one in the Adirondack Mountains, which had the advantages of being close to Rhode Island and less costly than those in the western United States. He thanked me, took the information, and went on his way.
A few days later, at my fatherâs request, I visited the farm. Coming down the drive, hearing the welcoming bark of our old dogs, I felt what had become a customary mixture of sadness and deep comfort in returning to my childhood home. Noah and my father came out to help me stable the horse, and my brother and I spoke of inconsequential things. I could not help but notice that Father seemed agitated, and Noah wary.
My father did not broach the subject that concerned him until we had finished eating our simple mealâa meal he had barely touched. He put a log on the fire, then turned to me and said, âIâm told that you saw a patient with consumption today.â
âYes,â I answered hesitantly. I had not previously told him of my devotion to the study of consumption, and I was concerned that he would be touched on the raw by any mention of it.
He frowned. âI talked to young Wilcox after you saw him. What is this treatment you prescribed? Why do you send him to the mountains?â
âIn hope of curing his consumption,â I said.
âCuring! Is it possible?â
âSometimes, yes.â I began to tell him of the benefits the TB patient might find in life in a sanitariumâexposure to a healthful climate, enforced rest, fresh air, proper care and good nutrition. âAnd of course, the sanitarium separates those who have this contagion from any who might be vulnerable to it, so the disease is less likely to be spread to others.â
âYou have especially concerned yourself with the study ofâyou call it âTB?â â
âYes.â
His questions became more persistent, and soon I was talking to him of Brehmer, Villemin, Koch and all the others whose discoveries had brought us to our present understanding of the disease. My father listened with rapt attention, but I saw that he became more and more uneasy as I spoke. Soon, however, I recognized that he was dismayed not by what I had learned about TB, but by his own previous ignorance.
âDr. Ashford did not know of this!â he said. âYour mother, the childrenâtheir consumption was a death sentence! I should have sought another physician, a younger man, such as yourself. If we had known of these sanitariumsââ
âIt still might not have helpedâsanitariums only give consumptives a chance to recover. Some people survive, others arrive only to die a few weeks later.â
âBut Nathanâyour mother, Robert and Danielâall of them, even Rebeccaâthey might have lived had we sent Rebecca away?â
âI donât know. There were so many others in Carrick Hollow who were ill that winter. Perhaps they would have caught TB from Mrs. Gardner, or Jane, or another. We cannot always cure this disease, Papa. I canât say for certain who would live and who would die. For all that men in my profession have learned, life and death are still in Godâs hands.â
He was silent.
âWe cannot change the past, Papa. I only hope to save others from the horror our family experienced. In truth, my most difficult battle is not against the disease, but rather the ignoranceâthe sort of ignorance which allows men like Winston to convince others that the afflicted are beset by vampires. As long as he spouts his nonsense, others will die, because he will have his neighbors believing that spiritual mumbo jumboâand not infectionâare at the root of the disease.â
âYou are too kind, John,â he said slowly. âYou fail to mention the truly damned. Men like your father, who will be persuaded that barbaric rituals must be performed on the bodies of their deadââ
âPapa, you never believed him. You had other reasons. Do not