Andrew Williams - The Poison Tide

THE HOSPITAL TRAIN announced its arrival beneath the smoky vault of the Lehrter Bahnhof with a shriek that set nerves jangling. A column of ambulances was waiting on the platform and to an accompaniment of whistles, the slamming of doors and the barking of the military marshals, the wounded began to step from the train, grey and solemn after many hours in close carriages. Patient faces the resignation of the helpless tired faces, some dazed, some distorted by pain, stained and bandaged like the procession at the last trumpet. After four months of war, they were still worthy of comment and the polite applause of civil servants and businessmen on their way to offices in Berlins government district. Mothers with young children hurried by.

Dr Anton Dilger was used to the suffering of others. He had met a dozen or more hospital trains from the Front. Hed restrained men demented with pain and some had died under his knife. All of these tasks hed conducted with the necessary professional detachment. But on this freezing December day, Dr Dilger was a spectator, standing among a group of the curious on the platform opposite, gawking with the rest. He was a young man of thirty, clever but restless, inclined more by disposition to action than to thought. To watch, unable to lift a finger, was an exquisite torment and yet the feeling held him there.

A tightness across the chest, fatigue, lethargy, irritability, a lack of concentration, a certain emptiness. His symptoms met a description hed read in a medical journal of an affliction the British were calling shell shock. But hed spent no more than a few hours at the battle front as an observer and enjoyed the experience. No, he was ashamed to acknowledge the cause because grief was not a condition he recognised or could treat. The death of his nephew, Peter, had left him with a sense of helplessness worse impotence.

Last from the train were the stretchers, the tough cases and the amputees, received by the orderlies with a sharp efficiency that spoke already of great experience. One young man, his head swathed in a turban of bandages, was wearing the greatcoat of his nephews cavalry regiment about his shoulders. Dilger wanted to shout to him but the words stuck in his throat and then the stretcher was gone.

He left the station with the wounded and walked the short distance to the Charit Hospital. Ambulances were idling at its entrance, nurses scurrying through an evil cloud of exhaust fumes like figures in badly cranked and tinted film. For a few uncertain minutes he stood idly by again, gazing up at the hospitals plain brick face. The invitation had arrived just days after he had learnt of Peters death and hed given it no consideration. There had been a second invitation, and a third, and finally a telephone call from the director of his own hospital, all but ordering him to come here. Professor Carl Troester was Germanys leading veterinary surgeon. Why would he wish to see a little-known no, if he was honest, an unknown Red Cross doctor? His director wasnt able to say.

Troesters young assistant greeted him in the entrance hall with a stiff bow and click of his heels that contrived to suggest a rebuke. The professor was expecting him in Infectious Diseases, he remarked haughtily. And to save time, Doctor, I took the liberty of bringing these. He thrust a coat and mask at Dilger then turned away, intent on quick-marching him to the stairs.

The isolation ward was stiflingly hot and the sickly-sweet smell of putrefaction made Dilger feel nauseous. Life was being squeezed from the patient. An oscillation of ventilation between apnoea and tachypnoea: a pattern he had witnessed a hundred times. Caucasian male, heavily built, approximately forty. Motionless for what seemed an eternity, then with a jerk his body arched as if tugged by invisible strings, gasping for air, fluid rattling in his throat, lips drawn tightly over his teeth.

Is this a case of glanders? Dilger asked, turning to the men in coats and masks at his side.

Bacillus anthracis. Anthrax. A foolish mistake. Professor Carl Troester peered at the patient through thick pince-nez spectacles, his mask puckering as he spoke. One of mine. That is to say, he worked for me at the Military Veterinary Academy. Conducting tests

Ulceration of the upper respiratory tract. Suppurating sores on the torso, blue tinge to the skin, swelling of the glands beneath the patients arms: a painful and highly infectious contagion. Death was no more than a few hours away.

Why was it important for me to see this? enquired Dilger quietly.

The corners of the professors small dark-blue eyes wrinkled in what may, beneath the mask, have been a smile or a grimace. Leaning forward to grasp a corner of the stained sheet, he dragged it back across the patient. Theres someone you must meet, Doctor.

Professor Troester led him from the ward into a scrub room and they dropped their coats and masks in a steel bucket. Burn them, he instructed the orderly. They washed their hands in silence and Dilgers thoughts drifted again from the nameless patient to his nephew in the noise and filth of battle. Turning for a towel, he caught the professors eye: Is he a casualty?

The professor tossed his towel into the bucket. An accident. Didnt I say so?

Ive never met a human case.

No.

My father bred horses

Your father was an extraordinary man, interrupted Troester. He bent into the uniform jacket an orderly was holding to his long back.

You knew my father?

I didnt have the pleasure. Shall we?

He led Dilger into the corridor, broad like a monastery cloister and restless with the confused echo of military boots, hushed voices, the rattle of hospital trolleys. Half a step in front of him as they turned on to the stairs, the professor-brigadier was tall, parade-ground erect although almost sixty, with a thin leathery face, a distant, academic smile. From the little he had said, his bearing, other small details, it was plain that Troester was a Prussian. On the next landing, they pushed through heavy doors into the administrative wing of the Kaiser Wilhelm Medical Academy the imperial eagle picked out in tesserae on the wall: a corridor of polished wood and brass nameplates where clerks in crisp olive-grey uniforms had time to acknowledge a superior officer with a salute.

The man Dilger had been brought to meet was standing with his back to the window in the Medical Directors office. The smoke that hung over the desk and the stubs in the ashtray at its edge suggested hed been waiting a while. Lost at first in silhouette, he came forward to greet them. He was in his fifties with grizzled brown hair, high cheekbones, a large silky cavalry moustache and a general air of quiet authority. He was dressed like any other sober middle-aged servant of the Crown, in frock coat and striped trousers, but a duelling scar high on his left cheek suggested a colourful history. Troester introduced him as Count Rudolf Nadolny.

Im grateful for your time, Doctor, he said with a warm smile, his handshake longer than was customary on first acquaintance. Im sensible of your loss. Colonel Lamey says you were close to his son

You know the colonel?

Weve spoken on the telephone.

Peter and I were like brothers, yes

Has the professor spoken to you of his programme?

That is for you to do, interjected Troester. He looked ill at ease.

Nadolny gave him a reassuring, at-your-service smile. Yes, of course. Doctor Dilger, please, and he gestured to a table in front of the windows. The Count took the chair opposite, with the dying light of the winter day behind him.