THE RESIDENT PATIENT

Ralph Edwards - Fri, 3 Feb 1995

  1. Is this an analytic case or a dramatic one?
  2. Why were the blinds half drawn on a rainy day?
  3. How does everybody being out of town affect Watson?
  4. What would Watson do in the Glades?
  5. Who else had similar filaments?
  6. What, today, is like Beecher's mission?
  7. When did Holmes and Watson dine?
  8. What instruments indicate general practice? Would they normally be kept in an open wicker basket?
  9. Why not an older doctor who had just bought new instruments?
  10. Does "Lucky we came back!" suggest an alternate destination?
  11. Was the fire lit?
  12. Why was Trevelyan so run down?
  13. What heart treatments were then available?
  14. Were the son's sensitivities realistic? How young could he be after eleven years imprisonment?
  15. What is the significance of a door closed but not shut?
  16. How and why was Blessington's room located?
  17. In what way was Blessington's life irregular?
  18. Who saw Blessington peering out the window?
  19. Was Trevelyan paid for one visit or for two?
  20. What did Blessington want of Holmes?
  21. Was a fear of banks justified?
  22. Why did Holmes and Watson walk home?
  23. Was the hour chosen to avoid Blessington?
  24. Did Trevelyan start his rounds very early?
  25. Why no constable?
  26. Was the key turned or just the bolt forced back?
  27. Why was Holmes forty-five minutes late?
  28. Why was Sutton the worst of the gang?
  29. How did the gang locate Blessington so quickly after their release from prison?
  30. Were the first two visits really attempts to kill?
  31. If Blessington had confessed to Holmes, what could Holmes have done?
  32. Why were the avengers going abroad?

Chris Redmond - Fri, 26 Apr 1996

Watson presents himself as a medical man, and this tale is the most medical of all 60 Canonical stories. What can be inferred from it about Watson's professional abilities, his medical interests, his medical career, and his likely success as a practitioner?


Sonia Fetherston - Fri, 18 Jul 1997

This weekend our attention turns to RESI, one of the more lurid tales in the canon. The story is notable for its thinly-disguised homosexual rape scene, and for its crude commentary on obesity.

The rape: When the police piece together the scene in Blessington's room, they immediately call attention to the bed, declaring that it "has been well slept in," with a "deep impression." The bed, in fact, is one of two crime scenes in the room, the other being the makeshift gallows where Blessington died. Holmes studied the room and its contents, then further defined what occurred, making several euphemistic references to homosexual rape. (It was, after all, the Victorian Era, and the text would not explicitly state what happened.) There was, for example, "the unknown man in the rear." Similarly, there were "scratches on this ward, where the pressure was applied." Though the room was fairly soundproof, and stiffling a scream was not necessary, we're told that the assailants "gagged" Blessington -- another veiled reference. Watson was so disturbed by the evidence that even he "ejaculated" a comment. In his fine book, In Bed With Sherlock Holmes, our own Chris Redmond points out that Blessington's attackers were imprisoned for a period of years; though not all prisoners engage in homosexuality, Chris notes that it's hardly unheard of for some prisoners to do so. I agree with Chris's conclusion that it's possible there was a past sexual "bond" among these men. That likely is the "shameful secret" Holmes refers to near the end of the story. What happened to Blessington on that particular night was not sex, however, it was rape. Like other rapes, this one was intended to assert power over the victim. It was meant to terrorize, punish and humiliate Blessington prior to his murder.

Fat Men: Watson's description of Blessington's physique is crude at best. "He was very fat," Watson declares, "but had apparently at some time been much fatter so that the skin hung about his face in loose pouches." The post-mortem focuses on fatness, too, with its "impression of flabbiness.....exaggerated and intensified until he was scarce human." Even the dead man's feet aren't spared: "his swollen ankles and ungainly feet protruded....." Blessington had in fact ceased to be a real human being, his body was merely a "wretched object." Watson's not-so-subtle criticism of overweight or obese men is evident elsewhere in the canon. It's a pattern of crudeness, bordering on ridicule. Recall, for example, his description of Mycroft in GREE: "absolutely corpulent....massive.....broad, fat hand like the flipper of a seal." He termed the form of Huxtable, in PRIO, "a ponderous piece of wreckage." And so on. Certainly a physician should express concern for the health-threatening complications of obesity, but Watson's editorial comments are sniping and mean-spirited. Watson demonstrates all the tact of the reformed smoker who fans second-hand smoke back into the face of the person who exhaled it. Can it be that the good doctor is a former fat man himself? Is his tone self-righteous? His descriptions of overweight men go beyond mere illustration. The words he chooses seem deliberately unkind.


Steve Clarkson - Fri, 2 Oct 1998

Things weren't much different for newly-minted physicians in Victorian times than they are today. Capable, talented, even brilliant doctors emerged from the medical schools, diplomas in hand, to face the prospect of starting a career in medicine. For many if not most of them, this was a daunting challenge -- the expenses of a medical education had drained their financial resources, and yet they had to set themselves up in the "doctor business" with a respectable address, servants, the latest in medical equipment . . . everything it took to start a successful practice.
It was no different for young Percy Trevelyan, a prize-winning medical student who had recently graduated. One day, out of the blue, a man walked into his low-rent office and made him an offer he couldn't refuse: "Let me set you up in practice," the man said, "I'll pay for the fancy address, the servants...everything you need to succeed in your practice. In return, you give me seventy-five percent of your earnings, and keep the rest for yourself." And so it was done. Dr. Trevelyan "wore out his chair" consulting in medicine over the next few years, and prospered. His benefactor, who took up lodging in the same building, not only prospered but became rich.
Then two individuals, an old man and his son, came to see Dr. Trevelyan. They said they were Russian noblemen, and that the old man suffered from catalepsy, a rare form of trance-like seizures. Dr. Trevelyan examined the old man, and except for a small bit of confusion when the patient went into one of his trances and had to be revived with nitrite of amyl, he made his diagnosis, prescribed medication, and pocketed his share of the fee. But something in his benefactor's behavior, which had always been very retiring and avoided public contact, caused Dr. Trevelyan to seek out Sherlock Holmes. Holmes said he'd look into the matter, and there things rested for a short time. The next day Holmes got an urgent message to come to Dr. Trevelyan's office at once -- his benefactor, Mr. Blessington, had hanged himself during the night.
When Holmes went to the scene, he found that a terrible crime had been committed, involving multiple footprints on the carpeted stairs, an apparent conference resembling a trial that took place in Blessington's bedroom, and a page-boy who had vanished. In a few minutes the Mâitre de Chasse will send the Hounds off on a tangled trail which will reveal the true identity of Blessington...and of his murderers.

There's no doubt about how the Resident Patient met his inglorious end, but the logistics of it have me wondering. In order for him to be suspended between a ceiling fixture and the floor by the neck, the ceiling would almost have to be higher than the eight feet which is standard today. This is no problem; we've had a number of excellent posts describing the height of ceilings in Victorian edifices, and ten or twelve feet seems to have been the norm. But two questions do come to mind: How did the "executioners" reach the light standard to remove the heavy lamp and affix the rope without a ladder; and how did they know that the hook for the fixture would support the flabby Blessington's weight?
One for the medicos among us: Amyl nitrite is a volatile solvent which produces temporary stimulation before depression of the central nervous system occurs. It certainly should not be used in the same way ammonia is employed to raise people from an unconscious state. Since amyl nitrite affects the central nervous system, would it be effective in treating a cataleptic state?
A question which has always stumped me is how the rest of the gang found Blessington once they had served their time in gaol. Blessington had a head start of "a few years," during which Dr. Trevelyan made him a rich man, to make a clean getaway and cover his tracks. According to Trevelyan he shunned company and seldom went outside the premises in Brook Street. How, then, did his former colleagues in crime locate him? Blessington could have holed up anywhere, and it seems to me that rooming with a respected physician in one of the best locations for a medical practice in London would have been ideal "cover." With the whole world to search in, is it within the realm of possibility that one of his pursuers would have spotted Blessington during one of his infrequent forays into the crowded London streets? And a corollary question: Why did Blessington settle in London instead of skipping the country under an assumed name?
Blessington told Holmes, "'...what little I have is in that box....'" Yet it seems that no one checked to see whether the contents of the box had been disturbed or removed, which might have made burglary the motive for Blessington's killing. And if Blessington had hanged himself by affixing the rope (how would he have reached the hook?) and jumping off the box, wouldn't the box have been moved from its original place at the end of his bed so that there was no possibility of him being able to save himself by supporting himself on box or bed? (Remember that this is the scenario originally postulated, in which Blessington had committed suicide.)
Lastly, why did the "patient" and his "son" pretend to be Russians? Was it thought in those days that Russians had a greater tendency to have cataleptic fits than other nationalities?


Rosemary Michaud - Thu, 25 Nov 1999

Brad Keefauver - Thu, 1 Feb 2001


Return to Introducing the 60 Stories