Due to the Great Exertion of hauling the boats and so much Matériel from the Ship to the Island – over pressure ridges I had Trouble climbing even when not in man-hauling harness – there were the usual complement of bruises and Broken Bones for me to deal with. These included one serious compound fracture of seaman Bill Shanks’s arm. I have kept the man here after setting the bones for fear of sepsis. (The flesh and skin were punctured by sharp bone fragments in two places.)
But Scurvy remains the Primary Killer lurking in this tent.
Mr. Hoar, Captain Fitzjames’s Personal Steward, may well be the first Man to Die of it Here. He is no longer Conscious for much of the day. As with Leys and Heather, he had to be man-hauled across the 25 Miles separating our doomed Ship from this Terror Camp.
Edmund Hoar is an early but Typical example of the progression of this disease. The Captain’s Steward is a Young Man – he will turn 27 in a little more than two weeks, on May 9. If he survives that long.
For a Steward, Hoar is a large man – six feet tall – and to all appearances to Chief Surgeon Stanley and myself, he was in fine health when the Expedition sailed. He was quick, smart, alert, energetic in his Duties, and unusually athletic for a steward. During the running and man-hauling Games held so frequently on the ice at Beechey Island in the winter of 1845-46, Hoar was frequently a winner and leader of his various teams.
He has had slight symptoms of the Scurvy since last autumn – the weariness, lassitude, increasingly frequent Confusion – but the disease became most Pronounced after the Debacle of the Venetian Carnivale. He continued serving Captain Fitzjames sixteen hours a day and more into February, but finally his health broke down.
The first Symptom to make itself known with Mr. Hoar is what the men in the fo’c’sle are calling the Crown of Thorns.
Blood began weeping from Edmund Hoar’s hair. And not just from the hair on his head. First his Caps and then his Undershirts and then his Underthings became stained with Blood each day.
I have observed this carefully, and the blood on the Scalp does come from the follicles themselves. Some of the Seamen attempted to avoid this Early Symptom by shaving their heads, but of course that does no good. With Welsh wigs, caps, scarves, and now pillows being soaked with blood by the Majority of the men, the sailors and officers have begun wearing Towels under their headgear and laying their head on them at night.
This does not, of course, Alleviate the Embarrassment and Discomfort of bleeding from all Points that have body hair.
Hemorrhages began appearing under Steward Hoar’s skin in January. Although the Outside Games were a distant Memory by then and Mr. Hoar’s duties rarely took him far from the Ship or into Great Physical Exertion, the slightest Bump or Bruise would show on his Body as a massive red-and-blue blotch. It would not heal. A Scratch from peeling potatoes or carving Beef would stay open and continue to bleed for weeks.
By late January, Mr. Hoar’s legs had swollen to Twice their Normal Size. He had to borrow filthy Trousers from larger crewmen just to stay dressed while serving his captain. He could not sleep because of the ever-increasing Pain in his Joints. By early March, any movement at all was Agony for Edmund Hoar.
All through March, Hoar insisted that he could not stay in Erebus’s Sick Bay – that he had to return to his berth and to serving and caring for Captain Fitzjames. His blond hair was constantly soaked with caked blood. His swollen arms, legs, and face began to look like pasty Dough. Every day that I tested his skin, it had Lost more Elasticity; by the week before Erebus was crushed, I could push deep into Edmund Hoar’s flesh and the dimple would stay there permanently, the new Bruise spreading and spilling into a patchwork of earlier Hemorrhages.
By mid-April, Hoar’s entire body had become a Bloated, Misshapened mass. His face and hands were Yellow from jaundice. His eyes were a Bright Yellow, made all the more shocking due to the bleeding from his eyebrows.
Despite my assistant’s and my own efforts to turn and move the patient several times a Day, by the day we carried him from the dying Erebus, Hoar was covered with bedsores that had become brownish-purple ulcers that never ceased Suppurating. His face, especially on either side of his Nose and Mouth, was also ulcerated, constantly oozing Pus and Blood.
Pus from a Scurvy victim has an extraordinarily foul stench.
By the day we moved Mr. Hoar to Terror Camp, he had lost all but two of his teeth. And this was a man who – on Christmas Day – had boasted the healthiest smile of any young man on the Expedition.
Hoar’s gums have blackened and receded. He is conscious only a few hours each day and is in Terrible Pain during every second of that time. When we open his mouth to feed him, the Stench is close to unbearable. Since we cannot wash Towels, we have lined his Cot with sailcloth which is now Black with Blood. His frozen and filthy clothing is also Brittle with dried Blood and Crusted Pus.
As terrible as his Appearance and Suffering are, the more Terrible Fact is that Edmund Hoar may linger on like this – getting Worse each Day – for more Weeks or even Months. Scurvy is an Insidious killer. It Tortures for a long time before it grants its victim a final peace. By the time one dies of Scurvy, one’s closest Relative often will not be able to recognize the Sufferer and not enough of the Sufferer’s mind will be left to recognize the relative.
But that is not a problem here. With the Exception of brothers serving together on this Expedition – and Thomas Hartnell lost his older brother on Beechey Island – there are no relatives who will ever come out here on the ice or onto this Terrible Island of wind, snow, ice, lightning, and fog. There is no one to identify us when we fall, much less Bury us.
Twelve of the men in the Sick Bay are dying of Scurvy, and more than Two thirds of the 105 survivors, including myself, have one or more symptoms of it.
We will be out of the lemon juice – our most successful antiscorbutic, although its Efficacy has been Declining steadily the past year – in less than a week. The only Defense I will have then is Vinegar. A week ago – in the Stores Tent on the ice outside HMS Terror - I personally presided over the decanting of our remaining volumes of Vinegar from casks to be proportioned out into 18 Smaller Kegs – one for each boat that had been sledged to Terror Camp.
The men hate Vinegar. Unlike the lemon juice, whose Tartness can be somewhat disguised with dollops of Sugar Water or even Rum, Vinegar tastes like poison to men whose palates have already been damaged by the Scurvy growing in their systems.
Officers who have dined more on Goldner’s Canned Foods than the seamen have – they ate their beloved (although rancid) Salted Pork and Beef until those casks were empty – appear to be more prone to coming down with the advanced symptoms of Scurvy than the regular sailors.
This confirms Dr. McDonald’s theory that there is some vital Element lacking – or some Poison present – in the purely canned meats and vegetables and soups as opposed to spoiled but once-fresh victuals. If there was some miraculous way I could discover that Element – poison or life-saver – I would not only have a good Chance of saving these men, possibly even Mr. Hoar, but would run an excellent Chance of being Knighted when we are rescued or reach safe harbour by ourselves.