In my life, I think I’ve read three vampire stories: The Vampyre, Interview with the Vampire, and Dracula.
Each is a major landmark in vampire fiction (which is why I read them; the genre doesn’t have a lot of native appeal to me, but I’m not opposed to reading the classics in it). Yesterday I was listening to an audiobook that I made out of Dracula, and it got me to thinking about the medical aspects of vampirism, which led me to do a pair of posts on the subject.
I must say that I’m impressed with the way Bram Stoker wrote Dracula. Though, from what I can tell, Stoker was an Irish Protestant, his novel is remarkably Catholic-friendly and spends a great deal of time discussing spiritual matters.
It’s also quite cosmopolitan culturally. Though the main characters are British, there are not only representatives from different English social classes but also a lot of characters from and portraits of other cultures. As he goes to visit Count Dracula in Transylvania, Jonathan Harker describes various eastern European cultures in significant detail. Dracula himself is Transylvanian. Dracula’s nemesis–Dr. Van Helsing–is Dutch. And there’s even a major character who is a cowboy from Texas.
A special treat for me is the way that different languages and dialects bleed through into the language of the novel–as when Van Helsing speaks of things that in English are neuter using the masculine or feminine genders they would have in Dutch. (E.g., referring to "corn" [i.e., wheat] as "he" instead of "it.")
The novel is told in semi-epistolary form. An epistolary novel (in the strict sense) is one told exclusively through the use of letters written by characters in the novel, though in Dracula not only letters are used but also diary entries, telegrams, and newspaper articles. (I’m sure one day soon someone will write an e-pistolary novel told entirely through e-mails.)
So it’s a cool read.
But there are still flaws.
Some of these occurred to me when Stoker got to a particular point in the plot in which a character named Lucy had become the object of Dracula’s predations and her health was suffering. Dr. Van Helsing determines (I presume correctly) that her blood loss is sufficient that she needed transfusions in order to survive. He then sets about arranging these.
At the time, this would have been REALLY cool. I don’t know of ANY prior vampire story in which they tried to bring (then) modern science to bear on the problem of vampirism by giving blood transfusions. So megakudos to Stoker for that!
But there are some oddities for the modern reader.
One of the first things that struck me about the way the novel treated them was how DRAMATIC the transfusions were held to be. I mean, the characters were making a WAY bigger deal over transfusions than we would today.
Some of that may be natural for the time period, though, since I assume transfusions weren’t done as regularly as they are now.
One of the ways that a bigger deal is made of transfusions is that there is a big hullaballoo over who can be a donor for the procedure. Van Helsing is willing to do it himself, but his student–the English Dr. John Seward–points out that he is younger and ought to do it. Better yet is Lucy’s fiance, an even younger lord who is simple and healthy and uncomplicated–unlike the two doctors who, being engaged in intellectual pursuits by their profession, have higher strung "nerves" and are less suitable donors.
This sounds very suspicious. Old people give blood all the time today. In fact, blood banks rely HEAVILY on the generosity of older people; the young frequently being unable to be bothered with giving blood. And having an intellectual career has NOTHING to do with the ability to give blood.
Still, this may have been the 19th century understanding of things.
Another way a bigger deal is made of the transfusions than we would make of them is that discussion is made of giving the donors an opiate in order to knock them out during the procedure. I guess maybe folks back then were so horrified at the thought of giving blood that they wanted to be knocked out for it, though today people give blood all the time without any sedation at all. (I’d also have a hesitancy of giving the donor a sedative as anything that goes into his bloodstream is, of necessity, going to go into the recipient’s bloodstream in short order as the transfusion progresses–see below.)
After the transfusions are over, Van Helsing orders that the donors "eat and drink much," which is fine by modern medical science. They should do that to help their bodies replenish their blood supply.
I’m less sanguine (pun intended) regarding his advice that one of the donors should be given port wine to drink after a transfusion. I’m not sure about the effects of alcohol on a person who has just given blood (won’t that at least make him EXTRA woozy?), but I can let that pass.
What really set off alarm bells was Van Helsing administering to LUCY (the blood recpient) an opiate BEFORE the transfusion in order to knock her out.
WAIT A MINUTE! Lucy is suffering from acute posthemorrhagic anemia! She’s lost so much blood that she’s going to DIE if you don’t get more blood into her. Her blood pressure is DOWN and her heart is STRUGGLING ot beat fast enough to keep her blood pressure up and her cells oxygenated. Is giving her a sedative that will depress her system REALLY the thing to do at this moment?
"Please, Jim! Don’t leave her in the clutches of 19th-century medicine!"
Where Dracula really loses it, though, is in the fact that Van Helsing administers the blood transfusions with NO ATTEMPT WHATSOEVER to establish whether the donors have blood types that are compatible with Lucy’s blood type or not.
I’m sorry, but Dracula came out in 1897, and blood typing began (in a rudimentary form) almost a hundred years earlier. Doctors had realized that far back that the reason that people often died from blood transfusions was that they had different types of blood than the donors. It was the discovery of blood typing that ALLOWED transfusions to begin to become commonplace. Previously it was too dangerous.
Now, I’m not an expert on the history of medicine, and it could be that a doctor in 1897 would have made no attempt to type the blood of a donor and a recipient, but it seems to me that almost a century after this discovery–when it was this discovery that really allowed blood transfusions to take off–that a supergenius such as Dr. Van Helsing should have been on top of this one.
So, like later authors of vampire stories, I think that Stoker could have done with a little more medical research amidst his admirable cultural and historical researches.
That doesn’t stop the book from being a really cool read, though.
GET THE STORY (FROM PROJECT GUTENBERG).
UPDATE: Further investigation reveals that Van Helsing did just fine by not checking for blood typing. The original criticism was based on a Wikipedia statement that blood typing was discovered in the first decade of the 19th century, but whoever wrote that was wrong. It now appears that blood typing was not described in medical literature until three years after Dracula appeared.
