Tumors and gunshot wounds…

The ill health of human kind continued as ever: tumors and gunshot wounds, epilepsy and syphilis, pneumonia and cirrhosis, scarlet fever and ulcers, tuberculosis… for many conditions treatment was much the same as Dr Epstein had used nine years ago, before he gave up practice out of grief and guilt.

However, he had to learn about the medical advances. His old enemy from Monastir and Pola remained a scourge, but at least smallpox vaccination was becoming more accepted by the public. Yellow fever still broke out in port cities, but the search for its microbes was narrowing. Childbirth, as always, presented risks, but puerperal fever was less common, theories of cleanliness taking hold. Lister’s carbolic acid solution now swabbed most surgical procedures, and a recent medical journal said a solution of iodine had proved a good antiseptic. Ephraim’s faith in himself as a physician began to return.

In his mountainous West Virginia backwater Ephraim is in full time country medical practice. He travels the rough roads far in his horse and buggy, often taking one of the children — now there are seven — for company and to talk with them to improve their minds. In Chapter 36, Whither Thou Goest, Ephraim and Helena also get descriptions from his daughter Sister Sadie of the Czar’s new repressive May Laws of 1891 which suddenly forced more than ten thousand Jews to leave Moscow. But she, like he, is now Christian.  Doctor’s buggy photograph from http://www.countrydoctormuseum.org ; the museum is located in North Carolina.

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Yet he was terrified,

He was terrified, how could he dare to practice again? The dream made Ephraim understand his God-given duty to return to medicine. He saw that he had let his own doubts stand in the way. But he did not know if he was capable; so much had happened in medicine since 1878. He was a fool, a coward, he’d run away from doctoring and forced these wandering years on his loyal loving wife. After all her sacrifice, could she forgive a turn-around?

 

‘Still bearing fruit when I am old, still green and full of sap,’ Ephraim quotes Psalm 92 in Chapter 35, Still Full of Sap. He is awed by becoming a father again at age 58. The birth of a boy, Leo, can never make up for the death of William, but at last Ephraim feels the call to his former profession. After nine years he ends his self-banishment and in 1887 applies to the state of West Virginia for his medical license.

‘I cannot go on doctoring’

p1040596‘How can I trust myself? How can I know who may die at these hands.’

‘Ephraim,’ Helena murmured, trying to banish his thought with soothing.

‘I am cursed, cursed. God has punished me. I cannot heal, I kill.’

‘It was not you! It was Mr Maxwell’s mistake.’

‘But my hand wrote the scrip!’ Ephraim roared as stood up, making the chair fall over, and he left the room.

In Chapter 28, God Forsaken, Ephraim shakily emerges from grief over the death of his four-year-old son. Instead of quinine, the chemist had accidentally used morphine in medicine for the ill child. Ephraim blames himself. He descends into black depression. Of course I had to recreate his mental breakdown using my imagination. In his own words Ephraim Epstein says, ‘It [his son’s death] came near to breaking my heart and ending my life. I could not practise medicine any more.’ This abstinence was to last nine years. Meanwhile he has to find a way to support his wife and remaining child, baby Frieda.

They had to get the fever down

ivory-walking-stick-pommel-owned-by-darwin-wellcome-ac-ukEphraim bent and kissed his son on the cheek, in tenderness, and to check his temperature. The quinine would soon provoke the sweat. ‘I will sit by him,’ Ephraim said to Helena. ‘You go and sleep. Everything will be all right now.’

Early birdsong woke Ephraim. Good, the child had slept through. But the sweat should have begun. He reached for the boy — and died.  At that moment his heart and soul evaporated. His beautiful son, his William, lay with his eyes staring wide open, his face fixed in death.

 

 

In Chapter 27, The Darkness, Ephraim and Helena’s first child dies aged four. Investigation reveals that the death was caused by the misfilling of Ephraim’s own prescription. Instead of quinine, widely used at the time to reduce fever, the chemist had used morphine. Ephraim blames himself and withdraws into grief, hardly mourning the death of their second child, of convulsions, in the same year.

She Voices

she-voices-women-writers

Feisty writing women have a date with Ephraim… I’ll be reading from The Extraordinary Dr Epstein, a chapter included in the anthology Notes on a Page launched Saturday 3 December, 2 – 4 pm at Richmond Library in west London. He’s alongside short stories, memoir, lyrics, poetry… tea & cake too!

Notes on a Page is published collaboratively by Palewell Press and Dark Mourne Press http://www.palewellpress.co.uk/Palewell-Publications.html http://www.darkmournepress.com/

To circumcise or not?

babies-smiling-150923For many men the birth of a son is a great thing, and for Ephraim perhaps especially so when William was born to Helena in 1874. He knew what it was to be the first born son of his parents, the longed for male. This joy in a son was bred in his bones and could not be denied. Equally undeniable was consideration of circumcision. He himself was circumcised, of course, by a mohel at the bris at eight days of age, as all Jewish boys were. Ephraim’s personal life, his profession and his Jewish-Christian faith constellated in a crisis.

 

In Chapter 25, Doctor and Family Man, at last Ephraim has contentment, crowned by the birth of a son. But this raises issues. As his great granddaughter I can only assume that Ephraim was circumcised. I have dared to imagine that he had a dilemma over this issue for his own son. This is backed by factual circumstantial evidence: his published letter-battle with a southern physician in the professional Medical and Surgical Reporter in 1874, exactly the year of son William’s birth. The exchange escalated to the point of Ephraim’s fiery outrage on the whole issue of Jewish ‘superiority’. In his own words: ‘The singular perseverance of the Jews in health is a mean fiction…’ 

His conflict shows: he both defends and attacks Judaism. In medical circles at the time circumcision was thought to be good for health. But Ephraim believed it had become a religious political issue; the choice he made could be seen as taking sides. About his boy? My imagination has Ephraim decide against. And gives Helena very little say.

Home, Sweet Home

Illustrated_Cincinnati1875Kenny-51-e1449778349610Once again, Ephraim arrived in a new city to start a new life and this time it was an easy, comfortable beginning. Cincinnati, the lively, pleasant city along the banks of the Ohio River, greeted him with open arms, starting with a big bear hug from Uncle Jacob. ‘Look around, look around! They call this city the Queen of the West. What do you think?’

 

Out of the dubious, raw wild west of Kansas, lured by his will o’ the wisp Uncle, Ephraim finds sophisticated life in Cincinnati, a city already a hundred years old. In Home Sweet Home, Chapter 22, he opens a medical practice, attends clinics at the University hospital… all he lacks is his daughter. And perhaps a wife?

America Regained

Spirit of the West gast-pgEphraim unpacked his crates of medical texts, literature and books of faith, and commissioned a signboard. What finer place to be than Leavenworth, Kansas, the gateway to the West! As promised, there was certainly need for physicians here. He soon met the very best people of the city. Attorneys, bankers, manufacturers and merchants were among these civic-minded citizens, aspiring, sincere, self-made men. He shared their belief in American as the land of opportunity, and caught their enthusiasm for America’s duty to civilize this great continent — its manifest destiny.

Freed by his dear mother’s death to return to America and Christianity, Ephraim leaves behind Europe and his daughter for the second time. Full of optimism, in Chapter 21, America Regained, 1867-69, he sets up medical practice in a booming western town. But before long he encounters the darker side of the great American dream.

Book Giveaway Countdown1

COUNTDOWN DAY 1 to the 150th anniversary of the famous Battle of Lissa, and a chance to win a signed copy of the book about the ship’s surgeon who was there.

Ephraim M Epstein, 1829 - 1913

Ephraim M Epstein, 1829 – 1913

It was a magnificent battle, valiantly fought and won in two hours. Italian casualties ran to hundreds. Austria had only thirty-eight lost, 138 hurt. Like other naval Surgeons, Dr Ephraim Epstein combined all three branches of medicine. He was physician, diagnosing and prescribing; he was apothecary, preparing and dispensing medicine; and he was surgeon, performing operations. As he worked, Ephraim learned more about the triumph: how proud the men were of their Admiral, how he had drilled them in manoeuvers, in gunnery, how he planned the ramming. Most of all he showed he loved his men, he  believed in them. Late at night, exhausted and exhilarated by all he had witnessed, Ephraim began to compose  a description of the extraordinary day.

For a chance to win a copy of The Extraordinary Dr Epstein, answer the quiz question on Wednesday 20 July 2016.

Posts over the last week are excerpts from The Extraordinary Dr Epstein, Chapter 20, Battle. Ephraim’s epic poem about the battle won him an award from Emperor Franz Joseph. Author great granddaughter still seeks that poem! Go HERE for a non-fiction page on the famous Battle of Lissa, why it was fought, what else it is famous for and what happened next. As for Dr Epstein, his 600 florin award and many more adventures lie ahead, including true love and America’s wild West.

Book Giveaway Countdown5

COUNTDOWN DAY 5 to the 150th anniversary of the famous Battle of Lissa, and a chance to win a signed copy of the book about the ship’s surgeon who was there.

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On the morning of 20 July 1866 Tegetthoff ordered Austria’s armada into three divisions — his ironclads at the front, then unarmoured wooden ships, then smaller gunboats and auxiliaries. Ephraim readied his implements and bandages, then led prayers in the surgery with his assistant. Firing began and they went on deck. Seehund‘s orders were to stay on the fringes with the other smaller ships. After the crackle and boom of initial cannon fire, amid thick clouds of gunsmoke the two lines of ironclads closed, imperial Austrian black against Italy’s grim grey. In moments, Tegetthoff’s Ferdinand Max led his ships straight through a gap in the enemy line. Once through, each Austrian vessel turned to barrage the Italians broadside-to-broadside in rolling repeated roars.

For a chance to win a copy of The Extraordinary Dr Epstein, answer the quiz question on Wednesday 20 July 2016.

Excerpt from Chapter 20, Battle. Ephraim’s epic poem about the battle won him an award from Emperor Franz Joseph. Author great granddaughter still seeks that poem! Go HERE for a non-fiction page on the famous Battle of Lissa, why it was fought, what else it is famous for and what happened next.