Even where the possible presence of the disease was suspected, the respiratory organs of the sufferer were subjected to various tests; but if certain symptoms were absent, and the patient breathed easily, the physicians concluded that there was no danger in the case. The signs they sought were in reality those belonging to an advanced state of the disease and, when these appeared, the malady was generally beyond cure.
No effectual measures were taken for discovering indications of the earlier stages of the malady before the beginning of my reign, when I observed that many young girls, who at first seemed to suffer only from debility and lowness of spirits, soon afterwards withered, and died of what was then called by a term answering to your expression of "rapid consumption." This often happened where the patients had been previously pronounced free from organic disease.
I knew that, in the physical as in the moral constitution, evils, however grave, have their origin in some incipient germ of small proportions, and I would not believe that the confirmed ulcers, which I had seen during the examination of diseased lungs in the Theatre of Anatomy, had arisen suddenly, for I reflected that the operations of nature are gradual. These ulcers, which are, I think, called "tubercles" by your physicians, had been the immediate cause of many deaths.
After much meditation, I concluded that the actual beginning of the malady was unknown, and that the inability of the doctors to master the disease arose from the inadequacy of the means employed for its earlier detection.
I had frequently expressed my convictions to the ablest medical men, but they held to their opinions and practice with unyielding tenacity. Our doctors at that time thought that there was no science beyond what they themselves knew, just as there were many able men who maintained that there was no other world but Montalluyah, until the invention of my telescope brought your earth and other worlds within the limit of their vision.
A young and interesting girl, a penitent, from a course of incontinence and excess, suffered much from weakness and lowness of spirits. The doctors examined her in the usual approved way, with and without their instruments, and declared that her lungs were healthy and sound; all that now ailed her, they said, was the depression arising from involuntary regrets and longings for the excitements of her former life. I had a strong impression, however, that this was not the cause of her prostration, firmly believing that her lungs were affected, though the doctors assured me that they had used every test with scrupulous care to detect disease and had arrived at a contrary decision. Not being convinced, I requested them to give me a daily report of the girl's progress.