by loosening my liver and washing out my kidneys he would get rid of the congestion of my bronchial tubes and thus give me back my breath, my sleep and my strength. And we realised that this imbecile was a clinical genius. At last I was able to get up. But they spoke of not letting me go any more to the Champs-Elysées. They said that it was because the air there was bad; but I felt sure that this was only a pretext so that I should not see Mlle. Swann, and I forced myself to repeat the name of Gilberte all the time, like the native tongue which peoples in captivity endeavour to preserve among themselves so as not to forget the land that they will never see again. Sometimes my mother would stroke my forehead with her hand, saying: “So little boys don’t tell Mamma their troubles any more?” And Françoise used to come up to me every day with: “What
