Hospital Sketches by Louisa May Alcott
You ask if nurses are obliged to witness amputations and such matters, as a part of their duty? I think not, unless they wish; for the patient is under the effects of ether, and needs no care but such as the surgeons can Chapter VI: A Postscript
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best give. Our work begins afterward, when the poor soul comes to himself, sick, faint, and wandering; full of strange pains and confused visions, of disagreeable sensations and sights. Then we must sooth and sustain, tend and watch; preaching and practicing patience, till sleep and time have restored courage and self−control.
I witnessed several operations; for the height of my ambition was to go to the front after a battle, and feeling that the sooner I inured myself to trying sights, the more useful I should be. Several of my mates shrunk from such things; for though the spirit was wholly willing, the flesh was inconveniently weak. One funereal lady came to try her powers as a nurse; but, a brief conversation eliciting the facts that she fainted at the sight of blood, was afraid to watch alone, couldn't possibly take care of delirious persons, was nervous about infections, and unable to bear much fatigue, she was mildly dismissed. I hope she found her sphere, but fancy a comfortable bandbox on a high shelf would best meet the requirements of her case.
Dr. Z. suggested that I should witness a dissection; but I never accepted his invitations, thinking that my nerves belonged to the living, not to the dead, and I had better finish my education as a nurse before I began that of a surgeon. But I never met the little man skipping through the hall, with oddly shaped cases in his hand, and an absorbed expression of countenance, without being sure that a select party of surgeons were at work in the dead house, which idea was a rather trying one, when I knew the subject was some person whom I had nursed and cared for.
But this must not lead any one to suppose that the surgeons were willfully hard or cruel, though one of them remorsefully confided to me that he feared his profession blunted his sensibilities, and perhaps, rendered him indifferent to the sight of pain.
I am inclined to think that in some cases it does; for, though a capital surgeon and a kindly man, Dr. P., through long acquaintance with many of the ills flesh is heir to, had acquired a somewhat trying habit of regarding a man and his wound as separate institutions, and seemed rather annoyed that the former should express any opinion upon the latter, or claim any right in it, while under his care. He had a way of twitching off a bandage, and giving a limb a comprehensive sort of clutch, which though no doubt entirely scientific, was rather startling than soothing, and highly objectionable as a means of preparing nerves for any fresh trial.
He also expected the patient to assist in small operations, as he considered them, and to restrain all demonstrations during the process.
"Here, my man, just hold it this way, while I look into it a bit," he said one day to Fitz G., putting a wounded arm into the keeping of a sound one, and proceeding to poke about among bits of bone and visible muscles, in a red and black chasm made by some infernal machine of the shot or shell description. Poor Fitz held on like a grim Death, ashamed to show fear before a woman, till it grew more than he could bear in silence; and, after a few smothered groans, he looked at me imploringly, as if he said, "I wouldn't, ma;am, if I could help it," and fainted quietly away.
Dr. P. looked up, gave a compassionate sort of cluck, and poked away more busily than ever, with a nod at me and a brief-"Never mind; be so good as to hold this till I finish."
I obeyed, cherishing the while a strong desire to insinuate a few of his own disagreeable knives and scissors into him, and see how he liked it. A very disrespectful and ridiculous fancy of course; for he was doing all that could be done, and the arm prospered finely in his hands. But the human mind is prone to prejudice; and though a personable man, speaking French like a born "Parley voo," and whipping off legs like an animated guillotine, I must confess to a sense of relief when he was ordered elsewhere; and suspect that several of the men would have faced a rebel battery with less trepidation than they did Dr. P., when he came briskly in on his morning round.
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As if to give us the pleasures of contrast, Dr. Z. succeeded him, who, I think, suffered more in giving pain than did his patients in enduring it; for he often paused to ask: "Do I hurt you?" and seeing his solicitude, the boys invariably answered: "Not much; go ahead, Doctor," though the lips that uttered this amiable fib might be white with pain as they spoke. Over the dressing of some of the wounds, we used to carry on conversations upon subjects foreign to the work in hand, that the patient might forget himself in the charms of our discourse. Christmas eve was spent in this way; the Doctor strapping the little Sergeant's arm, I holding the lamp, while all three laughed and talked, as if anywhere but in a hospital ward; except when the chat was broken by a long−drawn "Oh!" from "Baby B.," an abrupt request from the Doctor to "Hold the lamp a little higher, please," or an encouraging, "'Most through, Sergeant," from Nurse P.
The chief Surgeon, Dr. O., I was told, refused the higher salary, greater honor, and less labor, of an appointment to the Officer's Hospital, round the corner, that he might serve the poor fellows at Hurlyburly House, or go to the front, working there day and night, among the horrors that succeed the glories of a battle.
I liked that so much, that the quiet, brown−eyed Doctor was my especial admiration; and when my own turn came, had more faith in him than in all the rest put together, although he did advise me to go home, and authorize the consumption of blue pills.
Speaking of the surgeons reminds me that, having found all manner of fault, it becomes me to celebrate the redeeming feature of Hurlyburly House. I had been prepared by the accounts of others, to expect much humiliation of spirit from the surgeons, and to be treated by them like a door−mat, a worm, or any other meek and lowly article, whose mission it is to be put down and walked upon; nurses being considered as mere servants, receiving the lowest pay, and, it's my private opinion, doing the hardest work of any part of the army, except the mules. Great, therefore, was my surprise, when I found myself treated with the utmost courtesy and kindness. Very soon my carefully prepared meekness was laid upon the shelf; and, going from one extreme to the other, I more than once expressed a difference of opinion regarding sundry messes it was my painful duty to administer.
As eight of us nurses chanced to be off duty at once, we had an excellent opportunity of trying the virtues of these gentlemen; and I am bound to say they stood the test admirably, as far as my personal observation went.
Dr. O.'s stethescope was unremitting in its attentions; Dr. S. brought his buttons into my room twice a day, with the regularity of a medical clock; while Dr. Z. filled my table with neat little bottles, which I never emptied, prescribed Browning, bedewed me with Cologne, and kept my fire going, as if, like the candles in St. Peter's, it must never be permitted to die out. Waking, one cold night, with the certainty that my last spark had pined away and died, and consequently hours of coughing were in store for me, I was amazed to see a ruddy light dancing on the wall, a jolly blaze roaring up the chimney, and, down upon his knees before it, Dr.
Z., whittling shavings. I ought to have risen up and thanked him on the spot; but, knowing that he was one of those who like to do good by stealth, I only peeped at him as if he were a friendly ghost; till, having made things as cozy as the most motherly of nurses could have done, he crept away, leaving me to feel, as somebody says, "as if angels were a watching of me in my sleep;" though that species of wild fowl do not usually descend in broadcloth and glasses. I afterwards discovered that he split the wood himself on that cool January midnight, and went about making or mending fires for the poor old ladies in their dismal dens; thus causing himself to be felt-a bright and shining light in more ways than one. I never thanked him as I ought; therefore, I publicly make a note of it, and further aggravate that modest M.D. by saying that if this was not being the best of doctor
To such as wish to know where these scenes took place, I must respectfully decline to answer; for Hurly−burly House has ceased to exist as a hospital; so let it rest, with all its sins upon its head,-perhaps I should say chimney top. When the nurses felt ill, the doctors departed, and the patients got well, I believe the concern gently faded from existence, or was merged into some other and better establishment, where I hope the washing of three hundred sick people is done out of the house, the food is eatable, and mortal women are not expected to possess an angelic exemption from all wants, and the endurance of truck horses.
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Since the appearance of these hasty Sketches, I have heard from several of my comrades at the Hospital; and their approval assures me that I have not let sympathy and fancy run away with me, as that lively team is apt to do when harnessed to a pen. As no two persons see the same thing with the same eyes, my view of hospital life must be taken through my glass, and held for what it is worth. Certainly, nothing was set down in malice, and to the serious−minded party who objected to a tone of levity in some portions of the Sketches, I can only say that it is a part of my religion to look well after the cheerfulnesses of life, and let the dismals shift for themselves; believing, with good Sir Thomas More, that it is wise to "be merrie in God."
The next hospital I enter will, I hope, be one for the colored regiments, as they seem to be proving their right to the admiration and kind offices of their white relations, who owe them so large a debt, a little part of which I shall be so proud to pay.
Yours,
With a firm faith
In the good time coming,
TRIBULATION PERIWINKLE.
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Document Outline
Table of Contents
Hospital Sketches L.M. Alcott
Chapter I: Obtaining Supplies.
Chapter II: A Forward Movement
Chapter III: A Day
Chapter IV: A Night
Chapter V: Off Duty
Chapter VI: A Postscript
Louisa May Alcott, Hospital Sketches
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