“I am awaiting an explanation, a justification, Surgeon-General,” said he, with a voice trembling with irritation. “You will have the goodness to answer my questions. What is the matter with the child's arm?”
The Physician-in-Ordinary raised his hand a little—a feeble gesture of impotence and blamelessness. He said:
“An it please Your Royal Highness…. An unfortunate occurrence. Unfavourable circumstances during the pregnancy of her Royal Highness….”
“That's all nonsense!” The Grand Duke was so much excited that he did not wish for any justification, in fact he would not allow one. “I would remind you, sir, that I am beside myself. Unfortunate occurrence! It was your business to take precautions against unfortunate occurrences….”
The Surgeon-General stood with half-bowed head and, sinking his voice to a submissive tone, addressed the ground at his feet.
“I humbly beg to be allowed to remind you that I, at least, am not alone responsible. Privy Councillor Grasanger—an authority on gynæcology—examined her Royal Highness. But nobody can be held responsible in this case….”
“Nobody … Really! I permit myself to make you responsible…. You are answerable to me…. You were in charge during the pregnancy, you superintended the confinement. I have relied on the knowledge to be expected from your rank, Surgeon-General, I have trusted to your experience. I am bitterly disappointed, bitterly disappointed. All that your skill can boast of is … that a crippled child has been born….”
“Would your Royal Highness graciously weigh …”
“I have weighed. I have weighed and found wanting. Thank you!”
Surgeon-General Eschrich retired backwards, bowing. In the ante-room he shrugged his shoulders, while his cheeks glowed.
The Grand Duke again fell to pacing the library in his princely wrath, unreasonable, misinformed, and foolish in his loneliness. However, whether it was that he wished to humiliate the Physician-in-Ordinary still further, or that he regretted having robbed himself of any explanations—ten minutes later the unexpected happened, and the Grand Duke sent Herr von Lichterloh to summon young Doctor Sammet to the library.
The doctor, when he received the message, again said: “Quite delighted … quite delighted, …” and at first changed colour a little, then composed himself admirably. It is true that he was not a complete master of the prescribed etiquette, and bowed too soon, while he was still in the door, so that the aide-de-camp could not close it behind him, and had to ask him in a whisper to move forward; but afterwards he stood in an easy and unconstrained attitude, and gave reassuring answers, although he showed that he was naturally rather slow of speech, beginning his sentences with hesitating noises and frequently interspersing them with a “Yes,” as if to confirm what he was saying. He wore his dark yellow hair cut en brosse and his moustache untrimmed. His chin and cheeks were clean-shaved, and rather sore from it. He carried his head a little on one side, and the gaze of his grey eyes told of shrewdness and practical goodness. His nose, which was too broad at the bottom, pointed to his origin. He wore a black tie, and his shiny boots were of a country cut. He kept his elbows close to his side, with one hand on his silver watch-chain. His whole appearance suggested candour and professional skill; it inspired confidence.
The Grand Duke addressed him unusually graciously, rather in the manner of a teacher who has been scolding a naughty boy, and turns to another with a sudden assumption of mildness.
“I have sent for you, doctor…. I want information from you about this peculiarity in the body of the new-born prince…. I assume that it has not escaped your notice…. I am confronted with a riddle … an extremely painful riddle…. In a word, I desire your opinion.” And the Grand Duke, changing his position, ended with a gracious motion of the hand, which encouraged the doctor to speak.
Dr. Sammet looked at him silently and attentively, as if waiting till the Grand Duke had completely regained his princely composure. Then he said: “Yes; we have here to do with a case which is not of very common occurrence, but which is well known and familiar to us. Yes. It is actually a case of atrophy …”
“Excuse me … atrophy …?”
“Forgive me, Royal Highness. I mean stunted growth. Yes.”
“I see, stunted growth. Stunting. That's it. The left hand is stunted. But it's unheard of! I cannot understand it! Such a thing has never happened in my family! People talk nowadays about heredity.”
Again the doctor looked silently and attentively at the lonely and domineering man, to whom the news had only just penetrated that people were talking lately about heredity. He answered simply: “Pardon me, Royal Highness, but in this case there can be no question of heredity.”
“Really! You're quite sure!” said the Grand Duke rather mockingly. “That is one satisfaction. But will you be so kind as to tell me what there can be a question of, then.”
“With pleasure, Royal Highness. The cause of the malformation is entirely a mechanical one. It has been caused through a mechanical constriction during the development of the embryo. We call such malformations constriction-formations, yes.”
The Grand Duke listened with anxious disgust; he obviously feared the effect of each succeeding word on his sensitiveness. He kept his brows knit and his mouth open: the two furrows running down to his beard seemed deeper than ever. He said: “Constriction-formations, … but how in the world … I am quite sure every precaution must have been taken …”
“Constriction-formations,” answered Dr. Sammet, “can occur in various ways. But we can say with comparative certainty that in our case … in this case it is the amnion which is to blame.”
“I beg your pardon…. The amnion?”
“That is one of the fœtal membranes, Royal Highness. Yes. And in certain circumstances the removal of this membrane from the embryo may be retarded and proceed so slowly that threads and cords are left stretching from one to the other … amniotic threads as we call them, yes. These threads may be dangerous, for they can bind and knot themselves round the whole of a child's limb; they can entirely intercept, for instance, the life-ducts of a hand and even amputate it. Yes.”
“Great heavens … amputate it. So we must be thankful that it has not come to an amputation of the hand?”
“That might have happened. Yes. But all that has happened is an unfastening, resulting in an atrophy.”
“And that could not be discovered, foreseen, prevented?”
“No, Royal Highness. Absolutely not. It is quite certain that no blame whatever attaches to anybody. Such constrictions do their work in secret. We are powerless against them. Yes.”
“And the malformation is incurable? The hand will remain stunted?”
Dr. Sammet hesitated; he looked kindly at the Grand Duke.
“It will never be quite normal, certainly not,” he said cautiously. “But the stunted hand will grow a little larger than it is at present, oh yes, it assuredly will …”
“Will he be able to use it? For instance … to hold his reins or to make gestures, like any one else?…”
“Use it … a little…. Perhaps not much. And he's got his right hand, that's all right.”
“Will it be very obvious?” asked the Grand Duke, and scanned Dr. Sammet's face earnestly. “Very noticeable? Will it detract much from his general appearance, think you?”
“Many people,” answered Dr. Sammet evasively, “live and work under greater disadvantages. Yes.”
The Grand Duke turned away, and walked once up and down the room. Dr. Sammet deferentially made way for him, and withdrew towards the door. At last the Grand Duke resumed his position at the writing-table and said: “I have now heard what I wanted to know, doctor; I thank you for your report. You understand your business, no doubt about