some detail: the vomiting, the violent twisting of the body, and the terrifying scream. Remission, when it comes, brings relief to the sufferer, to the parents, and to the reader; and only Mann offers us no remission. Pierre, after his first bad day, seems to get better, then relapses, then towards the end seems a great deal better, so that his father can read to him, producing a smile, and even remark to the doctor that there seems to have been a miracle; almost immediately after that they hear a shrill scream and rushing to see Pierre find him with hideously distorted mouth, his shrivelled limbs twisting themselves in violent cramps, and his eyes stared in unreasoning terror ("mit gräßlich verzogenem Munde, seine abgemagerten Glieder krümmten sich in wütenden Krämpfen, die Augen stierten in vernunftlosem Entsetzen" [chapter 17]). Soon after that he loses consciousness and dies.
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Phil Quarles has only one remission, even more dramatic: "suddenly and without warning" he opens his eyes, and declares he is hungry. He speaks to his parents, makes his father draw for him, eats, drinks and laughsbut has gone completely deaf, and keeps asking, "Why don't you ever say anything?" (chapter 35). As in Rosshalde, this prefigures the end, which comes shortly after.
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Medically, remission is unlikely in the course of meningitis, but as a plot strategy it is obviously valuable. Plot as a sequence of events demands contrast, and the impact of death is clearly heightened if it is preceded by what could look like recovery, as the death of the tragic hero is often preceded by an apparent resurgence of his earlier, undamaged self. Literary experience could teach the seasoned reader, when Pierre and Phil stage their apparent recovery, that they are about to die; medical knowledge, if the reader considers it reliable in fiction, may already have told him that.
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Medical science in the first half of the twentieth century knew more about disease than it had a hundred years earlier, but whether it could do more, until the advent of antibiotics, is doubtful. The doctors attending these three children are more prominent, and more fully treated as characters, than any of their Victorian predecessors, but they are all helplessand know that they are helpless. To Huxley, this is matter for scorn; to Hesse, for compassion and even a kind of admiration. Huxley's Dr. Crowther, "a small man, brisk and almost too neatly dressed," is treated with contempt from the beginning. He does not share, or even interest himself in, the mother's distress, and for this Huxley punishes him by describing his self-control in terms of physics: "His conversation had been reduced to bedrock efficiency. It was just comprehensible and nothing more. No energy
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