Monday, 27 February 2012

Deep sickness seized me

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In September of 1855, Lucy Thurston — a 60-year-old missionary who had been living in Hawaii with her husband since 1820 — underwent a mastectomy after being diagnosed with breast cancer. Incredibly, she somehow endured the operation wide-awake, without any form of anaesthetic. She wrote the following letter to her daughter a month later and described the unimaginably harrowing experience.

The procedure was a success. Lucy Thurston lived for another 21 years.

WARNING: I advise the squeamish to stop here.

(Source: Life and Times of Mrs. Lucy G. Thurston; Image: Asa and Lucy Thurston, c.1848, via Wikimedia.)

October 29, 1855

My Dear Daughter Mary:

I have hitherto forborne to write respecting the surgical operation I experienced in September, from an expectation that you would be with us so soon. That is now given up; so I proceed to give a circumstantial account of those days of peculiar discipline. At the end of the General Meeting in June your father returned to Kailua, leaving me at Honolulu, in Mr. Taylor's family, under Dr. Ford's care. Dr. Hillebrand was called in counsel. During the latter part of August they decided on the use of the knife. Mr. Thurston was sent for to come down according to agreement should such be the result. I requested him to bring certain things which I wished, in case I no more returned to Kailua. Tremendous gales of wind were now experienced. One vessel was wrecked within sight of Kailua. Another, on her way there, nearly foundered, and returned only to be condemned. In vain we looked for another conveyance. Meantime, the tumor was rapidly altering. It had nearly approached the surface, exhibiting a dark spot. Should it become an open ulcer, the whole system would become vitiated with its malignity. Asa said he should take no responsibility of waiting the arrival of his father. Persis felt the same. Saturday P.M., the doctors met in consultation, and advised an immediate operation. The next Thursday (12th of September), ten o'clock A.M., was the hour fixed upon. In classifying, the Dr. placed this among "capital operations." Both doctors advised not to take chloroform because of my having had the paralysis. I was glad they allowed me the use of my senses. Persis offered me her parlor, and Asa his own new bridal room for the occasion. But I preferred the retirement and quietude of the grass-thatched cottage. Thomas, with all his effects moved out of it into a room a few steps off. The house was thoroughly cleaned and prettily fitted up. One lady said it seemed as though it had been got up by magic. Monday, just at night, Dr. Ford called to see that all was in readiness. There were two lounges trimmed, one with white, the other with rose-colored mosquito netting. There was a reclining Chinese chair, a table for the instruments, a wash-stand with wash bowls, sponges, and pails of water. There was a frame with two dozen towels, and a table of choice stimulants and restoratives. One more table with the Bible and hymn book.

That night I spent in the house alone for the first time. The family had all retired for the night. In the still hour of darkness, I long walked back and forth in the capacious door-yard. Depraved, diseased, helpless, I yielded myself up entirely to the will, the wisdom, and the strength of the Holy One. At peace with myself, with earth, and with heaven, I calmly laid my head upon my pillow and slept refreshingly. A bright day opened upon us. My feelings were natural, cheerful, elevated. I took the Lord at his own word: "As the day is, so shall thy strength be." There with an unwavering heart, I leaned for strength and support. Before dressing for the occasion, I took care to call on Ellen, who had then an infant a week old by her side. It was a cheerful call, made in a common manner, she not being acquainted with the movements of the day. I then prepared myself for the professional call. Dr. Judd was early on the ground. I went with him to Asa's room, where with Asa and Sarah we sat and conversed till other medical men rode up. Dr. Judd rose to go out. I did the same. Asa said: "You had better not go, you are not wanted yet." I replied: "I wish to be among the first on the ground, to prevent its coming butt end first." On reaching my room. Dr. Ford was there. He introduced me to Dr. Hoffman of Honolulu, and to Dr. Brayton of an American Naval ship, then in port. The instruments were then laid out upon the table. Strings were prepared for tying arteries. Needles threaded for sewing up the wound. Adhesive plasters were cut into strips, bandages produced, and the Chinese chair placed by them in the front double door. Everything was now in readiness, save the arrival of one physician. All stood around the house or in the piazza. Dr. Ford, on whom devolved the responsibility, paced the door-yard. I stood in the house with others, making remarks on passing occurrences. At length I was invited to sit. I replied: "As I shall be called to lie a good while, I had rather now stand." Dr. Brayton, as he afterwards said, to his utter astonishment found that the lady to be operated on was standing in their midst.

Dr. Hillebrand arrived. It was a signal for action. Persis and I stepped behind a curtain. I threw off my cap and dressing gown, and appeared with a white flowing skirt, with the white bordered shawl purchased in 1818, thrown over my shoulders. I took my seat in the chair. Persis and Asa stood at my right side; Persis to hand me restoratives; Asa to use his strength, if self-control were wanting. Dr. Judd stood at my left elbow for the same reason; my shawl was thrown off, exhibiting my left arm, breast and side, perfectly bare. Dr. Ford showed me how I must hold back my left arm to the greatest possible extent, with my hand taking a firm hold of the arm of my chair: with my right hand, I took hold of the right arm, with my feet I pressed against the foot of the chair. Thus instructed, and everything in readiness. Dr. Ford looked me full in the face, and with great firmness asked: "Have you made up your mind to have it cut out?" "Yes, sir." "Are you ready now?" "Yes, sir; but let me know when you begin, that I may be able to bear it. Have you your knife in that hand now?" He opened his hand that I might see it, saying, "I am going to begin now." Then came a gash long and deep, first on one side of my breast, then on the other. Deep sickness seized me, and deprived me of my breakfast. This was followed by extreme faintness. My sufferings were no longer local. There was a general feeling of agony throughout the whole system. I felt, every inch of me, as though flesh was failing. During the whole operation, I was enabled to have entire self control over my person, and over my voice. Persis and Asa were devotedly employed in sustaining me with the use of cordials, ammonia, bathing my temples, etc. I myself fully intended to have seen the thing done. But on recollection, every glimpse I happened to have, was the doctor's right hand completely covered with blood, up to the very wrist. He afterwards told me, that at one time the blood from an artery flew into is eyes, so that he could not see. It was nearly an hour and a half that I was beneath his hand, in cutting out the entire breast, in cutting out the glands beneath the arm, in tying the arteries, in absorbing the blood, in sewing up the wound, in putting on the adhesive plasters, and in applying the bandage.

The views and feelings of that hour are now vivid to my recollection. It was during the cutting process that I began to talk. The feeling that I had reached a different point from those by whom I was surrounded, inspired me with freedom. It was thus that I expressed myself. "It has been a great trial to my feelings that Mr. Thurston is not here. But it is not necessary. So many friends, and Jesus Christ besides. His left hand is underneath my head, His right hand sustains and embraces me. I am willing to suffer. I am willing to die. I am not afraid of death. I am not afraid of hell. I anticipate a blessed immortality. Tell Mr. Thurston my peace flows like a river.

"Upward I lift mine eyes.
From God is all my aid:
The God that built the skies,
And earth and nature made.

God is the tower
To which I fly;
His grace is nigh
In every hour."

God disciplines me, but He does it with a gentle hand. At one time I said, "I know you will bear with me." Asa replied, "I think it is you that have to bear from us."

The doctor, after removing the entire breast, said to me, "I want to cut yet more, round under your arm." I replied, "Do just what you want to do, only tell me when, so that I can bear it." One said the wound had the appearance of being more than a foot long. Eleven arteries were taken up. After a beginning had been made in sewing it up, Persis said: "Mother, the doctor makes as nice a seam as you ever made in your life." "Tell me, Persis, when he is going to put in the needle, so that I can bear it." "Now—now—now," etc. "Yes, tell me. That is a good girl." Ten stitches were taken, two punctures at every stitch, one on either side. When the whole work was done, Dr. Ford and Asa removed my chair to the back side of the room, and laid me on the lounge. Dr. Brayton came to my side, and taking me by the hand said: "There is not one in a thousand who would have borne it as you have done."

Up to this time, everything is fresh to my recollection. Of that afternoon and night, I only remember that the pain in the wound was intense and unremitting, and that I felt willing to be just in the circumstances in which I was placed. I am told that Dr. Ford visited me once in the afternoon, and once in the night, that Persis and Asa took care of me, that it seemed as if I suffered nearly as much as during the operation, and that my wound was constantly wet with cold water. I have since told Persis, that "I thought they kept me well drugged with paregoric." He replied, "We did not give you a drop." "Why then do I not remember what took place?" "Because you had so little life about you." By morning light the pain had ceased. Surgeons would understand the expression, that the wound healed by a "union of the first intention."

The morning again brought to my mind a recollection of events. I was lying on my lounge, feeble and helpless. I opened my eyes and saw the light of day. Asa was crossing the room bearing a Bible before him. He sat down near my couch, read a portion, and then prayed.

For several days, I had long sinking turns of several hours. Thursday night, the third of suffering, Thomas rode nearly two miles to the village for the Dr., once in the fore part of the evening, again at eleven. At both times he came. At two o'clock he unexpectedly made his third call that night. It was at his second call that he said to Persis: "In the morning make your mother some chicken soup. She has starved long enough." (They had been afraid of fever.) Persis immediately aroused Thomas, had a chicken caught, a fire made, and a soup under way that same midnight hour. The next day, Friday, I was somewhat revived by the use of wine and soup. In the afternoon, your father arrived. It was the first time since the operation, that I felt as if I had life enough to endure the emotion of seeing him. He left Kailua the same day the operation was performed. A vessel was passing in sight of Kailua. He rowed out in a canoe and was received on board. Hitherto, Persis, Asa and Thomas, had been my only nurses both by day and by night. The doctor gave directions that no one enter the room, but those that took care of me.

For weeks my debility was so great, that I was fed with a teaspoon, like an infant. Many dangers were apprehended. During one day, I saw a duplicate of every person and every thing that my eye beheld. Thus it was, sixteen years before, when I had the paralysis. Three weeks after the operation, your father for the first time, very slowly raised me to the angle of 45 degrees. It seemed as if it would have taken away my sense. It was about this time that I perceptibly improved from day to day, so much so, that in four weeks from my confinement, I was lifted into a carriage. Then I rode with your father almost every day. As he was away from his field of labor, and without any family responsibilities, he was entirely devoted to me. It was of great importance to me, that he was at liberty and in readiness ever to read simple interesting matter to me, to enliven and to cheer, so that time never passed heavily. After remaining with me six weeks, he returned to Kailua, leaving me with the physician and with our children.

In a few weeks, Mother, Mr. Taylor, Persis, Thomas, Lucy, Mary, and George bade farewell to Asa and Sarah, and to little Robert, their black-eyed baby boy. Together we passed over the rough channels up to the old homestead. Then, your father instead of eating his solitary meals, had his family board enlarged for the accommodation of three generations.

And here is again your mother, engaged in life's duties, and life's warfare. Fare thee well. Be one with us in knowledge, sympathy, and love, though we see thee not, and when sickness prostrates, we feel not thy hand upon our brow.

Your loving Mother.