comparable to his. The opportunity to tell the reader tactfully that Paul had consumption has not been taken.
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And did he? There are other possibilities: he could have had asthma, or an iron deficiency that would have made him especially susceptible to infection. These are technically possible, but who can doubt that Paul died of consumption, the poetic disease, the disease that killed Keats and Emily Brontë, the disease that spiritualizes its victims, as Susan Sonntag convincingly argues:
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| | While TB takes on qualities assigned to the lungs, which are part of the upper, spiritualised body, cancer is notorious for attacking parts of the body (colon, bladder, rectum, breast, cervix, prostate, testicles) that are embarrassing to acknowledge. 18
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Cancer, for Sonntag, is the disease that in the twentieth century we do not name, but whose presence we assume when death is generalized, incurable, and vaguely metaphorical. In the nineteenth century it was TB, whose symptoms are much easier to treat euphemistically, and which, because it seems to spiritualize the body, slips easily into the conventions of bodily reticence.
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In fictional deaths, then, we find the same tendency to generalize and evade that we saw in the case of real deaths; but there is a qualification to be made. When the novelist's point is not medical but moral or political, he is sometimes prepared to be very specific and very confident. In the opening chapters of Elizabeth Gaskell's Mary Barton (1848), John Barton's wife dies in childbirth. Her sister had run away to live as a prostitute, on the edge of society and on the edge of the novel, and this had caused her great distress. When the doctor breaks the news of her death to the husband, he says, "Nothing could have saved herthere has been some shock to the system" (chapter 3). No doctor, examining the body of a woman dying in labor (the doctor does not arrive until she is already dead) could possibly conclude anything about a mental shock: this is not a medical opinion but a nudge from the novelist.
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Interestingly enough it is Dinah Mulock, so vague on Muriel's actual death, who is more precise than her contemporaries in the case of smallpox. When John Halifax realizes that little Tommy has brought smallpox into the house, he recalls that he (rather against his wife's wishes) had vaccinated his children (clearly his trust in God had its limits): the virus had
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