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INTRODUCTION.

It appears strange that, except when a man dies, all his concerns are protected by custom and formalities, or guarded by laws, so as to insure his interests being fairly carried out to completion. Thus we see that heirship, marriage, business affairs of all kinds, whether of a public or private nature, are amply guarded by such precautionary and authoritative measures as will secure them. But one of the most important of all human interests--that which relates to the termination of life--is managed in such a careless and perfunctory way as to permit of irreparable mistakes. To be sure there are laws in most of the Continental States of Europe that are intended to regulate the care and burial of the dead, but few of them make it certain that the apparently dead shall not be mistaken for the really dead, and treated as such. None of them allow more than seventy-two hours before burial , unless the attending physician petitions the authorities for reasonable delay--a rare occurrence. And even if postponement is granted, it is doubtful if the inevitable administrative formalities would leave opportunities for dubious cases to receive timely and necessary attention, or for cases of trance, catalepsy, coma, or the like, to be rescued from a living burial.

After reporting and describing a large number of cases of premature burial, or of narrow escapes from such terrible occurrences, in which the victims of hasty diagnosis were prepared for burial, or revived during the progress of the burial service, Mr. Cooper continues:--"Now, if a multiplicity of instances evince that many have the good fortune to escape being interred alive, it is justly to be suspected that a far greater number have fallen victims to a fatal confinement in their graves. But because human nature is such a slave to prejudice, and so tied down by the fetters of custom, it is highly difficult, if not absolutely impossible, to put people on their guard against such terrible accidents, or to persuade those vested with authority to take proper measures for preventing them."

Mr. Kite furnishes references to numerous cases of recovery where the apparently dead exhibited black, livid, or cadaverous countenances; eyes fixed or obscure; eyeballs diminished in size, immovable and fixed in their sockets, the cornea without lustre; eyes shrivelled; froth at the mouth; rigidity of the body, jaws, and extremities; partial or universal cold.

The crux of the whole question is the uncertainty of the signs which announce the cessation of physical existence. Prizes have been offered, and prizes have been awarded, but further experience has shown that the signs and tests, sometimes singly and sometimes in combination, have been untrustworthy, and that the only certain and unfailing sign of death is decomposition.

The subject has several times engaged the attention of the French Senate and Legislative Chamber, as well as the Legislative Assemblies in the various States of Germany. In 1871, Dr. Alex. Wilder, Prof. of Physiology and Psychological Science, read a paper before the members of both houses of the New York State Legislature at the Capitol, Albany; but we are not aware that the subject has ever been introduced in any of the other State Legislatures, or in the British Parliament, or in any of the Colonial Assemblies.

In order to prevent unnecessary pain to the reader on a subject so distressing in its nature, the more sensational and horrifying cases of premature burial have been omitted. They can, however, be found in abundance in the writings of Bruhier, K?ppen, Kempner, L?normand, Bouchut, Russell Fletcher, and the Boston edition of Hartmann. In England and in America it is the fashion amongst medical men to maintain that the tests known to medical art are fully equal to the prevention of live burial, that the cases quoted by the newspapers are introduced for sensational purposes, and that most of them are apocryphal. The perusal of the cases recorded in this volume, and a careful consideration of the weight of cumulative evidence represented by the very full bibliography, must satisfy the majority of reflective readers that the facts are both authentic and numerous.

PREMATURE BURIAL, AND HOW IT MAY BE PREVENTED.

TRANCE.

Dr. Herbert Mayo, in "Letters on Truths Contained in Popular Superstitions," p. 34, says that "death-trance is the suspension of the action of the heart, and of breathing, and of voluntary motion--generally little sense of feeling and intelligence. With these phenomena is joined loss of external warmth, so that the usual evidence of life is gone. But there has occurred every shade of this condition that can be imagined, between occasional slight manifestations of suspension of one or other of the vital actions and their entire disparition."

"The mental functions seem, in most cases, to be in complete abeyance. No manifestations of consciousness can be observed, or elicited by the most powerful cutaneous stimulation, and on recovery no recollection of the state is preserved. But in some cases volition only is lost, and the patient is aware of all that passes, although unable to give the slightest evidence of consciousness....

"In the cases in which the depression of the vital functions reaches an extreme degree, the patient appears dead to casual and sometimes to careful observation. This condition has been termed 'death-trance,' and has furnished the theme for many sensational stories, but the most ghastly incidents of fiction have been paralleled by well-authenticated facts.

"The duration of trance has varied from a few hours or days to several weeks, months, or even a year.

"Occasionally it is attended by some vaso-motor disturbance. In a well-authenticated case of death-trance the intense mental excitement produced by the preparations for fastening the coffin lid occasioned a sweat to break out over the body."

Many notable men have at one time or another been subject to this disorder. Speaking of Benjamin Disraeli, Mr. J. Fitzgerald Molloy, in his "Life of the Gorgeous Lady Blessington," vol. ii., pp. 37, 38, says that in his "youth he was seized with fits of giddiness, during which the world swung round him, he became abstracted, and once fell into a trance from which he did not recover for a week."

LETHARGIC STUPOR, OR TRANCE.

"The next case of lethargy that came under my notice was that of a boy, who, after an attack of fever, fell into a state of complete lethargic coma, in which he lay insensible between life and death for forty-seven days, and ultimately recovered perfectly.

"In a third instance of the same kind, in a lady under my care, the patient, after a lethargic sleep of twenty-seven days, recovered consciousness for a few hours, and then relapsed into her former comatose condition, in which she died.

"The fourth case of lethargy which I have seen was, like the first, a case of trance, which lasted for seventy hours, during which the flickering vital spark was only preserved from extinction by the involuntary action of the spinal and nervous centres. In this instance the patient finally recovered.

"The fifth and last instance of profound lethargy that has come within my own observation occurred last autumn in the Mater Misericordiae Hospital in a young woman.... In that instance, despite all that medical skill could suggest or unremitting attention could do, it was found impossible to arouse the patient from the apparently hysterical lethargic sleep in which she ultimately sank and died."

I have referred to the foregoing cases, occurring in one physician's experience, as disproving the general opinion that lethargy or trance is so rarely met with as to be of little medical importance. For my own part, I have no doubt that these conditions are of far more frequent occurrence than is generally supposed. Moreover, I have had reason to know that death is occasionally so exactly thus counterfeited that there is good cause for fearing the probability of living interment in some cases of hasty burial.

"I may mention that there is a record of a man who during an illness was seized with trance, though, as he lay in what Claudio calls 'cold abstraction,' he was aware of all that was passing. At last, as he was about to be covered in his coffin, his mental condition was such that he broke into a profuse sweat, which was fortunately perceived, and he recovered and was able to recount his experiences."

It would appear from the following telegram through Reuter's Agency that trance is occasionally epidemic:--

"A NEW DISEASE.

"Vienna, March 15, 1890.

"Persons suffering from this complaint fall into a death-like trance, lasting about four days, out of which the patient wakes in a state of intense exhaustion. Recovery is very slow, but, so far, no fatal case has been reported."

"A LONG CATALEPTIC SLEEP.

"Information was received at Milford, Pa., last Friday, that William Depue, a prominent citizen of Bushkill, Pike County, whose mind for seven years has been a blank, had suddenly returned to consciousness.

"Seven years ago, while at work, Mr. Depue became ill. Doctors were summoned, but they could find no possible ailment. The sick man sank into a cataleptic sleep, from which medical science could not arouse him.

"At no time during the long period did he recognise any one, and food was given him through a tube inserted in his mouth. He lost no flesh, and was apparently as healthy as any man. Although the best medical men in the country were called to his bedside, his case baffled them all.

"Upon recovering his senses he set about his usual labours as if he had been asleep but the ordinary time. He remembers nothing that has taken place during his seven years' trance."

"The young Dutch maiden, Maria Cvetskens, who now lies asleep at Stevensworth, has beaten the record in the annals of somnolence. At the beginning of last month she had been asleep for nearly three hundred days. The doctors, who visit her in great numbers, are agreed that there is no deception in the case. Her parents are of excellent repute, and it has never occurred to them to make any financial profit out of the abnormal state of their daughter. As to the cause of the prolonged sleep, the doctors differ."

CATALEPSY.

CATALEPSY differs in some of its characteristics from trance, but the one is often mistaken for the other. It is not so much a disease as a symptom of certain nervous disorders, and to which women and children are more particularly liable. Catalepsy can be produced artificially by hypnotisation. Like trance, it has often been mistaken for death, and its subjects buried alive.

Dr. Franz Hartmann differentiates the two disorders as follows:--"There seems hardly any limit to the time during which a person may remain in a trance; but catalepsy is due to some obstruction in the organic mechanism of the body, on account of its exhausted nervous power. In the last case the activity of life begins again as soon as the impediment is removed, or the nervous energy has recuperated its strength."

"Cataleptic fits vary very much, not only in their frequency, but in their duration. Sometimes they are very short indeed, lasting only a few minutes. In one case, that of a lady, they would sometimes come on when she was reading aloud. She would stop suddenly in the middle of a sentence, and a peculiar stiffness of the whole body would seize her, fixing the limbs immovably for several minutes. Then it would pass off, and the reading would be continued at the very word at which it had been interrupted, the patient being quite unconscious that anything had happened. But sometimes fits such as these may last for days and days together, and it seems not improbable that people may have been buried in this state in mistake for death."

The following case, contributed by Dr. Gooch, will further illustrate this malady:--

Dr. John Jebb, F.R.S., cited in Reynolds' "System of Medicine," vol. ii., pp. 99-102, has recorded the following graphic case:--

"In the latter end of last year , I was desired to visit a young lady who, for nine months, had been afflicted with that singular disorder termed a catalepsy. Although she was prepared for my visit, she was seized with the disorder as soon as my arrival was announced. She was employed in netting, and was passing the needle through the mesh, in which position she immediately became rigid, exhibiting, in a very pleasing form, a figure of death-like sleep, beyond the power of art to imitate or the imagination to conceive. Her forehead was serene, her features perfectly composed. The paleness of her colour, her breathing at a distance being also scarcely perceptible, operated in rendering the similitude to marble more exact and striking. The positions of her fingers, hands, and arms were altered with difficulty, but they preserved every form of flexure they acquired: nor were the muscles of the neck exempted from this law, her head maintaining every situation in which the hand could place it as firmly as her limbs," etc.

Dr. King Chambers, after citing the above case in full, continues:--

"The most common exciting cause of catalepsy seems to be strong mental emotion. When Covent Garden Theatre was last burnt down, the blaze flashed in at the uncurtained windows of St. Mary's Hospital. One of my patients, a girl of twenty, recovering from low fever, was woke up by it, and exclaimed that the day of judgment was come. She remained in an excited state all night, and the next morning grew gradually stiff, like a corpse, whispering that she was dead. If her arm was raised, it remained extended in the position in which it was placed for several minutes, and then slowly subsided. The inelastic kind of way in which it retained its position for a time, and then gradually yielded to the force of gravity, reminded one more of a wax figure than of the marble to which Dr. Jebb compares it. A strange effect was produced by opening the eyelid of one eye; the other eye remained closed, and the raised lid after a time fell very slowly like the arm. A better superficial representation of death it is difficult to conceive.... In both these cases I convinced myself carefully that there was no deception.

"Other cases are of much longer duration.... The death-like state may last for days. It may be mistaken for real death, and treated as such....

"Any cases of apparent death that did occur were burnt, or buried, or otherwise put out of the way, and were never more heard of. But after the establishment of Christianity, tenderness, sometimes excessive, for the remains of departed friends took the place of the hard, heathen selfishness. The dead were kept closer to the congregations of the living, as if to represent in material form the dogma of the Communion of Saints. This led to the discovery that some persons, indeed some persons of note , had got out of their coffins, and died in a vain attempt to open the doors of their vaults."

The author relates several other remarkable cases. Here is one:--

"I lighted accidently on another case, communicated to the same scientific body , by M. Imbert in 1713. It is that of the driver of the Rouen diligence, aged forty-five, who fell into a kind of soporific catalepsy on hearing of the sudden death of a man he had quarrelled with. It appears that 'M. Burette, under whose care he was at La Charit?, made use of the most powerful assistances of art--bleeding in the arms, the foot, the neck, emetics, purgatives, blisters, leeches,' etc. At last somebody 'threw him naked into cold water to surprise him.' The effect surprised the doctors as much as the patient. It is related with evident wonder how that 'he opened his eyes, looked steadfastly, but did not speak.' His wife seems to have been a prudent woman, for a week afterwards she 'carried him home, where he is at present: they gave him no medicine; he speaks sensibly enough, and mends every day.'"

"The following curious case is related as having occurred at Dunkirk, on April 14, and as 'showing the utility of catalepsy.' A young girl of seventeen years was seized with a violent attack of epilepsy, and fell, on the above date, into a canal. A boatman immediately jumped into the water to save her, and brought her to the shore after twenty minutes. The most singular circumstance connected with the accident is that, when the young girl was taken out of the water, she presented all the symptoms of catalepsy. Notwithstanding this long immersion, she was resuscitated, and nothing afterwards transpired to cause any anxiety."

"EXTRAORDINARY CASE OF TRANCE NEAR WEYMOUTH.

A less experienced practitioner would probably have made out a death certificate, as in numerous similar cases.

After burial we hear no more of them; they may have been buried in a death-like trance, but the medical certificate, no matter how inconsiderately given, consigns them to perpetual silence beyond appeal or escape. Family remonstrance is then unavailing, for, except in cases of strong suspicion of poisoning, no Home Secretary or Coroner would grant an order for exhumation.

The existence of trance, catalepsy, and other death counterfeits, followed by hasty burial, has been alluded to by reputable writers from time immemorial; and while the veracity of these writers has remained unchallenged, and their narratives are confirmed by hundreds of cases of modern experience, the effect on the public mind has been only of a transitory character, and nothing has been done either in England or America to safeguard the people from such dreadful mistakes.

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