Discussion about this post

User's avatar
Holly A.J.'s avatar

Cocaine is a stimulant, and before the age of antibiotics, it was used medically to help those fighting deadly infections. TB is a bacterial infection, so it would make sense that Stevenson might be temporarily helped by the stimulatory effects of cocaine. The trouble is, and this was and is the danger for any patient using cocaine, it would also serve to more quickly wear out a heart that was already under great stress.

It would also have been very dangerous to mix cocaine with opium - overdose deaths are more likely to occur when a stimulant like cocaine is mixed with an opioid. A TB patient would use opium, not just for pain management, but to suppress that terrible hacking cough which is so exhausting and could exacerbate hemorrhaging. Stevenson, like all TB patients in that era, lived on a constant knife edge between life and death. No wonder so many of his works feel like nightmares. I speed read 'Dr. Jekyll and Mr. Hyde' in adolescence, but that was enough to engrave all the gruesome scenes into my horrified brain and I have never read it again.

Expand full comment
adam hill's avatar

Very cool. Also anything with John Singer Sargent paintings is going to be worthwhile.

Expand full comment
18 more comments...

No posts