As she grew weaker, the doctors determined to administer a powerful potion, which would lay the foundation of her cure, if their estimate of the malady was right, but would accelerate death if the lungs were really affected. Persuaded that, in the then state of medical knowledge, the girl's life could not be saved, if the disease was really phthisis, and knowing that, if it was not the case, the potion was calculated to do good, I did not prevent the doctors from acting according to their own convictions.
The potion was administered accordingly, and the girl soon fell into a calm and tranquil sleep, from which, to the surprise and consternation of the physicians, she never awoke.
The body was examined, and on the right lung were found pimples, small indeed, but visible to the naked eye, which, on closer examination with the microscope, proved to be incipient tubercles; the left lung was similarly affected. These incipient tubercles, though sufficient to cause languor and debility, by attracting the vitality of the body, had not yet become of sufficient size and virulence to affect her breathing; hence her lungs were considered sound by the doctors, who only regarded the usual tests.
I called together the principal physicians, chemists and heads of science, and requested them carefully to study this formidable disease; and, after a time, the discovery was made that all the most fatal cases of consumption were ushered in by the appearance on the lungs of minute incipient spots, which attract and feed on the vital juices of the body. These spots swell gradually into pimples of a reddish hue, on which ultimately a small yellow head appears. This breaks in due course, and the matter discharged spreads, combines, and assists in the growth and accumulation of other and larger tubercles, which cause much pain, greatly impede the passage of the air, and eventually carry off the patient.
Although pain is sometimes felt in the earlier stages of the malady, the passage of the air through the lungs is not as yet affected to any very perceptible extent. It was also found that the ordinary symptoms accompanying the presence of these spots were similar to those produced by many other causes; so that the symptoms of one disease might easily be mistaken for--as was actually the case--those of another.