HOSPITAL SKETCHES

HOSPITAL SKETCHES

NOTE

Acknowledgments are made to Messrs. Charles Scribner's Sons for permission to use a passage from Edith Wharton's Fighting France and to The Macmillan Company for the use of the poem "Aedh wishes for the Cloths of Heaven," by W. B. Yeats.

CONTENTS

INTRODUCTION

However that may be, if he is ever immured for many weeks in a great hospital, he will be surprised to find how many are the similarities between its life, its discipline and its atmosphere, and those of the great monasteries. I mean those mediæval houses which spread from the parent at Monte Cassino to Citeaux and Cluny and Vezelay and thence to far-away parts of Europe, and which were even more abundant in England where the ruins of the Yorkshire Abbeys still attest to their former power. When the time is ripe for the change longed for by our friend he will find that very slight additions to a modern hospital will give him what he wants in great perfection.

Grateful though I am to them—deeply grateful—yet I know little of the personal history of the founder of this great hospital which now shelters me, or of that "Diamond Jim Brady" who built and endowed this noble wing. Still, I feel sure that in many ways these benefactors to their race made their gifts under much the same conditions as those barons and nobles of old who, led by some deep feeling, devoted their wealth to the saving, not only of their own souls, but of the souls and bodies of their fellow men.

Moreover, if the benefactors who founded and endowed this hospital resembled the men and women who made possible the powerful monasteries of the Middle Ages, there is also a resemblance to be found between the service that the monks rendered in their day to humanity and knowledge and that devotion which to-day inspires the staff of a great modern hospital. In this very building are housed and in constant attendance a large number of doctors, surgeons and orderlies. Their quarters, though in many ways like those in a modern club, are almost equally like the cells of a great monastery. There probably is not one of the staff who was not turned to his profession in some degree by the thought that it would make him of service to mankind. In another wing live several hundred nurses. The strength and health and happiness which appear in the faces of these young women attest to the good effect for women as well as for men of discipline and regular attention to duty. What a shining example is theirs of faithful and altruistic service to suffering humanity! Indeed a generous, helpful and encouraging spirit pervades all the men and women who form the staff of the hospital. Theirs is a single-minded and unwearying attention which no monks could have excelled, nor could the monasteries ever have offered a wider charity than that which makes white and colored, Hebrew and Gentile, poor and rich all objects of the kindly help of a skilful and devoted company.

I know that the kernel and very centre of the monastery was the lighted altar in the chapel where daily the sacred mysteries were enacted. That is what our friend will need to add to his perfected institution;—and yet—and yet—I doubt if the atmosphere will be very different when that is done. Although this place is world-famous as a centre of scientific research and of applied science,—though, in general, religion here is worked out in terms of service,—yet there are signs that the spirit has recognition as well as the physical body. To-day, in the great entrance rotunda stands a colossal and impressive statue of Christ, his hands outstretched welcoming the weary and the heavy-laden. The several hundred nurses have daily prayers together before they begin their unselfish work. At the dawn of Christmas morning, the doctors, nurses and orderlies make the halls resound with the carols suited to the day; and we hear how one convalescent who was praising his doctor's power over his ailments was surprised by the reply, "It was another power than mine that did it!" Perhaps he meant that miraculous servant Radium; perhaps he meant Nature herself; perhaps he meant something beyond these. He did not explain.

This devotion with which the staff is consecrated to altruistic labor is met by a spirit of buoyant gratitude from those on whom they minister. Our ward is vibrant with it. Perhaps this is not true at the very first. The patient arrives in misery. For a few days he is perhaps made even more miserable. But during this time he is in seclusion and not visible to his comrades. Soon he rallies. In bed or wheel chair he joins other convalescents on the roof terrace. They compare notes over their operations. They settle among themselves all those great pending questions which have been engrossing the active outside world and, looking forward to returning health and strength, a very joyous spirit pervades the group. These not too inviting surroundings abound, therefore, in a hearty thankfulness—a thankfulness abundant and sincere, and not unlike what it would be if it were offered amid solemn rites and with majestic music before the glowing altar of a monastery.

But in these early days of seclusion the lonely patient has opportunity for much thinking. Lying in bed in a room which, as a recent writer described it, is richly decorated with a white ceiling, four white walls, a door, a window and a floor, he has indeed time for thought and for thought without distraction.

Surrounded as he is by the sick and the maimed, perhaps one of the first subjects on which he is led to ponder is the mystery of Pain. What does it all mean that a God otherwise beneficent should impose on the creatures he has brought into the world illness and suffering? Even Prince Siddartha wondered at it:

In better mood the patient may wonder whether his personal share of pain is in any sense a penance or atonement for his own past sins. This is a thought

In these dull and lonely moments also one inevitably asks whether it is true that people exist who are stolid to pain? One may consecrate it before it comes and after it goes, but to most of us feeble folk pain when present occupies the whole limelight and leaves the rest of the stage in darkness! The only inmate of the hospital who stirred my temper was a patient who on making a rapid recovery from what he described as a very severe operation said he had refused ether and did not mind pain. I regained my equanimity when an orderly confided to me that the operation had been slight!

In health one is apt to think that Love is the great motive power of humanity. In illness and suffering Pain seems the great and pressing problem. They often go hand in hand and perhaps it is true that without them both life has not rendered its full wealth or its perfect discipline. "The ennobling depths of pain" need also "the purifying fire of love" to round out a perfect character.

These and many such questions can be as solemn, as perplexing and as engrossing as any that exercised the inmates of the Monastery to which we here find so much resemblance. As a contrast to such heart-searching thoughts the patient can wonder at the properties of that radium by which he may have been treated. How astonishing is it that this atom of matter should constantly emit rays which search out and destroy evil tissues and leave unharmed the good; and that they do this without any perceptible diminution of energy! How contrary this is to all we have hitherto known of the conservation of energy and of the impossibility of obtaining perpetual motion or continued power! What is so contrary to our preconceived ideas proves itself, however, by experience efficient in an almost supernatural or miraculous manner. Perhaps fatigued by these thoughts the patient can turn from them and closing his eyes begin to count "The flock of sheep that leisurely pass by one after one" and by happy chance submit himself to sleep.

The roof terrace has a wide view over the City of Baltimore, as well as of the heavens which encompass it. We sit there in our wheel chairs or lie tucked up in our rolling beds and talk flows freely. We watch the flocks of pigeons making endless circles in the upper air; the black and solemn buzzards hanging above us unmoved though the gale blow ever so fiercely; the cloud shadows moving over the panorama; the haze of mist and steam and smoke floating over the City; the ever-changing pageant of fleeting clouds and blue sky and blazing sunsets. At one time—

It is said that an eye unused to the telescope cannot see the canals on the planet Mars, but that through the same instrument they are plainly visible to an eye trained to such observation. Sometimes, when the clouds have hung in white masses over the city, I have been eager to see what was hidden by those luminous walls, but my untrained eyes could not pierce them. Day after day, however, I became more familiar with them. Others before now, without journeying like Columbus to prove the truth of his visions, have, even by their own firesides, enjoyed Castles in the Air and Châteaux and great possessions in Spain. In like manner as the breeze moved the silver edges of the clouds, I had unexpectedly through the rifts views of strange lands and fair cities which I had never before seen or heard of. As they were indeed lovely, in all haste I tried to make rapid notes of them to prove the truth of my strange experience.

Far to the north over Homewood, a pile of mountainous clouds was rent for a short space by the breeze, and disclosed a Minster in a meadow land. Its name seemed to be Upthorpe-cum-Regis. Its tower rose before me over the busy life of the town and looked down on the mansion of the Squire and the house of the Dean. Close around the walls of the Minster, indeed within sound of its prayers and anthems, were clustered the graves of the dead,—the former generations who had made the life of the town and who built the church and worshipped at its altar. It was a town in which the characters described by Trollope or George Eliot or Jane Austen would have felt themselves at home.

Again when a sunset was filling the western sky with "the incomparable pomp of eve," a break in the clouds above the gilded towers of Cardinal Gibbons's Cathedral disclosed an Italian town on a lovely lake shore. Boats with colored sails lined the Riva of Ranconezzo. Two piazzas teeming with life surrounded the Duomo or Cathedral and from them there were wide views over lake and mountain scenery. It appears that in the long ago, the Cardinal Schalchi-Visconti was the benefactor of this town, and there on the hillside, tree embowered, was his villa with its little port for the lake boats. His tomb I also saw, not in the Duomo, but in the Bramantesque Church of Santa Prassede, a building resembling the many small churches in northern Italy due to the refined influence of Bramante. In my dreaming I entered the church, and found that the great Cardinal lies beneath a tomb carved by Mino da Fiesole on the north side of Santa Prassede.

Then on a cool and crisp day when clouds were scudding through the sky, between them there was revealed to me a French town that seemed to bear the name of Rocher-St.-Pol. There was the river Merle winding its way through meadow and woodland. A range of hills bounded the horizon and from the plain rose the Rock. Not far away the ruined castle of "La Dame Blanche" crowned a steep hill, and close to the town was the Château Beaumesnil, beetling over the wooded hillside and bristling with conical towers and burnished girouettes. The Grande Rue of Rocher-St.-Pol I saw winding between gabled and half-timbered houses towards the church on the summit, and finally a long flight of stairs called by the people Jacob's ladder brings the pilgrim to the terrace in front of the church door. The interior of Ste. Frédigonde showed me the same

And finally came a dismal day, at the end of which the west was lined with long streaks of red, and, just before sunset, through a lengthened break in the gray, I seemed to see an Island in the far Ægean. I think it must have been somewhere between the Ægina that looks across the waters to the Athenian Acropolis and the Assos which my friends in their youth dug from its grave. Let us call it Æginassos. Its buildings as I dimly saw them are in a remarkable condition of preservation. The white temple stood out on a promontory over the sea, and brought back to memory the temple-crowned headland at Sunium. Higher on the mountain-side was the Forum with its terraces and long colonnades. Steep and winding paths descended to the ancient port, and far across the water rose the heights of the Isles of Greece.

Here are the records of what I was privileged to see from the roof terrace of the Hospital. Made in bed or wheel chair and depending on the passing imagination of an invalid, the sketches are of necessity crude. Would that instead they were like the work of Claude or Turner, who were the great experts at seeing visions in the clouds and in transferring them to their paper! These drawings will, however, be a reminder that idle hours can be passed happily even during a long captivity! Opposite each drawing I have placed some quotations from various writers. Although these do not describe with exactness the places which no eye but mine has seen, yet they do picture others very like those which I saw from the hospital terrace.

A day at last arrived when the patient was suddenly released. After being the object of tender care for many weeks the outer world seemed very large and very hustling. It was with a certain timidity and almost with reluctance that facing it all he left the peaceful quiet of the Johns Hopkins Hospital.

UPTHORPE-CUM-REGIS

It was one of their happy mornings. They trotted along and sat down together, with no thought that life would ever change much for them; they would only get bigger and not go to school, and it would be always like the holiday; they would always live together and be fond of each other. And the mill with its booming—the great chestnut tree under which they played at house—their own little river, the Ripple, where the banks seemed like home, and Tom was always seeing water-rats while Maggie gathered the purple plumy tops of the reeds which she forgot, and dropped afterwards—above all, the great Floss, along which they wandered with a sense of travel, to see the rushing spring-tide, the awful Eagre, come up like a hungry monster, or to see the Great Ash which had once wailed and groaned like a man—these things would always be just the same to them. Tom thought people were at a disadvantage who lived in any other spot of the globe; and Maggie when she read about Christiana passing "the river over which there is no bridge," always saw the Floss between the green pastures by the Great Ash.

It was a very quiet place, as such a place should be, save for the cawing of the rooks who had built their nest among the branches of some tall old trees, and were calling to one another, high up in the air. First one sleek bird, hovering near his ragged house as it swung and dangled in the wind, uttered his hoarse cry, quite by chance as it would seem, and in a sober tone as though he were but talking to himself. Another answered, and he called again, but louder than before; then another spoke and then another; and each time the first, aggravated by contradiction, insisted on his case more strongly. Other voices, silent till now, struck in from boughs lower down and higher up and midway, and to the right and left, and from the tree-tops; and others arriving hastily from the grey church turrets and old belfry window, joined the clamour which rose and fell, and swelled and dropped again, and still went on; and all this noisy contention amidst a skimming to and fro, and lighting on fresh branches, and frequent changes of place, which satirized the old restlessness of those who lay so still beneath the moss and turf below, and the useless strife in which they had worn away their lives.

At his first settling with me, I made him a present of all the good sermons which have been printed in English, and only begged of him that every Sunday he would pronounce one of them in the pulpit. Accordingly he has digested them into such a series, that they follow one another naturally, and make a continued system of practical divinity.

As Sir Roger was going on in his story, the gentleman we were talking of came up to us, and upon the Knight's asking him who preached to-morrow, for it was Saturday night, told us, the bishop of St. Asaph in the morning, and Dr. South in the afternoon. He then showed us his list of preachers for the whole year, where I saw with a great deal of pleasure, Archbishop Tillotson, Bishop Saunderson, Dr. Barrow, Dr. Calamy, with several living authors who have published discourses of practical divinity.

Last night I lay at the Swan Inn in Lathbury town. A sad night I had of it! My chamber was warmed fair enough by a fire of sea coal. There was a sweet smell of lavender in the sheets which a hot warming pan had also made comfortable. All this promised well, but Polly had forgot to put my silk night cap into my saddlebags! That vexed me sore! All night I felt I was taking a rheum. Some clodhoppers roystering in the tap room forbade sleep at first and as I am not wont to hear the quarters stricken the Abbey bells roused me at frequent intervals and made me swear roundly. About midnight the Royal Mail rolled over the bridge with a noise fit to wake the Seven Sleepers! The hoof beats of its cattle echoed on the stone walls of the houses like a salute by His Majesty's Footguards! How I ached for my quiet chambers in the Temple. At length I fell to sleep and so sound that when I waked the sun had long been shining through my lattice. I was late in meeting the Squire and the Vicar, and that too after making express this arduous ride. Indeed I was vexed—and I showed it.

The Swan is a venerable and rambling building, stretching itself lazily with outspread arms; one of those inns (long may they be preserved from the rebuilders!) on which one stumbles up or down into every room, and where eggs and bacon have an appropriateness that make them a more desirable food than ambrosia. The little parlor is wainscotted with the votive paintings—a village Diploma Gallery—of artists who have made the Swan their home.

One almost expects to see a fine green moss all over an inhabitant of Steyning. One day as I passed through the town I saw a man painting a new sign over a shop, a proceeding that so aroused my curiosity that I stood for a minute or two to look on. The painter filled in one letter, gave a huge yawn, looked up and down two or three times as if he had lost something, and finally descended from his perch and disappeared. Five weeks later I passed that way again, and it is a fact that the same man was at work on the same sign. Perhaps when the reader takes the walk I am about to recommend to his attention—a walk which comprises some of the finest scenery in Sussex—that sign will be finished, and the accomplished artist will have begun another; but I doubt it. There is plenty of time for everything in Steyning.

If our old English folk could not get an arched roof, then they loved to have it pointed, with polished timber beams on which the eye rested as on looking upwards through a tree. Their rooms they liked of many shapes, and not at right angles on the corners, nor all on the same dead level of flooring. You had to go up a step into one, and down a step into another, and along a winding passage into a third, so that each part of the house had its individuality. To these houses life fitted itself and grew to them; they were not mere walls, but became part of existence. A man's house was not only his castle, a man's house was himself. He could not tear himself away from his house, it was like tearing up the shrieking mandrake by the root, almost death itself.... Dark beams inlaid in the walls support the gables; the slight curve of the great beam adds, I think, to the interest of the old place, for it is a curve that has grown and was not premeditated; it has grown like the bough of a tree, not from any set human design. This too is the character of the house. It is not large, not overburdened with gables, not ornamented, not what is called striking, in any way, but simply an old English house, genuine and true. The warm sunlight falls on the old red tiles, the dark beams look the darker for the glow of light, the shapely cone of the hop-oust rises at the end; there are swallows and flowers and ricks and horses, and so it is beautiful because it is natural and honest. It is the simplicity that makes it so touching, like the words of an old ballad ... why even a tall chanticleer makes a home look homely. I do like to see a tall proud chanticleer strutting in the yard and barely giving way as I advance, almost ready to do battle with a stranger like a mastiff.

There he lies, Fundator Noster, in his ruff and gown, awaiting the great Examination Day.... Yonder sit some threescore old gentlemen pensioners of the hospital, listening to the prayers and the psalms. You hear them coughing feebly in the twilight,—the old reverend blackgowns.... How solemn the well-remembered prayers are, here uttered again in the place where in childhood we used to hear them! How beautiful, and decorous the rite; how noble the ancient words of the supplications which the priest utters, and to which generations of fresh children and troops of bygone seniors have cried Amen! under those arches!

23. The steps of a good man are ordered by the Lord, and he delighteth in his way—

24. Though he fall, he shall not be utterly cast down, for the Lord upholdeth him with his hand.

25. I have been young and now am old, yet have I not seen the righteous forsaken, nor his seed begging their bread.

Hiram's Hospital, as the retreat is called, is a picturesque building enough, and shows the correct taste with which the ecclesiastical architects of those days were imbued. It stands on the banks of the little river, which flows nearly round the cathedral close, being on the side furthest from the town. The London road crosses the river by a pretty one-arched bridge, and looking from this bridge, the stranger will see the windows of the old men's rooms, each pair of windows separated by a small buttress. A broad gravel walk runs between the building and the river, which is always trim and cared for; and at the end of the walk, under the parapet of the approach to the bridge, is a large and well-worn seat, on which, in mild weather three or four of Hiram's bedesmen are sure to be seen seated. Beyond this row of buttresses, and further from the bridge and also further from the water which here suddenly bends, are the pretty oriel windows of Mr. Harding's house, and his well mown lawn. The entrance to the hospital is from the London road and is made through a ponderous gateway under a heavy stone arch, unnecessary, one would suppose, at any time, for the protection of twelve old men, but greatly conducive to the good appearance of Hiram's charity. On passing through this portal, never closed to any one from six a.m. till ten p.m., and never open afterwards, except on application to a huge, intricately hung mediæval bell, the handle of which no un-initiated intruder can possibly find, the six doors of the old men's abodes are seen, and beyond them is a slight iron screen, through which the more happy portion of the Barchester élite pass into the Elysium of Mr. Harding's dwelling.

RANCONEZZO