The Mystery of 31 New Inn

But this conclusion in its turn raised a very awkward and difficult question. If a large—a poisonous—dose of the drug had been taken, how, and by whom had that dose been administered? The closest scrutiny of the patient's arms and legs failed to reveal a single mark such as would be made by a hypodermic needle. This man was clearly no common morphinomaniac; and in the absence of the usual sprinkling of needlemarks, there was nothing to show or suggest whether the drug had been taken voluntarily by the patient himself or administered by someone else.

And then there remained the possibility that I might, after all, be mistaken in my diagnosis. I felt pretty confident. But the wise man always holds a doubt in reserve. And, in the present case, having regard to the obviously serious condition of the patient, such a doubt was eminently disturbing. Indeed, as I pocketed my stethoscope and took a last look at the motionless, silent figure, I realized that my position was one of extraordinary difficulty and perplexity. On the one hand my suspicions—aroused, naturally enough, by the very unusual circumstances that surrounded my visit—inclined me to extreme reticence; while, on the other, it was evidently my duty to give any information that might prove serviceable to the patient.

As I turned away from the bed Mr. Weiss stopped his slow pacing to and fro and faced me. The feeble light of the candle now fell on him, and I saw him distinctly for the first time. He did not impress me favourably. He was a thick-set, round-shouldered man, a typical fair German with tow-coloured hair, greased and brushed down smoothly, a large, ragged, sandy beard and coarse, sketchy features. His nose was large and thick with a bulbous end, and inclined to a reddish purple, a tint which extended to the adjacent parts of his face as if the colour had run. His eyebrows were large and beetling, overhanging deep-set eyes, and he wore a pair of spectacles which gave him a somewhat owlish expression. His exterior was unprepossessing, and I was in a state of mind that rendered me easily receptive of an unfavourable impression.

"Well," he said, "what do you make of him?" I hesitated, still perplexed by the conflicting necessities of caution and frankness, but at length replied:

"I think rather badly of him, Mr. Weiss. He is in a very low state."

"Yes, I can see that. But have you come to any decision as to the nature of his illness?"

There was a tone of anxiety and suppressed eagerness in the question which, while it was natural enough in the circumstances, by no means allayed my suspicions, but rather influenced me on the side of caution.

"I cannot give a very definite opinion at present," I replied guardedly. "The symptoms are rather obscure and might very well indicate several different conditions. They might be due to congestion of the brain, and, if no other explanation were possible, I should incline to that view. The alternative is some narcotic poison, such as opium or morphia."

"But that is quite impossible. There is no such drug in the house, and as he never leaves his room now, he could not get any from outside."

"What about the servants?" I asked.

"There are no servants excepting my housekeeper, and she is absolutely trustworthy."

"He might have some store of the drug that you are not aware of. Is he left alone much?"

"Very seldom indeed. I spend as much time with him as I can, and when I am not able to be in the room, Mrs Schallibaum, my housekeeper, sits with him."

"Is he often as drowsy as he is now?"

"Oh, very often; in fact, I should say that is his usual condition. He rouses up now and again, and then he is quite lucid and natural for, perhaps, an hour or so; but presently he becomes drowsy again and doses off, and remains asleep, or half asleep, for hours on end. Do you know of any disease that takes people in that way?"

"No," I answered. "The symptoms are not exactly like those of any disease that is known to me. But they are much very like those of opium poisoning."

"But, my dear sir," Mr. Weiss retorted impatiently, "since it is clearly impossible that it can be opium poisoning, it must be something else. Now, what else can it be? You were speaking of congestion of the brain."

"Yes. But the objection to that is the very complete recovery that seems to take place in the intervals."

"I would not say very complete," said Mr. Weiss. "The recovery is rather comparative. He is lucid and fairly natural in his manner, but he is still dull and lethargic. He does not, for instance, show any desire to go out, or even to leave his room."

I pondered uncomfortably on these rather contradictory statements. Clearly Mr. Weiss did not mean to entertain the theory of opium poisoning; which was natural enough if he had no knowledge of the drug having been used. But still—

"I suppose," said Mr. Weiss, "you have experience of sleeping sickness?"

The suggestion startled me. I had not. Very few people had. At that time practically nothing was known about the disease. It was a mere pathological curiosity, almost unheard of excepting by a few practitioners in remote parts of Africa, and hardly referred to in the text-books. Its connection with the trypanosome-bearing insects was as yet unsuspected, and, to me, its symptoms were absolutely unknown.

"No, I have not," I replied. "The disease is nothing more than a name to me. But why do you ask? Has Mr. Graves been abroad?"

"Yes. He has been travelling for the last three or four years, and I know that he spent some time recently in West Africa, where this disease occurs. In fact, it was from him that I first heard about it."

This was a new fact. It shook my confidence in my diagnosis very considerably, and inclined me to reconsider my suspicions. If Mr. Weiss was lying to me, he now had me at a decided disadvantage.

"What do you think?" he asked. "Is it possible that this can be sleeping sickness?"

"I should not like to say that it is impossible," I replied. "The disease is practically unknown to me. I have never practised out of England and have had no occasion to study it. Until I have looked the subject up, I should not be in a position to give an opinion. Of course, if I could see Mr. Graves in one of what we may call his 'lucid intervals' I should be able to form a better idea. Do you think that could be managed?"

"It might. I see the importance of it and will certainly do my best; but he is a difficult man; a very difficult man. I sincerely hope it is not sleeping sickness."

"Why?"

"Because—as I understood from him—that disease is invariably fatal, sooner or later. There seem to be no cure. Do you think you will be able to decide when you see him again?"

"I hope so," I replied. "I shall look up the authorities and see exactly what the symptoms are—that is, so far as they are known; but my impression is that there is very little information available."

"And in the meantime?"

"We will give him some medicine and attend to his general condition, and you had better let me see him again as soon as possible." I was about to say that the effect of the medicine itself might throw some light on the patient's condition, but, as I proposed to treat him for morphine poisoning, I thought it wiser to keep this item of information to myself. Accordingly, I confined myself to a few general directions as to the care of the patient, to which Mr. Weiss listened attentively. "And," I concluded, "we must not lose sight of the opium question. You had better search the room carefully and keep a close watch on the patient, especially during his intervals of wakefulness."

"Very well, doctor," Mr. Weiss replied, "I will do all that you tell me and I will send for you again as soon as possible, if you do not object to poor Graves's ridiculous conditions. And now, if you will allow me to pay your fee, I will go and order the carriage while you are writing the prescription."

"There is no need for a prescription," I said. "I will make up some medicine and give it to the coachman."

Mr. Weiss seemed inclined to demur to this arrangement, but I had my own reasons for insisting on it. Modern prescriptions are not difficult to read, and I did not wish Mr. Weiss to know what treatment the patient was having.

As soon as I was left alone, I returned to the bedside and once more looked down at the impassive figure. And as I looked, my suspicions revived. It was very like morphine poisoning; and, if it was morphine, it was no common, medicinal dose that had been given. I opened my bag and took out my hypodermic case from which I extracted a little tube of atropine tabloids. Shaking out into my hand a couple of the tiny discs, I drew down the patient's under-lip and slipped the little tablets under his tongue. Then I quickly replaced the tube and dropped the case into my bag; and I had hardly done so when the door opened softly and the housekeeper entered the room.

"How do you find Mr. Graves?" she asked in what I thought a very unnecessarily low tone, considering the patient's lethargic state.

"He seems to be very ill," I answered.

"So!" she rejoined, and added: "I am sorry to hear that. We have been anxious about him."

She seated herself on the chair by the bedside, and, shading the candle from the patient's face—and her own, too—produced from a bag that hung from her waist a half-finished stocking and began to knit silently and with the skill characteristic of the German housewife. I looked at her attentively (though she was so much in the shadow that I could see her but indistinctly) and somehow her appearance prepossessed me as little as did that of the other members of the household. Yet she was not an ill-looking woman. She had an excellent figure, and the air of a person of good social position; her features were good enough and her colouring, although a little unusual, was not unpleasant. Like Mr. Weiss, she had very fair hair, greased, parted in the middle and brushed down as smoothly as the painted hair of a Dutch doll. She appeared to have no eyebrows at all—owing, no doubt, to the light colour of the hair—and the doll-like character was emphasized by her eyes, which were either brown or dark grey, I could not see which. A further peculiarity consisted in a "habit spasm," such as one often sees in nervous children; a periodical quick jerk of the head, as if a cap-string or dangling lock were being shaken off the cheek. Her age I judged to be about thirty-five.

The carriage, which one might have expected to be waiting, seemed to take some time in getting ready. I sat, with growing impatience, listening to the sick man's soft breathing and the click of the housekeeper's knitting-needles. I wanted to get home, not only for my own sake; the patient's condition made it highly desirable that the remedies should be given as quickly as possible. But the minutes dragged on, and I was on the point of expostulating when a bell rang on the landing.

"The carriage is ready," said Mrs. Schallibaum. "Let me light you down the stairs."

She rose, and, taking the candle, preceded me to the head of the stairs, where she stood holding the light over the baluster-rail as I descended and crossed the passage to the open side door. The carriage was drawn up in the covered way as I could see by the faint glimmer of the distant candle; which also enabled me dimly to discern the coachman standing close by in the shadow. I looked round, rather expecting to see Mr. Weiss, but, as he made no appearance, I entered the carriage. The door was immediately banged to and locked, and I then heard the heavy bolts of the gates withdrawn and the loud creaking of hinges. The carriage moved out slowly and stopped; the gates slammed to behind me; I felt the lurch as the coachman climbed to his seat and we started forward.

My reflections during the return journey were the reverse of agreeable. I could not rid myself of the conviction that I was being involved in some very suspicious proceedings. It was possible, of course, that this feeling was due to the strange secrecy that surrounded my connection with this case; that, had I made my visit under ordinary conditions, I might have found in the patient's symptoms nothing to excite suspicion or alarm. It might be so, but that consideration did not comfort me.

Then, my diagnosis might be wrong. It might be that this was, in reality, a case of some brain affection accompanied by compression, such as slow haemorrhage, abscess, tumour or simple congestion. These cases were very difficult at times. But the appearances in this one did not consistently agree with the symptoms accompanying any of these conditions. As to sleeping sickness, it was, perhaps a more hopeful suggestion, but I could not decide for or against it until I had more knowledge; and against this view was the weighty fact that the symptoms did exactly agree with the theory of morphine poisoning.

But even so, there was no conclusive evidence of any criminal act. The patient might be a confirmed opium-eater, and the symptoms heightened by deliberate deception. The cunning of these unfortunates is proverbial and is only equalled by their secretiveness and mendacity. It would be quite possible for this man to feign profound stupor so long as he was watched, and then, when left alone for a few minutes, to nip out of bed and help himself from some secret store of the drug. This would be quite in character with his objection to seeing a doctor and his desire for secrecy. But still, I did not believe it to be the true explanation. In spite of all the various alternative possibilities, my suspicions came back to Mr. Weiss and the strange, taciturn woman, and refused to budge.

For all the circumstances of the case were suspicious. The elaborate preparations implied by the state of the carriage in which I was travelling; the make-shift appearance of the house; the absence of ordinary domestic servants, although a coachman was kept; the evident desire of Mr. Weiss and the woman to avoid thorough inspection of their persons; and, above all, the fact that the former had told me a deliberate lie. For he had lied, beyond all doubt. His statement as to the almost continuous stupor was absolutely irreconcilable with his other statement as to the patient's wilfulness and obstinacy and even more irreconcilable with the deep and comparatively fresh marks of the spectacles on the patient's nose. That man had certainly worn spectacles within twenty-four hours, which he would hardly have done if he had been in a state bordering on coma.

My reflections were interrupted by the stopping of the carriage. The door was unlocked and thrown open, and I emerged from my dark and stuffy prison opposite my own house.

"I will let you have the medicine in a minute or two," I said to the coachman; and, as I let myself in with my latch-key, my mind came back swiftly from the general circumstances of the case to the very critical condition of the patient. Already I was regretting that I had not taken more energetic measures to rouse him and restore his flagging vitality; for it would be a terrible thing if he should take a turn for the worse and die before the coachman returned with the remedies. Spurred on by this alarming thought, I made up the medicines quickly and carried the hastily wrapped bottles out to the man, whom I found standing by the horse's head.

"Get back as quickly as you can," I said, "and tell Mr. Weiss to lose no time in giving the patient the draught in the small bottle. The directions are on the labels."

The coachman took the packages from me without reply, climbed to his seat, touched the horse with his whip and drove off at a rapid pace towards Newington Butts.

The little clock in the consulting-room showed that it was close on eleven; time for a tired G.P. to be thinking of bed. But I was not sleepy. Over my frugal supper I found myself taking up anew the thread of my meditations, and afterwards, as I smoked my last pipe by the expiring surgery fire, the strange and sinister features of the case continued to obtrude themselves on my notice. I looked up Stillbury's little reference library for information on the subject of sleeping sickness, but learned no more than that it was "a rare and obscure disease of which very little was known at present." I read up morphine poisoning and was only further confirmed in the belief that my diagnosis was correct; which would have been more satisfactory if the circumstances had been different.

For the interest of the case was not merely academic. I was in a position of great difficulty and responsibility and had to decide on a course of action. What ought I to do? Should I maintain the professional secrecy to which I was tacitly committed, or ought I to convey a hint to the police?

Suddenly, and with a singular feeling of relief, I bethought myself of my old friend and fellow-student, John Thorndyke, now an eminent authority on Medical Jurisprudence. I had been associated with him temporarily in one case as his assistant, and had then been deeply impressed by his versatile learning, his acuteness and his marvellous resourcefulness. Thorndyke was a barrister in extensive practice, and so would be able to tell me at once what was my duty from a legal point of view; and, as he was also a doctor of medicine, he would understand the exigencies of medical practice. If I could find time to call at the Temple and lay the case before him, all my doubts and difficulties would be resolved.

Anxiously, I opened my visiting-list to see what kind of day's work was in store for me on the morrow. It was not a heavy day, even allowing for one or two extra calls in the morning, but yet I was doubtful whether it would allow of my going so far from my district, until my eye caught, near the foot of the page, the name of Burton. Now Mr. Burton lived in one of the old houses on the east side of Bouverie Street, less than five minutes' walk from Thorndyke's chambers in King's Bench Walk; and he was, moreover, a "chronic" who could safely be left for the last. When I had done with Mr. Burton I could look in on my friend with a very good chance of catching him on his return from the hospital. I could allow myself time for quite a long chat with him, and, by taking a hansom, still get back in good time for the evening's work.

This was a great comfort. At the prospect of sharing my responsibilities with a friend on whose judgment I could so entirely rely, my embarrassments seemed to drop from me in a moment. Having entered the engagement in my visiting-list, I rose, in greatly improved spirits, and knocked out my pipe just as the little clock banged out impatiently the hour of midnight.