Hospital Sketches

by Louisa May Alcott

  One by one, the men woke, and round the room appeared a circle of pale faces and watchful eyes, full of awe and pity; for, though a stranger, John was beloved by all. Each man there had wondered at his patience, respected his piety, admired his fortitude, and now lamented his hard death; for the influence of an upright nature had made itself deeply felt, even in one little week. Presently, the Jonathan who so loved this comely David, came creeping from his bed for a last look and word. The kind soul was full of trouble, as the choke in his voice, the grasp of his hand, betrayed; but there were no tears, and the farewell of the friends was the more touching for its brevity.

  "Old boy, how are you?" faltered the one.

  "Most through, thank heaven!" whispered the other.

  "Can I say or do anything for you anywheres?"

  "Take my things home, and tell them that I did my best."

  "I will! I will!"

  "Good bye, Ned."

  "Good bye, John, good bye!"

  They kissed each other, tenderly as women, and so parted, for poor Ned could not stay to see his comrade die.

  For a little while, there was no sound in the room but the drip of water, from a stump or two, and John's distressful gasps, as he slowly beathed his life away. I thought him nearly gone, and had just laid down the fan, believing its help to be no longer needed, when suddenly he rose up in his bed, and cried out with a bitter cry that broke the silence, sharply startling every one with its agonized appeal:

  "For God's sake, give me air!"

  It was the only cry pain or death had wrung from him, the only boon he had asked; and none of us could grant it, for all the airs that blew were useless now. Dan flung up the window. The first red streak of dawn was warming the grey east, a herald of the coming sun; John saw it, and with the love of light which lingers in us to the end, seemed to read in it a sign of hope of help, for, over his whole face there broke that mysterious expression, brighter than any smile, which often comes to eyes that look their last. He laid himself gently down; and, stretching out his strong right arm, as if to grasp and bring the blessed air to his lips in a fuller flow, lapsed into a merciful unconsciousness, which assured us that for him suffering was forever past. He died then; for, though the heavy breaths still tore their way up for a little longer, they were but the waves of an ebbing tide that beat unfelt against the wreck, which an immortal voyager had deserted with a smile. He never spoke again, but to the end held my hand close, so close that when he was asleep at last, I could not draw it away. Dan helped me, warning me as he did so that it was unsafe for dead and living flesh to lie so long together; but though my hand was strangely cold and stiff, and four white marks remained across its back, even when warmth and color had returned elsewhere, I could not but be glad that, through its touch, the presence of human sympathy, perhaps, had lightened that hard hour.

  Chapter IV: A Night

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  When they had made him ready for the grave, John lay in state for half an hour, a thing which seldom happened in that busy place; but a universal sentiment of reverence and affection seemed to fill the hearts of all who had known or heard of him; and when the rumor of his death went through the house, always astir, many came to see him, and I felt a tender sort of pride in my lost patient; for he looked a most heroic figure, lying there stately and still as the statue of some young knight asleep upon his tomb. The lovely expression which so often beautifies dead faces, soon replaced the marks of pain, and I longed for those who loved him best to see him when half an hour's acquaintance with Death had made them friends. As we stood looking at him, the ward master handed me a letter, saying it had been forgotten the night before. It was John's letter, come just an hour too late to gladden the eyes that had longed and looked for it so eagerly! yet he had it; for, after I had cut some brown locks for his mother, and taken off the ring to send her, telling how well the talisman had done its work, I kissed this good son for her sake, and laid the letter in his hand, still folded as when I drew my own away, feeling that its place was there, and making myself happy with the thought, that, even in his solitary place in the "Government Lot," he would not be without some token of the love which makes life beautiful and outlives death. Then I left him, glad to have known so genuine a man, and carrying with me an enduring memory of the brave Virginia blacksmith, as he lay serenely waiting for the dawn of that long day which knows no night.

  Chapter V: Off Duty

  "My dear girl, we shall have you sick in your bed, unless you keep yourself warm and quiet for a few days.

  Widow Wadman can take care of the ward alone, now the men are so comfortable, and have her vacation when you are about again. Now do be prudent in time, and don't let me have to add a Periwinkle to my bouquet of patients."

  This advice was delivered, in a paternal manner, by the youngest surgeon in the hospital, a kind−hearted little gentleman, who seemed to consider me a frail young blossom, that needed much cherishing, instead of a tough old spinster, who had been knocking about the world for thirty years. At the time I write of, he discovered me sitting on the stairs, with a nice cloud of unwholesome steam rising from the washroom; a party of January breezes disporting themselves in the halls; and perfumes, by no means from "Araby the blest," keeping them company; while I enjoyed a fit of coughing, which caused my head to spin in a way that made the application of a cool banister both necessary and agreeable, as I waited for the frolicsome wind to restore the breath I'd lost; cheering myself, meantime, with a secret conviction that pneumonia was waiting for me round the corner. This piece of advice had been offered by several persons for a week, and refused by me with the obstinacy with which my sex is so richly gifted. But the last few hours had developed several surprising internal and external phenomena, which impressed upon me the fact that if I didn't make a masterly retreat very soon, I should tumble down somewhere, and have to be borne ignominiously from the field. My head felt like a cannon ball; my feet had a tendency to cleave to the floor; the walls at times undulated in a most disagreeable manner; people looked unnaturally big; and the "very bottles on the mankle shelf"

  appeared to dance derisively before my eyes. Taking these things into consideration. while blinking stupidly at Dr. Z., I resolved to retire gracefully, if I must; so, with a valedictory to my boys, a private lecture to Mrs.

  Wadman, and a fervent wish that I could take off my body and work in my soul, I mournfully ascended to my apartment, and Nurse P was reported off duty.

  For the benefit of any ardent damsel whose patriotic fancy may have surrounded hospital life with a halo of charms, I will briefly describe the bower to which I retired, in a somewhat ruinous condition. It was well ventilated, for five panes of glass had suffered compound fractures,which all the surgeons and nurses had failed to heal; the two windows were draped with sheets, the church hospital opposite being a brick and mortar Argus, and the female mind cherishing a prejudice in favor of retiracy during the night−capped periods of existence. A bare floor supported two narrow iron beds, spread with thin mattresses like plasters, furnished with pillows in the last stages of consumption. In a fire place, guiltless of shovel, tongs, andirons, or grate, burned a log inch by inch, being too long to to go on all at once; so, while the fire blazed away at Chapter V: Off Duty

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  one end, I did the same at the other, as I tripped over it a dozen times a day, and flew up to poke it a dozen times at night. A mirror (let us be elegant !) of the dimensions of a muffin, and about as reflective, hung over a tin basin, blue pitcher, and a brace of yellow mugs. Two invalid tables, ditto chairs, wandered here and there, and the closet contained a varied collection of bonnets, bottles, bags, boots, bread and butter, boxes and bugs. The closet was a regular Blue Beard cupboard to me; I always opened it with fear and trembling, owing to rats, and shut it in anguish of spirit; for time and space were not to be had, and chaos reigned along with the rats. Our chimney−piece was decorated wit
h a flat−iron, a Bible, a candle minus stick, a lavender bottle, a new tin pan, so brilliant that it served nicely for a pier−glass, and such of the portly black bugs as preferred a warmer climate than the rubbish hole afforded. Two arks, commonly called trunks, lurked behind the door, containing the worldly goods of the twain who laughed and cried, slept and scrambled, in this refuge; while from the white−washed walls above either bed, looked down the pictured faces of those whose memory can make for us-

  "One little room an everywhere."

  For a day or two I managed to appear at meals; for the human grub must eat till the butterfly is ready to break loose, and no one had time to come up two flights while it was possible for me to come down. Far be it from me to add another affliction or reproach to that enduring man, the steward; for, compared with his predecessor, he was a horn of plenty; but-I put it to any candid mind-is not the following bill of fare susceptible of improvement, without plunging the nation madly into debt ? The three meals were "pretty much of a muchness," and consisted of beef, evidently put down for the men of '76; pork, just in from the street; army bread, composed of saw−dust and saleratus; butter, salt as if churned by Lot's wife; stewed blackberries, so much like preserved cockroaches, that only those devoid of imagination could partake thereof with relish; coffee, mild and muddy; tea, three dried huckleberry leaves to a quart of water-flavored with lime-also animated and unconscious of any approach to clearness. Variety being the spice of life, a small pinch of the article would have been appreciated by the hungry, hard−working sisterhood, one of whom, though accustomed to plain fare, soon found herself reduced to bread and water; having an inborn repugnance to the fat of the land, and the salt of the earth.

  Another peculiarity of these hospital meals was the rapidity with which the edibles vanished, and the impossibility of getting a drop or crumb after the usual time. At the first ring of the bell, a general stampede took place; some twenty hungry souls rushed to the dining−room, swept over the table like a swarm of locusts, and left no fragment for any tardy creature who arrived fifteen minutes late. Thinking it of more importance that the patients should be well and comfortably fed, I took my time about my own meals for the first day or two after I came, but was speedily enlightened by Isaac, the black waiter, who bore with me a few times, and then informed me, looking as stern as fate:

  "I say, mam, ef you comes so late you can't have no vittles,-'cause I'm 'bleeged fer ter git things ready fer de doctors 'mazin' spry arter you nusses and folks is done. De gen'lemen don't kere fer ter wait, no more does I; so you jes' please ter come at de time, and dere won't be no frettin' nowheres."

  It was a new sensation to stand looking at a full table, painfully conscious of one of the vacuums which Nature abhors, and receive orders to right about face,without partaking of the nourishment which your inner woman clamorously demanded. The doctors always fared better than we; and for a moment a desperate impulse prompted me to give them a hint, by walking off with the mutton, or confiscating the pie. But Ike's eye was on me, and, to my shame be it spoken, I walked meekly away; went dinnerless that day, and that evening went to market, laying in a small stock of crackers, cheese and apples,that my boys might not be neglected, nor myself obliged to bolt solid and liquid dyspepsias, or starve. This plan would have succeeded admirably had not the evil star under which I was born, been in the ascendant during that month, and cast its malign influences even into my " 'umble " larder; for the rats had their dessert off my cheese, the bugs set up housekeeping in my cracker bag, and the apples like all worldly riches, took to themselves wings and flew Chapter V: Off Duty

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  away; whither no man could tell, though certain black imps might have thrown light upon the matter, had not the plaintiff in the case been loth to add another to the many trials of long−suffering. Africa. After this failure I resigned myself to fate, and, remembering that bread was called the staff of life, leaned pretty exclusively upon it; but it proved a broken reed, and I came to the ground after a few weeks of prison fare, varied by an occasional potato or surreptitious sip of milk.

  Very soon after leaving the care of my ward, I discovered that I had no appetite, and cut the bread and butter interests almost entirely, trying the exercise and sun cure instead. Flattering myself that I had plenty of time, and could see all that was to be seen, so far as a lone lorn female could venture in a city, one−half of whose male population seemed to be taking the other half to the guard−house,-every morning I took a brisk run in one direction or another; for the January days were as mild as Spring. A rollicking north wind and occasional snow storm would have been more to my taste, for the one would have braced and refreshed tired body and soul, the other have purified the air,and spread a clean coverlid over the bed, wherein the capital of these United States appeared to be dozing pretty soundly just then.

  One of these trips was to the Armory Hospital, the neatness, comfort, and convenience of which makes it an honor to its presiding genius, and arouses all the covetous propensities of such nurses as came from other hospitals to visit it.

  The long, clean, warm, and airy wards, built barrack−fashion, with the nurse's room at the end, were fully appreciated by Nurse Periwinkle, whose ward and private bower were cold, dirty, inconvenient, up stairs and down stairs, and in every body's chamber. At the Armory, in ward K, I found a cheery, bright−eyed, white−aproned little lady, reading at her post near the stove; matting under her feet; a draft of fresh air flowing in above her head; a table full of trays, glasses, and such matters, on one side, a large, well−stocked medicine chest on the other; and all her duty seemed to be going about now and then to give doses, issue orders, which well−trained attendants executed, and pet, advise, or comfort Tom, Dick, or Harry, as she found best. As I watched the proceedings, I recalled my own tribulations, and contrasted the two hospitals in a way that would have caused my summary dismissal, could it have been reported at headquarters. Here, order, method, common sense and liberality reigned and ruled, in a style that did one's heart good to see; at the Hurly burly Hotel, disorder, discomfort, bad management, and no visible head, reduced things to a condition which I despair of describing. The circumlocution fashion prevailed, forms and fusses tormented our souls, and unnecessary strictness in one place was counterbalanced by unpardonable laxity in another.

  Here is a sample : I am dressing Sam Dammer's shoulder; and, having cleansed the wound, look about for some strips of adhesive plaster to hold on the little square of wet linen which is to cover the gunshot wound; the case is not in the tray; Frank, the sleepy, half−sick attendant, knows nothing of it; we rummage high and low; Sam is tired, and fumes; Frank dawdles and yawns; the men advise and laugh at the flurry; I feel like a boiling tea−kettle, with the lid ready to fly off and damage somebody.

  "Go and borrow some from the next ward, and spend the rest of the day in finding ours," I finally command.

  A pause; then Frank scuffles back with the message: "Miss Peppercorn ain't got none, and says you ain't no business to lose your own duds and go borrowin' other folkses;." I say nothing, for fear of saying too much, but fly to the surgery. Mr. Toddypestle informs me that I can't have anything without an order from the surgeon of my ward. Great heavens ! where is he? and away I rush, up and down, here and there, till at last I find him, in a state of bliss over a complicated amputation, in the fourth story. I make my demand; be answers: "In five minutes," and works away, with his head upside down, as he ties an artery, saws a bone, or does a little needle−work, with a visible relish and very sanguinary pair of hands. The five minutes grow to fifteen, and Frank appears, with the remark that, "Dammer wants to know what in thunder you are keeping him there with his finger on a wet rag for?" Dr. P. tears himself away long enough to scribble the order, with which I plunge downward to the surgery again, find the door locked, and, while hammering away on it, am told that two friends are waiting to see me in the hall. The matron being away, her parlor is locked, and there
is nowhere to see my guests but in my own room, and no time to enjoy them till the plaster is found. I settle Chapter V: Off Duty

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  this matter, and circulate through the house to find Toddypestle, who has no right, to leave the surgery till night. He is discovered in the dead house, smoking a cigar; and very much the worse for his researches among the spirituous preparations that fill the surgery shelves. He is inclined to be gallant, and puts the finishing blow to the fire of my wrath; for the tea−kettle lid flies off, and driving him before me to his post, I fling down the order, take what I choose; and, leaving the absurd incapable kissing his hand to me, depart, feeling,as Grandma Riglesty is reported to have done, when she vainly sought for chips, in Bimleck Jackwood's "shifless paster."

  I find Dammer a well acted charade of his own name, and, just as I get him done, struggling the while with a burning desire to clap an adhesive strip across his mouth, full of heaven−defying oaths, Frank takes up his boot to put it on, and exclaims :

  "I'm blest ef here ain't that case now ! I recollect seeing it pitch in this mornin', but forgot all about it, till my heel went smash inter it. Here, ma'am, ketch hold on it, and give the boys a sheet on't all round, 'gainst it tumbles inter t'other boot next time yer want it."

  If a look could annihilate, Francis Saucebox would have ceased to exist; but it couldn't; therefore, he yet lives, to aggravate some unhappy woman's soul, and wax fat in some equally congenial situation.

  Now, while I'm freeing my mind, I should like to enter my protest against employing convalescents as attendants, instead of strong, properly trained, and cheerful men. How it may be in other places I cannot say; but here it was a source of constant trouble and confusion, these feeble, ignorant men trying to sweep, scrub, lift, and wait upon their sicker comrades. One, with a diseased heart, was expected to run up and down stairs, carry heavy trays, and move helpless men; he tried it, and grew rapidly worse than when he first came: and, when he was ordered out to march away to the convalescent hospital, fell, in a sort of fit, before he turned the corner, and was brought back to die. Another, hurt by a fall from his horse, endeavored to do his duty, but failed entirely, and the wrath of the ward master fell upon the nurse, who must either scrub the rooms herself, or take the lecture; for the boy looked stout and well, and the master never happened to see him turn white with pain, or hear him groan in his sleep when an involuntary. motion strained his poor back. Constant complaints were being made of incompetent attendants, and some dozen women did double duty, and then were blamed for breaking down. If any hospital director fancies this a good and economical arrangement, allow one used up nurse to tell him it isn't, and beg him to spare the sisterhood, who sometimes, in their sympathy, forget that they are mortal, and run the risk of being made immortal, sooner than is agreeable to their partial friends.