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A Book About Doctors

Chapter 54: CHAPTER XXV.
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About This Book

This collection surveys the history, customs, and public image of medical practitioners through biographical sketches, anecdotes, and illustrative medical recipes. Chapters move from early English physicians and apothecaries to celebrated practitioners, notorious quacks, debates over bleeding, and experiments in imagination and mesmerism, while also addressing fees, professional quarrels, hospital life, and the country medical man. The material combines historical overview, humorous anecdote, and practical excerpt to reveal shifting therapeutic practices and popular beliefs. Recurring themes include professional temperament, generosity and parsimony, the relations between medicine and the arts, and the increasing presence of women in medical roles.

"Champagne the courtier drinks, the spleen to chase,
The colonel Burgundy, and port his Grace."

The autocrat of the Mosquitoes, as the greatest only are, in his simplicity sublime, was contented with rum or its equivalent.

"Mo' drink for king! Mo' drink for king!" he would bellow, dancing round the grand-master of the governor's household.

"King," the grand-master would reply, "you are drunk already."

"No, no; king no drunk. Mo' drink for king! Broder George" (i. e. George III.) "love drink!"

Grand-Master.—"Broder George does not love drink: he is a sober man."

Autocrat.—"But King of Musquito love drink. Me will have mo' drink. Me love drink like devil. Me drink whole ocean!"

The different meagre memoirs of Peter Pindar are conflicting as to whether he ever received ordination from the hands of the Bishop of London. It seems most probable that he never did. But, consecrated or not, there is no doubt that he officiated as a colonial rector for some time. Droll stories of him as a parish priest used to circulate amongst his friends, as well as amongst his enemies. He read prayers and preached whenever a congregation appeared in his church, but three Sundays out of every four not a soul came to receive the benefit of his ministrations.

The rector was an admirable shot, and on his way from his house to church used to amuse himself with shooting pigeons, his clerk—also an excellent shot—walking behind with a fowling-piece in his hand, and taking part in the sport. Having reached the sacred edifice, his reverence and attendant opened the church door and waited in the porch ten minutes for the advent of worshippers. If none had presented themselves at the end of ten minutes, the pastor beat a retreat. If only a few black Christians straggled up, the rector bought them off with a few coins and then went home. One cunning old negro, who saw that the parson's heart was more with the wild-fowl of the neighboring bay than bent on the discharge of his priestly functions, after a while presented himself every Sunday, when the following interview and arrangement were regularly repeated:—

"What do you come here for, blackee?" the parson would exclaim.

"Why, massa, to hear your good sermon and all de prayer ob de church."

"Would not a bit or two do you more good?"

"Yes, massa doctor—me lub prayer much, but me lub money too."

The "bit or two" would then be paid, and the devotee would retire speedily from the scene. For an entire twelve-month was this black-mail exacted.

On his return to England, Wolcot, after a few unsuccessful attempts to establish himself in practice, relinquished the profession of physic as well as that of divinity, and, settling himself in London, made both fame and a good income by his writings. As a political satirist he was in his day almost without a rival, and the popularity of his numerous works would have placed a prudent man in lasting affluence. Improvidence, however, necessitated him to sell the copyright of his works to Messrs. Robinson, Golding, and Walker for an annuity of £250, payable half-yearly, during the remainder of his life. Loose agreements have always been the fashion between authors and publishers, and in the present case it was not clearly stated what "copyright of his works" meant. The publishers interpreted it as the copyright of both what the author had written at the time of making the agreement, and also of what he should subsequently write. Wolcot, however, declared that he had in the transaction only had regard to his prior productions. After some litigation and more squabbling, the publishers consented to take Wolcot's view of the case; but he never forgave them the discomfort they had caused him. His rancour against "the trade" increased with time, and inspired some of his most violent and unjust verses:—

"Fired with the love of rhyme, and, let me say,
Or virtue, too, I sound the moral lay;
Much like St. Paul (who solemnly protests
He battled hard at Ephesus with beasts),
I've fought with lions, monkeys, bulls, and bears,
And got half Noah's ark about my ears;
Nay, more (which all the courts of justice know),
Fought with the brutes of Paternoster Row."

For medicine Peter Pindar had even less respect than Garth had. He used to say "that he did not like the practice of it as an art. He was entirely ignorant, indeed, whether the patient was cured by the vis medicatrix naturæ, or the administration of a little pill, which was either directly or indirectly to reach the part affected." And for the practitioners of the art held in such low esteem, he cherished a contempt that he would at times display with true Pindaric warmth. In his two-act farce, "Physic and Delusion; or Jezebel and the Doctors," the dialogue is carried on in the following strain:—

"Blister.—          By God, old prig!
Another word, and by my wig——
"Bolus.—Thy wig? Great accoucheur, well said,
'Tis of more value than thy head;
And 'mongst thy customers—poor ninnies!
Has helped thee much to bag thy guineas."

Amongst Peter Pindar's good services to the world was the protection he afforded to Opie (or Oppy, as it was at one time less euphoniously spelt and pronounced) the artist, when he was a poor country clown, rising at three o'clock in the summer mornings, to pursue his art with rude pieces of chalk and charcoal. Wolcot presented the boy with his first pencils, colours, and canvas, and put him in the way to paint portraits for the magnificent remuneration of half-a-guinea, and subsequently a guinea a-head. And it was to the same judicious friend that Opie, on leaving the provinces, owed his first success in London.

Wolcot used to tell some droll stories about his artist friend. Opie's indiscreet manner was a source of continual trouble to those who endeavoured to serve him; for, priding himself on being "a rough diamond," he took every pains that no one should fail to see the roughness. A lady sitter was anxious that her portrait should be "very handsome," and frankly told the painter so. "Then, madam," was the reply, "you wish to be painted otherwise than you are. I see you do not want your own face." Not less impudent was he at the close of his first year in London, in taking out writs against several sitters who were rather tardy in their payments.

Opie was not the only artist of celebrity deeply indebted to Peter Pindar. Bone, the painter in enamel, found an efficient friend in the same discerning lover of the arts. In this respect Wolcot was worthy of the profession which he deserted, and affected to despise; and his name will ever be honourably mentioned amongst those physicians who have fostered art, from the days of picture-loving Mead, down to those of the writer's very kind friend, Dr. Diamond, who gathered from remote quarters "The Diamond Collection of Portraits," which may be seen amongst the art treasures of Oxford.

One of the worthies of Dr. Diamond's family was Robertus Fludd, or De Fluctibus, the writer of Rosicrucian celebrity who gave Sterne more than one lesson in the arts of eccentricity. Sir Thomas Fludd of Milgate, Bearsted, co. Kent (grandson of David Fludd, alias Lloyd of Morton, in Shropshire), had five sons and a daughter. Of this offspring, one son, Thomas, purchased Gore Court, and fixed there a family, the vicissitudes of which may be learnt by a reference to Hasted's Kent. From this branch of the Fludds descended Dr. Diamond, who, amongst other curious family relics, possesses the diploma of Robertus de Fluctibus.

When Robertus de Fluctibus died, Sept. 8, 1637, in Coleman St., London, his body, under the protection of a herald of arms, was conveyed to the family seat in Kent, and was then buried in Bearsted Church, under a stone which he had before laid for himself. The monument over his ashes was ordered by him in his last will to be made after that of William Camden in the Abbey at Westminster. The inscription which marks his resting-place declares his, rather than our, estimate of his intellectual greatness;

Magnificus non hæc sub odoribus urna vaporat,
Crypta tegit cineres nec speciosa tuos.
Quod mortale minus, tibi te committimus unum;
Ingenii vivent hic monumenta tui
Nam tibi qui similis scribit, moriturque, sepulchrum
Pro totâ æternum posteritate facit.

More modest, and at the same time more humorous, is the epitaph, in Hendon Church, of poor Thomas Crossfield, whose name, alike as surgeon and politician, has passed from among men:—

"Underneath Tom Crossfield lies,
Who cares not now who laughs or cries.
He always laughed, and when mellow
Was a harum scarum sort of fellow.
To none gave designed offence,
So—Honi soit qui mal y pense."

Amongst the medical poets there is one whom all scholarly physicians jealously claim as of their body—John Keats; he who, dying at Rome, at the age of twenty-six, wished his epitaph to be, "Here lies one whose name was writ in water." After serving his apprenticeship under an Edmonton surgeon, the author of "Endymion" became a medical student at St. Thomas's hospital.

Mention here, too, may be made of Dr. Macnish, the author of "The Anatomy of Drunkenness," and "The Modern Pythagorean"; and of Dr. Moir, the poet, whose death, a few years since, robbed the world of a simple and pathetic writer, and his personal acquaintance of a noble-hearted friend.

But of all modern English poets who have had an intimate personal connection with the medical profession, the greatest by far is Crabbe—

"Nature's sternest painter, yet the best."

In 1754 George Crabbe was born in the old sea-faring town of Aldborough, in the county of Suffolk. His father, the collector of salt-duties, or salt-master of the town, was a churlish sullen fellow at the best of times; but, falling upon adversity in his old days, he became the beau-ideal of a domestic tyrant. He was not, however, without his respectable points. Though a poor man, he did his best to educate his children above the ranks of the very poor. One of them became a thriving glazier in his native town; another went to sea, and became captain of a Liverpool slave-ship; and a third, also a sailor, met with strange vicissitudes—at one time enjoying a very considerable amount of prosperity, and then suffering penury and persecution. A studious and a delicate lad, George, the eldest of the party, was designed for some pursuit more adapted to his disposition and physical powers than the avocations of working mechanics, or the hard duties of the marine service. When quite a child, he had, amongst the inhabitants of Aldborough, a reputation for mental superiority that often did him good service. On one occasion he chanced to offend a playmate—his senior and "master," as boys and savages term it—and was on the point of receiving a good thrashing nigh the roaring waves of old ocean, when a third boy, a common acquaintance, exclaimed in a voice of affright:—

"Yar marn't middle a' him; lit him aloone—he ha' got l'arning."

The plea was admitted as a good one, and the future bard, taking his benefit of clergy, escaped the profanation of a drubbing.

George was sent to two respectable schools, the one at Bungay, in Suffolk, and the other (the better of the two) at Stowmarket, in the same county. The expense of such an education, even if it amounted to no more than £20 per annum, was no small undertaking for the salt-master of a fishing-village; for Aldborough—now a handsome and much frequented provincial watering-place—was in 1750 nothing better than a collection of huts, whose humble inhabitants possessed little stake in the commonweal beyond the right of sending to parliament two members to represent their interests and opinions. On leaving school, in his fourteenth year, George was apprenticed to a country doctor of a very rough sort, who plied his trade at Wickham Brook, a small village near Bury St. Edmunds. It is a fact worthy of note, as throwing some light on the state of the profession in the provinces, that the apprentice shared the bed of his master's stable-boy. At Wickham Brook, however, the lad did not remain long to endure such indignity. He was removed from that scene of trial, and placed under the tutelage of Mr. Page, a surgeon of Woodbridge, a gentleman of good connections and polite tastes, and through the marriage of his daughter with the late famous Alderman Wood, an ancestor of a learned judge, who is not more eminent as a lawyer than beloved as a man.

It was during his apprenticeship to Mr. Page of Woodbridge that Crabbe made his first important efforts in poetry, publishing, in the year 1772, some fugitive pieces in Wheble's Magazine, and in 1775 "Inebriety, a poem, in three parts. Ipswich: printed and sold by C. Punchard, bookseller, in the Butter-market." While at Woodbridge, too, his friend Levett, a young surgeon of the neighborhood, took him over to Framlingham, introducing him to the families of that picturesque old town. William Springall Levett was at that time engaged to Alethea Brereton, a lady who, under the nom de plume of "Eugenia Acton," wrote certain novels that created a sensation in their brief day. Amongst them were "Vicissitudes of Genteel Life," "The Microcosm," and "A Tale without a Title." The love-making of Mr. Levett and Miss Eugenia de Acton was put a stop to by the death of the former, in 1774. The following epitaph, transcribed from the History of Framlingham, the work of the able antiquarian, Mr. Richard Green, is interesting as one of Crabbe's earlier compositions.

"What! though no trophies peer above his dust,
Nor sculptured conquests deck his sober bust;
What! though no earthly thunders sound his name,
Death gives him conquest, and our sorrows fame!
One sigh reflection heaves, but shuns excess,
More should we mourn him, did we love him less."

Subsequently Miss Brereton married a gentleman named Lewis, engaged in extensive agricultural operations. However brief her literary reputation may have been, her pen did her good service; for, at a critical period of her husband's career, it brought her sums of much-needed money.

Mr. Levett's romance closed prematurely together with his life, but through him Crabbe first became acquainted with the lovely girl whom he loved through years of trial, and eventually made his wife. Sarah Elmy was the niece of John Tovell, yeoman, not gentleman—he would have scorned the title. Not that the worthy man was without pride of divers kinds, or that he did not hold himself to be a gentleman. He believed in the Tovells as being one of the most distinguished families of the country. A Tovell, by mere right of being a Tovell, could thrash more Frenchmen than any Englishman, not a Tovell, could. When the good man said, "I am nothing more than a plain yeoman," he never intended or expected any one to believe him, or to regard his words in any other light than as a playful protest against being deemed "a plain yeoman," or that modern hybrid, "a gentleman farmer."

He was a well-made, handsome, pleasant fellow—riding a good horse with the hounds—loving good cheer—enjoying laughter, without being very particular as to the cause of it—a little too much addicted to carousing, but withal an agreeable and useful citizen; and he lived at Parham Lodge, a house that a peer inhabited after him, without making any important alterations in the place.

On Crabbe's first introduction to Parham Lodge he was received with cordiality; but when it was seen that he had fallen in love with the squire's niece, it was only natural that "his presumption" should not at first meet the approval either of Mrs. Tovell or her husband. But the young people plighted troth to each other, and the engagement was recognized by the lady's family. It was years, however, before the wedding bells were set ringing. Crabbe's apprenticeship to Mr. Page finished, he tried ineffectually to raise the funds for a regular course of hospital instruction in London. Returning to Aldborough, he furnished a shop with a few bottles and a pound's worth of drugs, and set up as "an apothecary." Of course it was only amongst the poor of his native town that he obtained patients, the wealthier inhabitants of the borough distrusting the knowledge of a doctor who had not walked the hospitals. In the summer of 1778, however, he was appointed surgeon to the Warwickshire militia, then stationed at Aldborough, and in the following winter, on the Warwickshire militia being moved and replaced by the Norfolk militia, he was appointed surgeon to the latter regiment also. But these posts were only temporary, and conferred but little emolument on their holder. At length poverty drove the poet from his native town. The rest of his career is matter of notoriety. Every reader knows how the young man went to London and only escaped the death of Otway or Chatterton by the generous patronage of Burke, how through Burke's assistance he was ordained, became the Duke of Rutland's chaplain, obtained comfortable church preferment, and for a long span enjoyed an amount of domestic happiness that was as great and richly deserved as his literary reputation.

Crabbe's marriage with Sarah Elmy eventually conferred on him and his children the possession of Parham Lodge, which estate, a few years since, passed from them into the hands of wealthy purchasers. The poet also succeeded to other wealth through the same connection, an old-maid sister of John Tovell leaving him a considerable sum of money. "I can screw Crabbe up and down like an old fiddle," this amiable lady was fond of saying; and during her life she proved that her boast was no empty one. But her will was a handsome apology for all her little tiffs.


CHAPTER XXV.

NUMBER ELEVEN—A HOSPITAL STORY.

"Then, sir," said Mrs. Mallet, "if you'll only not look so frightened, I'll tell you how it was. It is now twenty years ago that I was very unfortunate. I was not more than thirty years of age, but I was old enough to have just lost a good husband and a dear little babe; and then, when I hadn't a sixpence in my pocket, I caught the fever, and had to go to a hospital. I wasn't used to trouble; for although I was nothing better than a poor man's child, I had known all my life nothing but kindness. I never had but one mistress,—my lady, who when she was the most beautiful young lady in all Devonshire, took me out of a village school, and raised me to be her maid; and her maid I was for twelve years—first down in Devonshire, and afterwards up in London, when she married (somewhat against the will of her family) a thorough good gentleman, but a poor one, who after a time took her out to India, where he became a judge, and she a grand lady. My dear mistress would have taken me out to India with her, only she was then too poor to pay for my passage out, and bear the expense of me there, where labour can be got so cheap, and native servants can live on a handful of rice a day. She, sir, is Lady Burridge—the same who gave me the money to start in this house with, and whose carriage you saw yesterday at my door.

"So my mistress went eastward, and I was left behind to marry a young man I had loved for some few years, and who had served during that time as clerk to my lady's husband. I was a young woman, and young women, to the end of the chapter, will think it a brave thing to fall in love. I thought my sweetheart was a handsomer and cleverer man than any other of his station in all London. I wonder how many girls have thought the same of their favourites! I went to church one morning with a fluttering heart and trembling knees, and came out under the porch thinking that all my life would ever afterwards be brighter, and lighter, and sunnier than it had been before. Well! in dancing into that pretty blunder, I wasn't a bigger fool than lots of others.

"And if a good husband is a great blessing (and she must be a paltry woman who can say nay to that), I was born to luck; for my husband was kind, good, and true—his temper was as sweet at home as his manners were abroad—he was hard-working and clever, sober and devout; and—though you may laugh at a woman of my age talking so like a romance—I tell you, sir, that if my life had to come all over again, I'd rather have the mischance of marrying my dear Richard, that the good fortune of wedding a luckier man.

"There's no doubt the game turned out ill for me. At first it seemed as if it would be just otherwise, for my husband had good health, plenty of work, and sufficient pay; so that, when my little girl came, her sweet face brought no shadow of anxiety with it, and we hoped she would be followed in due course by half-a-dozen more. But ere the dear babe had learned to prattle, a drear change came over the happy prospect. The fever crept over the gentle darling, and after she had suffered for a week or more, lying on my arms, God raised her from me into his happy home, where the beauty of summer reigns for ever, and the coldness of winter never enters. Richard and I took the body of our babe to the burial-ground, and saw it covered up in the earth which by turns gives all we get, and takes away from us all we have; and as we walked back to our deserted home, arm-in-arm, in the light of the summer's evening, we talked to each other more solemnly and tenderly than we had done for many a day. And the next morning he went back to his work in the office, from which he had absented himself since our child's death; and I encouraged him to cheer up, and not to give way to sorrow when I was not nigh to comfort him, but toil bravely and hopefully, as a man should; and in so advising him, I do not blush to say that I thought not only of what was best for his spirits, but also of what our necessity required—for we were only poor people, not at any time beforehand in the world, and now reduced by the cost of our little one's illness and funeral; and, sir, in this hard world we women, most times, have the best of it, for when the house is full of sorrow, we have little else to do but weep, but the men have to grieve and toil too.

"But poor Richard could not hold up his head. He came back from work that day pale and faint, and in the evening he had a chill and a heat-fit, that let me know the fever which had killed our little one had passed into him. The next day he could not leave his bed, and the doctor (a most kind man, who was always making rough jokes in a rough voice—just to hide his womanliness) said to me, 'If your husband goes down to his master's chambers in the Temple to-day, he had better stop at the coffin-maker's, in the corner of Chancery Lane, and leave his measure.' But Richard's case was not one for a jest, and he rapidly became worse than the doctor fancied he would be when he made that light speech. He was ill for six weeks, and then began slowly to mend; he got on so far as to sit up for two days for half-an-hour while he had his tea, and we were hoping that soon he would be able to be moved into the country—to my sister's, whose husband was an engineer at Stratford; but, suddenly, he had a relapse, and on the morning that finished the tenth week from his being seized, his arms let go their hold on my neck—and I was left alone!

"All during my babe's and Richard's long illness my sister Martha had behaved like a true sister to me. She was my only sister, and, to the best of my knowledge, the only relation I had in the world—and a good one she was; from girl to woman her heart always rung out clear like a bell. She had three young children, but even fear of contagion reaching them could not keep her from me in my trouble. She kept making the journey backwards and forwards, at least once a week, in the carrier's cart; and, though she had no money to spare, she brought me, with her husband's blessing, presents of wine, and jellies, and delicate meat, to buy which, I knew right well, she and her husband and her children must have pinched themselves down to scanty rations of bread and water. Her hands helped mine to put the flowers in poor Richard's coffin; she bore me up while I followed it, pale and trembling, to the grave; and when that horrible day was coming to an end, and she was about to return home, she took me into her arms, and covering me with kisses and caressings, and a thousand gentle sayings, as if I had been a child of her own, instead of her sister and a grown woman, she made me promise to come down to her at Stratford at the end of the week, and stay with her till God should give me strength and spirits and guidance, to work for myself again.

"But that promise was not kept. Next morning the rough-tender doctor came in, out of his mere goodness, to give me a friendly look, and a 'God speed you,' and found me, too, sickening for an illness. I knew, sir, he had made the discovery before his lips confessed a word; for when he had taken my wrist and felt my pulse, and looked up into my worn face, he turned pale, as if almost frightened, and such a look of grief came on his eyes and lips that he could not have said plainer, 'My poor woman! my poor woman! what I feared from the beginning, and prayed God not to permit, has come to pass at last.'

"Then I fairly broke down and cried bitterly; and I told the doctor how sore afflicted I was—how God had taken my husband and babe from me—how all my little means had been consumed in the expenses of nursing—how the little furniture in my rooms would not pay half what I owed to honest folk—and how, even in my unspeakable wretchedness, I could not ask the Almighty to take away my life, for I could not rest in death if I left the world without paying my just debts. Well, sir, the doctor sate down by me, and said, in his softest and simplest way:—

"'Come, come, neighbour, don't you frighten yourself. Be calm, and listen to me. Don't let the thought of debts worry you. What little I have done in the way of business for your poor child and husband I never wish to be paid for—so there's your greatest creditor disposed of. As for the others, they won't trouble you, for I'll undertake to see that none of them shall think that you have wronged 'em. I wish I could do more, neighbor; but I ain't a rich man, and I have got a wife and a regiment of little ones at home, who won't help, in the long run, to make me richer—although I am sure they'll make me happier. But now for yourself; you must go to the fever-hospital, to have your illness out; the physician who'll take care of you there is the cleverest in all London; and, as he is an old friend of mine, I can ask him to pay especial attention to you. You'll find it a pleasant, cheerful place, much more cool and comfortable than your rooms here; the nurses are all of them good people; and while lying on your bed there you won't have to fret yourself with thinking how you are to pay for the doctors, and medicine, and kitchen physic.'

"I was only too thankful to assent to all the doctor said; and forthwith he fetched a coach, put me into it, and took me off to the fever-hospital, to which his influence procured me instant admittance. Without delay I was conveyed to a large and comfortable bed, which, with another similar bed parallel to it, was placed against the wall at the end of a long gallery, containing twenty other beds. The first day of my hospital life I spent tranquilly enough; the languor of extreme exhaustion had soothed me, and my malady had not robbed me of my senses. So I lay calmly on my couch and watched all the proceedings and arrangements of the great bed-room. I noticed how clean and white all the beds looked, and what kindly women the nurses were; I remarked what a wide space there was down the middle of the room between the two rows of beds, and again what large intervals there were between the beds on each side; I observed, too, that over every bed there was a ventilator set in the wall, and beneath the ventilator a board, on which was pinned a paper, bearing, in a filled-up printed form, the number of the bed to which it belonged, the date when the occupant was admitted to the ward, the names of the physician and nurse under whose charge she was, the medicine she was taking, and the diet on which she was put. It made me smile, moreover, to note how the nurses, when giving physic or nourishment, or otherwise attending to their charges, would frequently address them by the numbers on their boards, instead of their names.

"'Nurse, dear,' I asked, with a smile, when my attendant came near me, 'what's my name?'

"'Oh, dear!' said she, looking up at the board which had already been fixed over my head, 'your name is Number Eleven.'

"It would be hard for me to give you, sir, any notion of how these words, Number Eleven, took possession of my mind. This was the more strange, because the nurse did not usually call me by them; for she was a motherly creature, and almost always addressed me as 'poor dear,' or 'poor child'; and the doctors who had the charge of me spoke to me as 'friend,' or 'old friend,' or 'neighbor.' But all the same for that, I always thought of myself as Number Eleven; and ere many days, if any one had asked me what my name was, I could not for the life of me have remembered Abigail Mallet, but should have answered Number Eleven. The patient in the next bed to me was Number Twenty-two; she was, like myself, a poor woman who had just lost a husband and child by the fever, and both of us were much struck, and then drawn to each other, by discovering how we had suffered alike. We often interchanged a few words during the sorrowful hours of the long, hot nights, but our whisperings always turned on the same subject. 'Number Eleven,' I used to hear her poor thin lips murmur, 'are you thinking of your baby, dear?' 'To be sure, darling,' I would answer; 'I am awake, and when I am awake, I am always thinking of her.' Then most times she would inquire, 'Number Eleven, dear, which do you think of most—the little one or her father?' Whereto I would reply, 'I think of both alike, dear, for whenever I look at her, a fair young angel in heaven—she seems to be lying in her father's arms.' And after we had conversed so, No. 22 would be quiet for a few minutes; and often, in the silence of the night, I could at such times hear that which informed me the poor woman was weeping to herself—in such a way that she was happier for her tears.

"But my malady progressed unfavourably. Each succeeding night was worse to endure; and the morning light, instead of bringing refreshment and hope, only gave to me a dull, gloomy consciousness that I had passed hours in delirium, and that I was weaker and heavier in heart, and more unlikely than ever to hold my head up again. They cut all the hair off my head, and put blisters at the back of my neck; but the awful weight of sorrow and the gnawing heat kept on my brain all the same. I could no longer amuse myself with looking at what went on in the ward; I lost all care for the poor woman who lay in the next bed; and soon I tossed to and fro, and heeded nothing of the outer world except the burning, and aching, and thirst, and sleeplessness that encased me.

"One morning I opened my eyes and saw the doctor standing between me and No. 22, talking to the nurse. A fit of clearness passed over my understanding, such as people suffering under fever often experience for a few seconds, and I heard the physician say softly to the nurses, 'We must be careful and do our best, sister, and leave the rest to God. They are both very ill; this is now the fourth day since either of them recognized me. They must have more wine and brandy to help them through. Here, give me their boards.' On this, the nurse took down the boards, and handed them, one after the other, to the physician, and he, taking a pen from a clerk, who always attended him, wrote his directions on the papers, and handed them back to the nurse. Having heard and seen all this, I shifted in my bed, and after a few weak efforts to ponder on my terrible condition, and how awful a thing it is to die, I fell back into my former state of delirium and half-consciousness.

"The next distinct memory I have of my illness was when I opened my eyes and beheld a wooden screen standing between me and the next bed. My head felt as if it had been put into a closely fitting cap of ice; but apart from this strange sensation, I was free from pain. My body was easy, and my mind was tranquil. My nurse was standing at the foot of my bed, looking towards me with an expression of solemn tenderness; and by her side was another woman—as I afterwards found out, a new nurse, unaccustomed to the ways of the hospital.

"'What is that screen there for?' asked the novice.

"My nurse lowered her voice, and answered slowly, 'Number Eleven, poor soul, is dying; she'll be dead in half an hour; and the screen is there so that Number Twenty-Two mayn't see her.'

"'Poor soul!' said the novice, 'may God have mercy upon her!'

"They spoke scarcely above a whisper, but I heard them distinctly; and a solemn gladness, such as I used to feel, when I was a young girl, at the sound of church music, came over me at learning that I was to die. Only half an hour, and I should be with baby and Richard in heaven! Mixed with this thought, too, there was a pleasant memory of those I had loved and who had loved me—of sister Martha and her husband and children, of the doctor who had been so good to me and brought me to the hospital, of my lady in India, of many others; and I silently prayed the Almighty with my dying heart to protect and bless them. Then passed through me a fluttering of strange, soft fancies, and it was revealed to me that I was dead.

"By-and-by the physician came his round of the ward, stepping lightly, pausing at each bed, speaking softly to nurses and patients, and, without knowing it, making many a poor woman entertain kinder thoughts than she had ever meant to cherish of the wealthy and gentle. When he came to the end of the ward, his handsome face wore a pitiful air, and it was more by the movement of his lips than by the sound of his mouth that I knew what passed from him to the nurse.

"'Well, sister, well,' he said, 'she sleeps quietly at last. Poor thing! I hope and believe the next life will be a fairer one for her than this has been.'

"'Her sister has been written to,' observed the nurse.

"'Quite right; and how is the other?'

"'Oh, No. 22 is just the same—quite still, not moving at all, scarcely breathing, sir!'

"'Um!—you must persevere. Possibly she'll pull through. Good-bye, sister.'

"Late in the evening my sister Martha came. She was dressed in black, and led with her hand Rhoda, her eldest daughter. Poor Martha was very pale, and worn, and ill; when she approached the bed on which I lay, she seemed as if she would faint, and she trembled so painfully that my kind nurse led her behind the screen, so that she might recover herself out of my sight. After a few seconds—say two minutes—she stood again at the foot of my bed—calmer, but with tears in her eyes, and such a mournful loveliness in her sweet face as I had never seen before.

"'I shouldn't have known her, nurse,' she said, gazing at me for a short space and then withdrawing her eyes—'she is so much altered.'

"'Ah, dear!' answered the nurse, 'sickness alters people much—and death more.'

"'I know it, nurse—I know it. And she looks very calm and blissful—her face is so full of rest—so full of rest!'

"The nurse fetched some seats, and made Martha and Rhoda sit down side by side; and then the good woman stood by them, ready to afford them all comfort in her power.

"'How did she bear her illness?' inquired Martha.

"'Like an angel, dear,' answered the nurse. 'She had a sweet, grateful, loving temper. Whatever I did for her, even though my duty compelled me to give her pain, she was never fretful, but always concealed her anguish and said, "Thank you, dear, thank you, you are very good; God will reward you for all your goodness"; and as the end came nigher I often fancied that she had reasonable and happy moments, for she would fold her hands together, and say scraps of prayers which children are taught.'

"'Nurse,' replied my sister after a pause, 'she and I were the only children of our father, and we were left orphans very young. She was two years older than I, and she always thought for me and did for me as if she had been my mother. I could fill whole hours with telling you all the goodness and forbearance and love she displayed to me, from the time I was little or no bigger than my child here. I was often wayward and peevish, and gave her many hours of trouble, but though at times she could be hot to others she never spoke an unkind word to me. There was no sacrifice that she would not have made for me; but all the return I ever made was to worry her with my evil jealous temper. I was continually imagining unchristian things against her: that she slighted me; that, because she had a mistress who made much of her, she didn't care for me; that she didn't think my children fit to be proud of. And I couldn't keep all these foolish thoughts in my head to myself, but I must needs go and speak them out to her, and irritate her to quarrel with me. But she always returned smooth words to my angry ones, and I had never a fit of my unjust temper but she charmed me out of it, and showed me my error in such a way that I was reproved, without too much humiliation, and loved her more than ever. Oh! dear friend, dear good nurse, if you have a sister, don't treat her, as I did Abigail, with suspicion and wicked passion; for should you, all the light speeches of your frowardness will return to you, and lie heavy on your heart when hers shall beat no more.'

"When Martha had said this she cried very bitterly; and as I lay dead on my bed, and listened to her unfair self-reproaches, I longed to break the icy bonds that held me, and yearned to clasp her to my breast. Still, though I could neither move nor utter a sound, it thrilled me with gladness to see how she loved me.

"'Mother,' said little Rhoda, softly, 'don't cry. We shan't be long away from Aunt and her baby, for when this life is done we shall go to them. You know, mother, you told me so last night.'

"It was not permitted to me to hear any more. A colder chill came over my brain—and, wrapt in unconsciousness and deep stillness, I lay upon my bed.

"My next recollection is of beholding the gray dawn stream in through the half-opened windows, and of wondering, amid vague reminiscences of my previous sensations, how it was that a dead person could take notice of the world it moved in when alive. It is not enough to say that my experience of the last repose was pleasant to me; I was rejoiced and greatly delighted by it. Death, it seemed then, was no state of cold decay for men to shudder at with affright—but a condition of tranquility and mental comfort. I continued to muse on this remarkable discovery for an hour and more, when my favourite nurse reappeared to relieve the woman who had taken the night-watch, and approached me.

"'Ah!' she surprised me by saying, as a smile of congratulation lighted her face, 'then you are alive this morning, dear, and have your handsome eyes wide open.'

"This in my opinion was a singularly strange and inappropriate address; but I made no attempt to respond to it, for I knew that I was dead. and that the dead do not speak.

"'Why, dear heart,' resumed the nurse, kneeling by my side and kissing me, 'can't you find your tongue? I know by your eyes that you know me; the glassy stare has left them. Come, do say a word, and say you are better.'

"Then a suspicion flashed across my brain, and raising my right hand slightly, I pointed to the bed of No. 22, and asked, 'How is she?—how is she?'

"'Don't frighten yourself, dear,' answered the nurse, 'she isn't there. She has been moved. She doesn't have that bed my longer!'

"'Then it is she who is dead, nurse; and all the rest was a dream? It is she who is dead?'

"'Hush, hush, dear! she has gone to rest—'

"Yes! it was all clear to me. Not I but my unfortunate companion had died; and in my delirious fancy I had regarded the friends who came to see her, and convey her to the grave, as my sister Martha and her little daughter Rhoda. I did not impart to the nurse the delusion of which I had been the victim; for, as is often the case with the sick, I was sensitive with regard to the extreme mental sickness into which I had fallen, and the vagaries of my reason. So I kept my secret to the best of my power; and having recognised how much better I was, how the fever had quitted my veins and the weight had left my head, I thanked God in my heart for all his mercies, and once more cherished a hope that he might see fit to restore me to health.

"My recovery was rapid. At the end of a fortnight I was moved into the convalescents' ward, and was fed up with wine and meat in abundance. I had every reason to be thankful for all the kindness bestowed on me in the hospital, and all the good effect God permitted that kindness to have. But one thing troubled me very much and cut me to the quick. Ever since I had been in the hospital my sister had neither been to see me, nor sent to inquire after me. It was no very difficult business to account for her neglect of me. She had her good qualities (even in the height of my anger I could not deny that), but she was of a very proud high temper. She could sacrifice anything but her pride for love of me. I had gone into an hospital, had received public charity, and she hadn't courage to acknowledge a sister who had sunk so low as that! But if she was proud so was I; I could be as high and haughty as she; and, what was more, I would show her that I could be so! What, to leave her own sister—her only sister—who had worked for her when she was little, and who had loved her as her own heart! I would resent it! Perhaps fortune might yet have a turn to make in my favour; and if so I would in my prosperity remember how I had been treated in my adversity. I am filled with shame now, when I think on the revengeful imaginations which followed each other through my breast. I am thankful that when my animosity was at its height my sister did not present herself before me; for had she done so, I fear that, without waiting for an explanation from her, I should have spoken hasty words that (however much I might have afterwards repented them, and she forgiven them) would have rendered it impossible for us to be again the same as we were before. I never mentioned to any one—nurse or patient—in the convalescent ward, the secret of my clouded brows, or let out that I had a friend in the world to think of me or to neglect me. Hour after hour I listened to women and girls and young children, talking of home pleasures and longing to be quite well, and dismissed from the confinement of the hospital, and anticipating the pleasure which their husbands, or mothers, or sisters, or children, would express at welcoming them again; but I never gave a word of such gossip; I only hearkened, and compared their hopes with my desolation, morosely and vindictively. Before I was declared perfectly restored I got very tired of my imprisonment; indeed the whole time I was in the convalescent ward my life was wearisome, and without any of the pleasures which the first days of my sickness had had. There was only one inmate of the ward to which I was at first admitted, as yet, amongst the convalescents; none of them knew me, unless it was by my number—a new one now, for on changing my ward I had changed my number also. The nurses I didn't like so well as my first kind attendant; and I couldn't feel charitably, or in any way as a Christian ought to feel, to the poor people by whom I was surrounded.

"At length the day came for my discharge. The matron inquired of me where I was going; but I would not tell her; I would not acknowledge that I had a sister—partly out of mere perverseness, and partly out of an angry sense of honour; for I was a country-bred woman, and attached to the thought of 'going into a hospital' a certain idea of shame and degradation, such as country people attach to 'going on the parish', and I was too proud to let folk know that my sister had a sister in an hospital, when she clearly flinched from having as much said of her.

"Well, finding I was not in a communicative humour, the matron asked no more questions; but, giving me a bundle containing a few articles of wearing apparel, and a small donation of money, bade me farewell; and without saying half as much in the way of gratitude as I ought to have said, I walked out from the hospital garden into the wide streets of London. I did not go straight to my old lodgings, or to the house of the doctor who had been so kind to me; but I directed my steps to an inn in Holborn, and took a place in the stage-cart for Stratford. As I rode slowly to my sister's town I thought within myself how I should treat her. Somehow my heart had softened a great deal towards her during the few last days; a good spirit within me had set me thinking of how she had helped me to nurse my husband and baby—how she had accompanied me when I followed them to their graves—how she and her husband had sacrificed themselves so much to assist me in my trial; and the recollection of these kindnesses and proofs of sisterly love, I am thankful to know, made me judge Martha much less harshly. Yes! yes! I would forgive her! She had never offended me before! She had not wronged me seven times, or seventy times seven, but only once! After all, how much she had done for me! Who was I, that I should forget all that she had done, and judge her only by what she had left undone?

"The stage-cart reached Stratford as the afternoon began to close into evening; and when I alighted from it, I started off at a brisk pace, and walked to my sister's cottage that stood on the outskirts of the town. Strange to say, as I got nearer and nearer to her door my angry feelings became fainter and fainter, and all my loving memories of her strong affection for me worked so in me that my knees trembled beneath me, and my eyes were blinded with tears—though, if I had trusted my deceitful, wicked, malicious tongue to speak, I should still have declared she was a bad, heartless, worthless, sister.

"I reached the threshold, and paused on the step before it, just to get my breath and to collect as much courage and presence of mind as would let Martha know that, though I forgave her, I still was fully aware she might have acted more nobly. When I knocked, after a few seconds, little Rhoda's steps pattered down the passage, and opened the door. Why, the child was in black! What did that mean? Had anything happened to Martha or her husband, or little Tommy? But before I could put the question Rhoda turned deadly white, and ran back into the living-room. In another instant I heard Tommy screaming at the top of his voice; and in a trice I was in the room, with Martha's arms flung round my neck, and her dear blessed eyes covering me with tears.

"She was very ill in appearance; white and haggard, and, like Rhoda and Tommy, she too was dressed in black. For some minutes she could not speak a word for sobbing hysterically; but when at last I had quieted her and kissed Rhoda, and cossetted Tommy till he had left off screaming, I learnt that the mourning Martha and her children wore was in my honour. Sure enough Martha had received a notice from the hospital of my death; and she and Rhoda had not only presented themselves at the hospital, and seen there a dead body which they believed to be mine, but they had also, with considerable expense, and much more loving care, had it interred in the Stratford churchyard, under the impression that in so doing they were offering me the last respect which it would be in their power to render me. The worst of it was that poor Martha had pined and sorrowed so for me that she seemed likely to fall into some severe illness.

"On inquiry it appeared that the morning when I and No. 22 were so much worse, and the doctor altered the directions of our boards, the nurse by mistake put the No. 22 board over my bed, and my board (No. 11) over the bed of the poor woman who had died. The consequence was that, when the hospital clerk was informed that No. 11 had died, he wrote to the doctor who placed me in the hospital, informing him of my death, and the doctor communicated the sad intelligence to my sister.

"The rest of the story you can fill up, sir, for yourself, and without my assistance you can imagine how it was that, while in a state of extreme exhaustion, and deeming myself dead, I heard my sister, in a strong agony of sorrow and self-reproach, say to my nurse, 'Oh, dear friend—dear good nurse—if you have a sister, don't treat her, as I did Abigail, with suspicion and wicked passion; for should you, all the light speeches of your frowardness will return to you, and lie heavy on your heart when hers shall beat no more.'"


CHAPTER XXVI.

MEDICAL BUILDINGS.

The medical buildings of London are seldom or never visited by the sight-seers of the metropolis. Though the science and art of nursing have recently been made sources of amusement to the patrons of circulating libraries, the good sense and delicacy of the age are against converting the wards of an hospital into galleries for public amusement. In the last century the reverse was the case. Fashionable idlers were not indeed anxious to pry into the mysteries of Bartholomew's, Guy's, and St. Thomas's hospitals; for a visit to those magnificent institutions was associated in their minds with a risk of catching fevers or the disfiguring small-pox. But Bethlehem, devoted to the entertainment and cure of the insane, was a favourite haunt with all classes. "Pepys," "The London Spy," "The Tatler," and "The Rake's Progress," give us vivid pictures of a noisy rout of Pall Mall beaus and belles, country fly-catchers, and London scamps, passing up and down the corridors of the great asylum, mocking its unhappy inmates with brutal jests, or investigating and gossiping about their delusions and extravagances with unfeeling curiosity. Samuel Johnson enlivened himself with an occasional stroll amongst the lunatics, just as he periodically indulged himself with witnessing a hanging, a judicial flogging, or any other of the pleasant spectacles with which Hogarth's London abounded. Boswell and he once strolled through the mansions of the insane; and on another occasion, when he visited the same abode with Murphy, Foote, and Wedderburne (afterwards Lord Loughborough), the philosopher's "attention was arrested by a man who was very furious, and who, while beating his straw, supposed it was William, Duke of Cumberland, whom he was punishing for his cruelties in Scotland in 1746." Steele, when he took three schoolboys (imagine the glee of Sir Richard's schoolboy friends out with him for a frolic) in a hackney coach to show them the town, paid his respects to "the lions, the tombs, Bedlam, and the other places, which are entertainments to raw minds because they strike forcibly on the fancy." In the same way Pepys "stept into Bedlam, and saw several poor miserable creatures in chains, one of whom was mad with making verses," a form of mental aberration not uncommon in these days, though we do not deem it necessary to consign the victims of it to medical guardianship.

The original Bethlehem hospital was established by Henry VIII., in a religious house that had been founded in 1246, by Simon Fitz-Mary, Sheriff of London, as an ecclesiastical body. The house was situated at Charing-cross, and very soon the king began to find it (when used for the reception of lunatics) disagreeably near his own residence. The asylum was therefore removed, at a "cost nigh £17,000," to Bishopgate Without, where it remained till 1814, and the inmates were removed to the present noble hospital in St. George's Fields, the first stone of which was laid April 18th, 1812.

One of the regulations of old Bedlam has long since been disused. The harmless lunatics were allowed to roam about the country with a tin badge—the star of St. Bethlehem—on the right arm. Tenderness towards those to whom the Almighty has denied reason is a sentiment not confined to the East. Wherever these poor creatures went they received alms and kindly entreatment. The ensign on the right arm announced to the world their lamentable condition and their need of help, and the appeal was always mercifully responded to. Aubrey thus describes their appearance and condition:—

"Till the breaking out of the Civil Wars Tom o' Bedlams did travel about the country. They had been poor distracted men, but had been put into Bedlam, where recovering some soberness, they were licentiated to go a-begging, i. e. they had on their left arm an armilla of tin, about four inches long; they could not get it off. They wore about their necks a great horn of an ox in a string of baudry, which, when they came to an house for alms, they did wind, and they did put the drink given them into this horn, whereto they did put the stopple. Since the wars I do not remember to have seen any one of them."

The custom, however, continued long after the termination of the Civil War. It is not now the humane practice to label our fools, so that society may at once recognise them and entertain them with kindness. They still go at large in our public ways. Facilities are even given them for effecting an entrance into the learned professions. Frequently they are docketed with titles of respect, and decked with the robes of office. But however gratifying this plan may be to their personal vanity it is not unattended with cruelty. Having about them no external mark of their sad condition, they are often, through carelessness and misapprehension—not through hardness of heart—chastised with undue severity. "Poor Tom, thy horn is dry," says Edgar, in "Lear." Never may the horn of mercy be dry to such poor wretches!

It is needless to say that Easter holiday-makers are no longer permitted in swarms, on the payment of two-pence each, to race through the St. Bethlehem galleries, insulting with their ribaldry the most pitiable of God's afflicted creatures. A useful lesson, however, is taught to the few strangers who still, as merely curious observers, obtain admission for a few minutes within the walls of the asylum—a lesson conveyed, not by the sufferings of the patients, so much as by the gentle discipline, the numerous means of innocent amusement, and the air of quiet contentment, which are the characteristics of a well-managed hospital for the insane.

Not less instructive would it be for many who now know of them only through begging circulars and charity dinners, to inspect the well-ventilated, cleanly—and it may be added, cheerful—dwellings of the impoverished sick of London. The principal hospitals of the capital, those, namely, to which medical schools are attached, are eleven in number—St. George's, the London (at Mile End), University College, King's, St. Mary's, Westminster, Middlesex, and Charing-cross, are for the most part dependent on voluntary contributions for support, the Westminster Hospital (instituted 1719) being the first hospital established in this kingdom on the voluntary system. The three other hospitals of the eleven have large endowments, Bartholomew's and Guy's being amongst the wealthiest benevolent foundations of the country.

Like Bethlehem, St. Thomas's Hospital was originally a religious house. At the dissolution of the monasteries it was purchased by the citizens of London, and, in the year 1552, was opened as an hospital for the sick. At the commencement of the last century it was rebuilt by public subscription, three wards being erected at the cost of Thomas Frederick, and three by Guy, the founder of Guy's Hospital.

The first place of precedency amongst the London Hospitals is contended for by St. Bartholomew's and Guy's. They are both alike important by their wealth, the number of patients entertained within their walls, and the celebrity of the surgeons and physicians with whom their schools have enriched the medical profession; but the former, in respect of antiquity, has superior claims to respect. Readers require no introduction to the founder of Bartholomew's, for only lately Dr. Doran, in his "Court Fools," gave a sketch of Rahere—the minstrel and jester, who spent his prime in the follies and vices of courts, and his riper years in the sacred offices of the religious vocation. He began life a buffoon, and ended it a prior—presiding over the establishment to the creation of which he devoted the wealth earned by his abused wit. The monk chronicler says of him: "When he attained the flower of youth he began to haunt the households of noblemen and the palaces of princes; where, under every elbow of them, he spread their cushions with apeings and flatterings, delectably anointing their eyes—by this manner to draw to him their friendships. And yet he was not content with this, but often haunted the king's palace; and, among the press of that tumultuous court, enforced himself with jollity and carnal suavity, by the which he might draw to him the hearts of many one." But the gay adventurer found that the ways of mirth were far from those of true gladness; and, forsaking quips, and jeers, and wanton ditties for deeds of mercy, and prayer, and songs of praise, he long was an ensample unto men of holy living; and "after the years of his prelacy (twenty-two years and six months), the 20th day of September (A. D. 1143), the clay-house of this world forsook, and the house everlasting entered."

In the church of St. Bartholomew may still be seen the tomb of Dr. Francis Anthony, who, in spite of the prosecutions of the College of Physicians, enjoyed a large practice, and lived in pomp in Bartholomew Close, where he died in 1623. The merits of his celebrated nostrum, the aurum potabile, to which Boyle gave a reluctant and qualified approval, are alluded to in the inscription commemorating his services:—