I learned in the early part of my career that labor must bear the cross for others' sins, must be the vicarious sufferer for the wrongs that others do.
Well, it's an adventure story, and a Bildungsroman, of course, but there was also the intention to describe a culture that had been seen in rather narrow terms.
Was this an old disease, and, if so, which one? If it was new, what did that say about the state of medical knowledge? And in any case, how could physicians make sense of it?