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Other persons present a peculiarity which I am at a loss to account for。 Where the leg; for instance; has been lost; they feel as if the foot were present; but as though the leg were shortened。 Thus; if the thigh has been taken off; there seems to them to be a foot at the knee; if the arm; a hand seems to be at the elbow; or attached to the stump itself。
Before leaving Nashville I had begun to suffer the most acute pain in my left hand; especially the little finger; and so perfect was the idea which was thus kept up of the real presence of these missing parts that I found it hard at times to believe them absent。 Often at night I would try with one lost hand to grope for the other。 As; however; I had no pain in the right arm; the sense of the existence of that limb gradually disappeared; as did that of my legs also。
Everything was done for my neuralgia which the doctors could think of; and at length; at my suggestion; I was removed; as I have said; from the Stump Hospital to the United States Army Hospital for Injuries and Diseases of the Nervous System。 It was a pleasant; suburban; old…fashioned country… seat; its gardens surrounded by a circle of wooden; one…story wards; shaded by fine trees。 There were some three hundred cases of epilepsy; paralysis; St。 Vitus's dance; and wounds of nerves。 On one side of me lay a poor fellow; a Dane; who had the same burning neuralgia with which I once suffered; and which I now learned was only too common。 This man had become hysterical from pain。 He carried a sponge in his pocket; and a bottle of water in one hand; with which he constantly wetted the burning hand。 Every sound increased his torture; and he even poured water into his boots to keep himself from feeling too sensibly the rough friction of his soles when walking。 Like him; I was greatly eased by having small doses of morphia injected under the skin of my shoulder with a hollow needle fitted to a syringe。
As I improved under the morphia treatment; I began to be disturbed by the horrible variety of suffering about me。 One man walked sideways; there was one who could not smell; another was dumb from an explosion。 In fact; every one had his own abnormal peculiarity。 Near me was a strange case of palsy of the muscles called rhomboids; whose office it is to hold down the shoulder…blades flat on the back during the motions of the arms; which; in themselves; were strong enough。 When; however; he lifted these members; the shoulder…blades stood out from the back like wings; and got him the sobriquet of the ‘‘Angel。'' In my ward were also the cases of fits; which very much annoyed me; as upon any great change in the weather it was common to have a dozen convulsions in view at once。 Dr。 Neek; one of our physicians; told me that on one occasion a hundred and fifty fits took place within thirty…six hours。 On my complaining of these sights; whence I alone could not fly; I was placed in the paralytic and wound ward; which I found much more pleasant。
A month of skilful treatment eased me entirely of my aches; and I then began to experience certain curious feelings; upon which; having nothing to do and nothing to do anything with; I reflected a good deal。 It was a good while before I could correctly explain to my own satisfaction the phenomena which at this time I was called upon to observe。 By the various operations already described I had lost about four fifths of my weight。 As a consequence of this I ate much less than usual; and could scarcely have consumed the ration of a soldier。 I slept also but little; for; as sleep is the repose of the brain; made necessary by the waste of its tissues during thought and voluntary movement; and as this latter did not exist in my case; I needed only that rest which was necessary to repair such exhaustion of the nerve… centers as was induced by thinking and the automatic movements of the viscera。
I observed at this time also that my heart; in place of beating; as it once did; seventy… eight in the minute; pulsated only forty…five times in this intervala fact to be easily explained by the perfect quiescence to which I was reduced; and the consequent absence of that healthy and constant stimulus to the muscles of the heart which exercise occasions。
Notwithstanding these drawbacks; my physical health was good; which; I confess; surprised me; for this among other reasons: It is said that a burn of two thirds of the surface destroys life; because then all the excretory matters which this portion of the glands of the skin evolved are thrown upon the blood; and poison the man; just as happens in an animal whose skin the physiologist has varnished; so as in this way to destroy its function。 Yet here was I; having lost at least a third of my skin; and apparently none the worse for it。
Still more remarkable; however; were the psychical changes which I now began to perceive。 I found to my horror that at times I was less conscious of myself; of my own existence; than used to be the case。 This sensation was so novel that at first it quite bewildered me。 I felt like asking some one constantly if I were really George Dedlow or not; but; well aware how absurd I should seem after such a question; I refrained from speaking of my case; and strove more keenly to analyze my feelings。 At times the conviction of my want of being myself was overwhelming and most painful。 It was; as well as I can describe it; a deficiency in the egoistic sentiment of individuality。 About one half of the sensitive surface of my skin was gone; and thus much of relation to the outer world destroyed。 As a consequence; a large part of the receptive central organs must be out of employ; and; like other idle things; degenerating rapidly。 Moreover; all the great central ganglia; which give rise to movements in the limbs; were also eternally at rest。 Thus one half of me was absent or functionally dead。 This set me to thinking how much a man might lose and yet live。 If I were unhappy enough to survive; I might part with my spleen at least; as many a dog has done; and grown fat afterwards。 The other organs with which we breathe and circulate the blood would be essential; so also would the liver; but at least half of the intestines might be dispensed with; and of course all of the limbs。 And as to the nervous system; the only parts really necessary to life are a few small ganglia。 Were the rest absent or inactive; we should have a man reduced; as it were; to the lowest terms; and leading an almost vegetative existence。 Would such a being; I asked myself; possess the sense of individuality in its usual completeness; even if his organs of sensation remained; and he were capable of consciousness? Of course; without them; he could not have it any more than a dahlia or a tulip。 But with themhow then? I concluded that it would be at a minimum; and that; if utter loss of relation to the outer world were capable of destroying a man's consciousness of himself; the destruction of half of his sensitive surfaces might well occasion; in a less degree; a like result; and so diminish his sense of individual existence。
I thus reached the conclusion that a man is not his brain; or any one part of it; but all of his economy; and that to lose any part