II
Miss NIGHTINGALE had been a year in her nursing-home in Harley Street,
when Fate knocked at the door.
Miss NIGHTINGALE had been a year in her nursing-home in Harley Street,
when Fate knocked at the door.
Strachey - Eminent Victorians
S'incliner devant Dieu, c'est toujours le moins
humiliant. '
Manning died on January 14th, 1892, in the eighty-fifth year of his age.
A few days later Mr. Gladstone took occasion, in a letter to a friend,
to refer to his relations with the late Cardinal. Manning's conversion
was, he said,
'altogether the severest blow that ever befell me. In a late letter the
Cardinal termed it a quarrel, but in my reply I told him it was not a
quarrel, but a death; and that was the truth. Since then there have been
vicissitudes. But I am quite certain that to the last his personal
feelings never changed; and I believe also that he kept a promise made
in 1851, to remember me before God at the most solemn moments; a promise
which I greatly valued. The whole subject is to me at once of extreme
interest and of considerable restraint. '
'His reluctance to die,' concluded Mr. Gladstone, 'may be explained by
an intense anxiety to complete unfulfilled service. '
The funeral was the occasion of a popular demonstration such as has
rarely been witnessed in the streets of London. The route of the
procession was lined by vast crowds of working people, whose
imaginations, in some instinctive manner, had been touched. Many who had
hardly seen him declared that in Cardinal Manning they had lost their
best friend. Was it the magnetic vigour of the dead man's spirit that
moved them? Or was it his valiant disregard of common custom and those
conventional reserves and poor punctilios which are wont to hem about
the great? Or was it something untameable in his glances and in his
gestures? Or was it, perhaps, the mysterious glamour lingering about
him, of the antique organisation of Rome? For whatever cause, the mind
of the people had been impressed; and yet, after all, the impression was
more acute than lasting. The Cardinal's memory is a dim thing today. And
he who descends into the crypt of that Cathedral which Manning never
lived to see, will observe, in the quiet niche with the sepulchral
monument, that the dust lies thick on the strange, the incongruous, the
almost impossible object which, with its elaborations of dependent
tassels, hangs down from the dim vault like some forlorn and forgotten
trophy--the Hat.
BIBLIOGRAPHY
E. S. Purcell. Life of Cardinal Manning.
A. W. Hutton. Cardinal Manning.
J. E. C. Bodley. Cardinal Manning and Other Essays.
F. W. Cornish. The English Church in the Nineteenth Century.
Dean Church. The Oxford Movement.
Sir J. T. Coleridge. Memoir of the Rev. John Keble.
Hurrell Froude. Remains.
Cardinal Newman. Letters and Correspondence in the English
Church.
Apologia pro Vita Sua.
Wilfrid Ward. Life of Cardinal Newman. W. G. Ward and the Oxford
Movement. W. G. Ward and the Catholic Revival. Life of Cardinal
Wiseman.
H. P. Liddon. Life of E. B. Pusey.
Tracts for the Times, by Members of the University of Oxford.
Lord Morley. Life of Gladstone.
Lives of the Saints, edited by J. H. Newman.
Herbert Paul. Life of J. A. Froude.
Mark Pattison. Autobiography.
T. Mozley. Letters from Rome on the Occasion of the Oecumenical
Council.
Lord Acton. Letters.
H. L. Smith and V. Nash. The Story of the Dockers' Strike.
Florence Nightingale
EVERY one knows the popular conception of Florence Nightingale. The
saintly, self-sacrificing woman, the delicate maiden of high degree who
threw aside the pleasures of a life of ease to succour the afflicted;
the Lady with the Lamp, gliding through the horrors of the hospital at
Scutari, and consecrating with the radiance of her goodness the dying
soldier's couch. The vision is familiar to all--but the truth was
different. The Miss Nightingale of fact was not as facile as fancy
painted her. She worked in another fashion and towards another end; she
moved under the stress of an impetus which finds no place in the popular
imagination. A Demon possessed her. Now demons, whatever else they may
be, are full of interest. And so it happens that in the real Miss
Nightingale there was more that was interesting than in the legendary
one; there was also less that was agreeable.
Her family was extremely well-to-do, and connected by marriage with a
spreading circle of other well-to-do families. There was a large country
house in Derbyshire; there was another in the New Forest; there were
Mayfair rooms for the London season and all its finest parties; there
were tours on the Continent with even more than the usual number of
Italian operas and of glimpses at the celebrities of Paris. Brought up
among such advantages, it was only natural to suppose that Florence
would show a proper appreciation of them by doing her duty in that state
of life unto which it had pleased God to call her--in other words, by
marrying, after a fitting number of dances and dinner-parties, an
eligible gentleman, and living happily ever afterwards. Her sister, her
cousins, all the young ladies of her acquaintance, were either getting
ready to do this or had already done it.
It was inconceivable that Florence should dream of anything else; yet
dream she did. Ah! To do her duty in that state of life unto which it
had pleased God to call her! Assuredly, she would not be behindhand in
doing her duty; but unto what state of life HAD it pleased God to call
her? That was the question. God's calls are many, and they are strange.
Unto what state of life had it pleased Him to call Charlotte Corday, or
Elizabeth of Hungary? What was that secret voice in her ear, if it was
not a call? Why had she felt, from her earliest years, those mysterious
promptings towards . . . she hardly knew what, but certainly towards
something very different from anything around her? Why, as a child in
the nursery, when her sister had shown a healthy pleasure in tearing her
dolls to pieces, had SHE shown an almost morbid one in sewing them up
again? Why was she driven now to minister to the poor in their cottages,
to watch by sick-beds, to put her dog's wounded paw into elaborate
splints as if it was a human being? Why was her head filled with queer
imaginations of the country house at Embley turned, by some enchantment,
into a hospital, with herself as matron moving about among the beds? Why
was even her vision of heaven itself filled with suffering patients to
whom she was being useful? So she dreamed and wondered, and, taking out
her diary, she poured into it the agitations of her soul. And then the
bell rang, and it was time to go and dress for dinner.
As the years passed, a restlessness began to grow upon her. She was
unhappy, and at last she knew it. Mrs. Nightingale, too, began to notice
that there was something wrong. It was very odd--what could be the
matter with dear Flo? Mr. Nightingale suggested that a husband might be
advisable; but the curious thing was that she seemed to take no interest
in husbands. And with her attractions, and her accomplishments, too!
There was nothing in the world to prevent her making a really brilliant
match. But no! She would think of nothing but how to satisfy that
singular craving of hers to be DOING something. As if there was not
plenty to do in any case, in the ordinary way, at home. There was the
china to look after, and there was her father to be read to after
dinner. Mrs. Nightingale could not understand it; and then one day her
perplexity was changed to consternation and alarm. Florence announced an
extreme desire to go to Salisbury Hospital for several months as a
nurse; and she confessed to some visionary plan of eventually setting up
in a house of her own in a neighbouring village, and there founding
'something like a Protestant Sisterhood, without vows, for women of
educated feelings'. The whole scheme was summarily brushed aside as
preposterous; and Mrs. Nightingale, after the first shock of terror, was
able to settle down again more or less comfortably to her embroidery.
But Florence, who was now twenty-five and felt that the dream of her
life had been shattered, came near to desperation.
And, indeed, the difficulties in her path were great. For not only was
it an almost unimaginable thing in those days for a woman of means to
make her own way in the world and to live in independence, but the
particular profession for which Florence was clearly marked out both by
her instincts and her capacities was at that time a peculiarly
disreputable one. A 'nurse' meant then a coarse old woman, always
ignorant, usually dirty, often brutal, a Mrs. Gamp, in bunched-up sordid
garments, tippling at the brandy bottle or indulging in worse
irregularities. The nurses in the hospitals were especially notorious
for immoral conduct; sobriety was almost unknown among them; and they
could hardly be trusted to carry out the simplest medical duties.
Certainly, things HAVE changed since those days; and that they have
changed is due, far more than to any other human being, to Miss
Nightingale herself. It is not to be wondered at that her parents should
have shuddered at the notion of their daughter devoting her life to such
an occupation. 'It was as if,' she herself said afterwards, 'I had
wanted to be a kitchen-maid. ' Yet the want, absurd and impracticable as
it was, not only remained fixed immovably in her heart, but grew in
intensity day by day. Her wretchedness deepened into a morbid
melancholy. Everything about her was vile, and she herself, it was
clear, to have deserved such misery, was even viler than her
surroundings. Yes, she had sinned--'standing before God's judgment
seat'. 'No one,' she declared, 'has so grieved the Holy Spirit'; of that
she was quite certain. It was in vain that she prayed to be delivered
from vanity and hypocrisy, and she could not bear to smile or to be gay,
'because she hated God to hear her laugh, as if she had not repented of
her sin'.
A weaker spirit would have been overwhelmed by the load of such
distresses--would have yielded or snapped. But this extraordinary young
woman held firm, and fought her way to victory. With an amazing
persistency, during the eight years that followed her rebuff over
Salisbury Hospital, she struggled and worked and planned. While
superficially she was carrying on the life of a brilliant girl in high
society, while internally she was a prey to the tortures of regret and
of remorse, she yet possessed the energy to collect the knowledge and to
undergo the experience which alone could enable her to do what she had
determined she would do in the end. In secret she devoured the reports
of medical commissions, the pamphlets of sanitary authorities, the
histories of hospitals and homes. She spent the intervals of the London
season in ragged schools and workhouses. When she went abroad with her
family, she used her spare time so well that there was hardly a great
hospital in Europe with which she was not acquainted; hardly a great
city whose slums she had not passed through. She managed to spend some
days in a convent school in Rome, and some weeks as a 'Soeur de Charite'
in Paris. Then, while her mother and sister were taking the waters at
Carlsbad, she succeeded in slipping off to a nursing institution at
Kaiserswerth, where she remained for more than three months. This was
the critical event of her life. The experience which she gained as a
nurse at Kaiserswerth formed the foundation of all her future action and
finally fixed her in her career.
But one other trial awaited her. The allurements of the world she had
brushed aside with disdain and loathing; she had resisted the subtler
temptation which, in her weariness, had sometimes come upon her, of
devoting her baffled energies to art or literature; the last ordeal
appeared in the shape of a desirable young man. Hitherto, her lovers had
been nothing to her but an added burden and a mockery; but now--for a
moment--she wavered. A new feeling swept over her--a feeling which she
had never known before--which she was never to know again. The most
powerful and the profoundest of all the instincts of humanity laid claim
upon her. But it rose before her, that instinct, arrayed--how could it
be otherwise? --in the inevitable habiliments of a Victorian marriage;
and she had the strength to stamp it underfoot.
'I have an intellectual nature which requires satisfaction,' she noted,
'and that would find it in him. I have a passionate nature which
requires satisfaction, and that would find it in him. I have a moral, an
active nature which requires satisfaction, and that would not find it in
his life. Sometimes I think that I will satisfy my passionate nature at
all events. . . . '
But no, she knew in her heart that it could not be. 'To be nailed to a
continuation and exaggeration of my present life . . . to put it out of my
power ever to be able to seize the chance of forming for myself a true
and rich life'--that would be a suicide. She made her choice, and
refused what was at least a certain happiness for a visionary good which
might never come to her at all. And so she returned to her old life of
waiting and bitterness.
'The thoughts and feelings that I have now,' she wrote, 'I can remember
since I was six years old. A profession, a trade, a necessary
occupation, something to fill and employ all my faculties, I have always
felt essential to me, I have always longed for. The first thought I can
remember, and the last, was nursing work; and in the absence of this,
education work, but more the education of the bad than of the young . . .
Everything has been tried--foreign travel, kind friends, everything. My
God! What is to become of me? '
A desirable young man? Dust and ashes! What was there desirable in such
a thing as that? 'In my thirty-first year,' she noted in her diary, 'I
see nothing desirable but death. '
Three more years passed, and then at last the pressure of time told; her
family seemed to realise that she was old enough and strong enough to
have her way; and she became the superintendent of a charitable nursing
home in Harley Street. She had gained her independence, though it was in
a meagre sphere enough; and her mother was still not quite resigned:
surely Florence might at least spend the summer in the country. At
times, indeed, among her intimates, Mrs. Nightingale almost wept. 'We
are ducks,' she said with tears in her eyes, 'who have hatched a wild
swan. ' But the poor lady was wrong; it was not a swan that they had
hatched, it was an eagle.
II
Miss NIGHTINGALE had been a year in her nursing-home in Harley Street,
when Fate knocked at the door. The Crimean War broke out; the battle of
the Alma was fought; and the terrible condition of our military
hospitals at Scutari began to be known in England. It sometimes happens
that the plans of Providence are a little difficult to follow, but on
this occasion all was plain; there was a perfect coordination of events.
For years Miss Nightingale had been getting ready; at last she was
prepared--experienced, free, mature, yet still young (she was
thirty-four)--desirous to serve, accustomed to command: at that precise
moment the desperate need of a great nation came, and she was there to
satisfy it. If the war had fallen a few years earlier, she would have
lacked the knowledge, perhaps even the power, for such a work; a few
years later and she would, no doubt, have been fixed in the routine of
some absorbing task, and moreover, she would have been growing old.
Nor was it only the coincidence of time that was remarkable. It so fell
out that Sidney Herbert was at the War Office and in the Cabinet; and
Sidney Herbert was an intimate friend of Miss Nightingale's, convinced,
from personal experience in charitable work, of her supreme capacity.
After such premises, it seems hardly more than a matter of course that
her letter, in which she offered her services for the East, and Sidney
Herbert's letter, in which he asked for them, should actually have
crossed in the post. Thus it all happened, without a hitch. The
appointment was made and even Mrs. Nightingale, overawed by the
magnitude of the venture, could only approve. A pair of faithful friends
offered themselves as personal attendants; thirty-eight nurses were
collected; and within a week of the crossing of the letters Miss
Nightingale, amid a great burst of popular enthusiasm, left for
Constantinople.
Among the numerous letters which she received on her departure was one
from Dr. Manning, who at that time was working in comparative obscurity
as a Catholic priest in Bayswater. 'God will keep you,' he wrote, 'and
my prayer for you will be that your one object of worship, Pattern of
Imitation, and source of consolation and strength, may be the Sacred
Heart of our Divine Lord. '
To what extent Dr. Manning's prayer was answered must remain a matter of
doubt; but this much is certain: that if ever a prayer was needed, it
was needed then for Florence Nightingale. For dark as had been the
picture of the state of affairs at Scutari, revealed to the English
public in the dispatches of "The Times Correspondent", and in a
multitude of private letters, yet the reality turned out to be darker
still. What had occurred was, in brief, the complete breakdown of our
medical arrangements at the seat of war. The origins of this awful
failure were complex and manifold; they stretched back through long
years of peace and carelessness in England; they could be traced through
endless ramifications of administrative incapacity--from the inherent
faults of confused systems, to the petty bunglings of minor officials,
from the inevitable ignorance of Cabinet Ministers, to the fatal
exactitudes of narrow routine.
In the inquiries which followed, it was clearly shown that the evil was
in reality that worst of all evils--one which has been caused by nothing
in particular and for which no one in particular is to blame. The whole
organisation of the war machine was incompetent and out of date. The old
Duke had sat for a generation at the Horse Guards repressing innovations
with an iron hand. There was an extraordinary overlapping of authorities
and an almost incredible shifting of responsibilities to and fro. As for
such a notion as the creation and the maintenance of a really adequate
medical service for the army--in that atmosphere of aged chaos, how
could it have entered anybody's head? Before the war, the easygoing
officials at Westminster were naturally persuaded that all was well--or
at least as well as could be expected; when someone, for instance,
actually had the temerity to suggest the formation of a corps of Army
nurses, he was at once laughed out of court. When the war had begun, the
gallant British officers in control of affairs had other things to think
about than the petty details of medical organisation. Who had bothered
with such trifles in the Peninsula? And surely, on that occasion, we had
done pretty well. Thus, the most obvious precautions were neglected, and
the most necessary preparations were put off from day to day. The
principal medical officer of the Army, Dr. Hall, was summoned from India
at a moment's notice, and was unable to visit England before taking up
his duties at the front. And it was not until after the battle of the
Alma, when we had been at war for many months, that we acquired hospital
accommodations at Scutari for more than a thousand men. Errors, follies,
and vices on the part of individuals there doubtless were; but, in the
general reckoning, they were of small account--insignificant symptoms of
the deep disease of the body politic--to the enormous calamity of
administrative collapse.
Miss Nightingale arrived at Scutari--a suburb of Constantinople, on the
Asiatic side of the Bosphorus--on November 4th, 1854; it was ten days
after the battle of Balaclava, and the day before the battle of
Inkerman. The organisation of the hospitals, which had already given way
under the stress of the battle of the Alma, was now to be subjected to
the further pressure which these two desperate and bloody engagements
implied. Great detachments of wounded were already beginning to pour in.
The men, after receiving such summary treatment as could be given them
at the smaller hospitals in the Crimea itself, were forthwith shipped in
batches of 200 across the Black Sea to Scutari. This voyage was in
normal times one of four days and a half; but the times were no longer
normal, and now the transit often lasted for a fortnight or three weeks.
It received, not without reason, the name of the 'middle passage'.
Between, and sometimes on the decks, the wounded, the sick, and the
dying were crowded--men who had just undergone the amputation of limbs,
men in the clutches of fever or of frostbite, men in the last stages of
dysentry and cholera--without beds, sometimes without blankets, often
hardly clothed. The one or two surgeons on board did what they could;
but medical stores were lacking, and the only form of nursing available
was that provided by a handful of invalid soldiers who were usually
themselves prostrate by the end of the voyage. There was no other food
beside the ordinary salt rations of ship diet; and even the water was
sometimes so stored that it was out of reach of the weak. For many
months, the average of deaths during these voyages was seventy-four in
1,000; the corpses were shot out into the waters; and who shall say that
they were the most unfortunate? At Scutari, the landing-stage,
constructed with all the perverseness of Oriental ingenuity, could only
be approached with great difficulty, and, in rough weather, not at all.
When it was reached, what remained of the men in the ships had first to
be disembarked, and then conveyed up a steep slope of a quarter of a
mile to the nearest of the hospitals. The most serious cases might be
put upon stretchers--for there were far too few for all; the rest were
carried or dragged up the hill by such convalescent soldiers as could be
got together, who were not too obviously infirm for the work. At last
the journey was accomplished; slowly, one by one, living or dying, the
wounded were carried up into the hospital. And in the hospital what did
they find?
Lasciate ogni speranza, voi ch'entrate: the delusive doors bore no such
inscription; and yet behind them Hell yawned. Want, neglect, confusion,
misery--in every shape and in every degree of intensity--filled the
endless corridors and the vast apartments of the gigantic barrack-house,
which, without forethought or preparation, had been hurriedly set aside
as the chief shelter for the victims of the war. The very building
itself was radically defective. Huge sewers underlay it, and cesspools
loaded with filth wafted their poison into the upper rooms. The floors
were in so rotten a condition that many of them could not be scrubbed;
the walls were thick with dirt; incredible multitudes of vermin swarmed
everywhere. And, enormous as the building was, it was yet too small. It
contained four miles of beds, crushed together so close that there was
but just room to pass between them. Under such conditions, the most
elaborate system of ventilation might well have been at fault; but here
there was no ventilation. The stench was indescribable. 'I have been
well acquainted,' said Miss Nightingale, 'with the dwellings of the
worst parts of most of the great cities in Europe, but have never been
in any atmosphere which I could compare with that of the Barrack
Hospital at night. ' The structural defects were equalled by the
deficiencies in the commonest objects of hospital use. There were not
enough bedsteads; the sheets were of canvas, and so coarse that the
wounded men recoiled from them, begging to be left in their blankets;
there was no bedroom furniture of any kind, and empty beer bottles were
used for candlesticks. There were no basins, no towels, no soap, no
brooms, no mops, no trays, no plates; there were neither slippers nor
scissors, neither shoe-brushes nor blacking; there were no knives or
forks or spoons. The supply of fuel was constantly deficient. The
cooking arrangements were preposterously inadequate, and the laundry was
a farce. As for purely medical materials, the tale was no better.
Stretchers, splints, bandages--all were lacking; and so were the most
ordinary drugs.
To replace such wants, to struggle against such difficulties, there was
a handful of men overburdened by the strain of ceaseless work, bound
down by the traditions of official routine, and enfeebled either by old
age or inexperience or sheer incompetence. They had proved utterly
unequal to their task. The principal doctor was lost in the imbecilities
of a senile optimism. The wretched official whose business it was to
provide for the wants of the hospital was tied fast hand and foot by red
tape. A few of the younger doctors struggled valiantly, but what could
they do? Unprepared, disorganised, with such help only as they could
find among the miserable band of convalescent soldiers drafted off to
tend their sick comrades, they were faced with disease, mutilation, and
death in all their most appalling forms, crowded multitudinously about
them in an ever-increasing mass. They were like men in a shipwreck,
fighting, not for safety, but for the next moment's bare existence--to
gain, by yet another frenzied effort, some brief respite from the waters
of destruction.
In these surroundings, those who had been long inured to scenes of human
suffering--surgeons with a world-wide knowledge of agonies, soldiers
familiar with fields of carnage, missionaries with remembrances of
famine and of plague--yet found a depth of horror which they had never
known before. There were moments, there were places, in the Barrack
Hospital at Scutari, where the strongest hand was struck with trembling,
and the boldest eye would turn away its gaze.
Miss Nightingale came, and she, at any rate, in that inferno, did not
abandon hope. For one thing, she brought material succour. Before she
left London she had consulted Dr. Andrew Smith, the head of the Army
Medical Board, as to whether it would be useful to take out stores of
any kind to Scutari; and Dr. Andrew Smith had told her that 'nothing was
needed'. Even Sidney Herbert had given her similar assurances; possibly,
owing to an oversight, there might have been some delay in the delivery
of the medical stores, which, he said, had been sent out from England
'in profusion', but 'four days would have remedied this'. She preferred
to trust her own instincts, and at Marseilles purchased a large quantity
of miscellaneous provisions, which were of the utmost use at Scutari.
She came, too, amply provided with money--in all, during her stay in the
East, about L7,000 reached her from private sources; and, in addition,
she was able to avail herself of another valuable means of help. At the
same time as herself, Mr. Macdonald, of The Times, had arrived at
Scutari, charged with the duty of administering the large sums of money
collected through the agency of that newspaper in aid of the sick and
wounded; and Mr. Macdonald had the sense to see that the best use he
could make of The Times Fund was to put it at the disposal of Miss
Nightingale.
'I cannot conceive,' wrote an eye-witness, 'as I now calmly look back on
the first three weeks after the arrival of the wounded from Inkerman,
how it could have been possible to have avoided a state of things too
disastrous to contemplate, had not Miss Nightingale been there, with the
means placed at her disposal by Mr. Macdonald. '
But the official view was different. What! Was the public service to
admit, by accepting outside charity, that it was unable to discharge its
own duties without the assistance of private and irregular benevolence?
Never! And accordingly when Lord Stratford de Redcliffe, our ambassador
at Constantinople, was asked by Mr. Macdonald to indicate how The Times
Fund could best be employed, he answered that there was indeed one
object to which it might very well be devoted--the building of an
English Protestant Church at Pera.
Mr. Macdonald did not waste further time with Lord Stratford, and
immediately joined forces with Miss Nightingale. But, with such a frame
of mind in the highest quarters, it is easy to imagine the kind of
disgust and alarm with which the sudden intrusion of a band of amateurs
and females must have filled the minds of the ordinary officer and the
ordinary military surgeon. They could not understand it--what had women
to do with war? Honest Colonels relieved their spleen by the cracking of
heavy jokes about 'the Bird'; while poor Dr. Hall, a rough terrier of a
man, who had worried his way to the top of his profession, was struck
speechless with astonishment, and at last observed that Miss
Nightingale's appointment was extremely droll.
Her position was, indeed, an official one, but it was hardly the easier
for that. In the hospitals it was her duty to provide the services of
herself and her nurses when they were asked for by the doctors, and not
until then. At first some of the surgeons would have nothing to say to
her, and, though she was welcomed by others, the majority were hostile
and suspicious. But gradually she gained ground. Her good will could not
be denied, and her capacity could not be disregarded. With consummate
tact, with all the gentleness of supreme strength, she managed at last
to impose her personality upon the susceptible, overwrought,
discouraged, and helpless group of men in authority who surrounded her.
She stood firm; she was a rock in the angry ocean; with her alone was
safety, comfort, life. And so it was that hope dawned at Scutari. The
reign of chaos and old night began to dwindle; order came upon the
scene, and common sense, and forethought, and decision, radiating out
from the little room off the great gallery in the Barrack Hospital
where, day and night, the Lady Superintendent was at her task. Progress
might be slow, but it was sure.
The first sign of a great change came with the appearance of some of
those necessary objects with which the hospitals had been unprovided for
months. The sick men began to enjoy the use of towels and soap, knives
and forks, combs and tooth-brushes. Dr. Hall might snort when he heard
of it, asking, with a growl, what a soldier wanted with a tooth-brush;
but the good work went on. Eventually the whole business of purveying to
the hospitals was, in effect, carried out by Miss Nightingale. She
alone, it seemed, whatever the contingency, knew where to lay her hands
on what was wanted; she alone could dispense her stores with readiness;
above all, she alone possessed the art of circumventing the pernicious
influences of official etiquette. This was her greatest enemy, and
sometimes even she was baffled by it. On one occasion 27,000 shirts,
sent out at her instance by the Home Government, arrived, were landed,
and were only waiting to be unpacked. But the official 'Purveyor'
intervened; 'he could not unpack them,' he said, 'with out a Board. '
Miss Nightingale pleaded in vain; the sick and wounded lay half-naked
shivering for want of clothing; and three weeks elapsed before the Board
released the shirts. A little later, however, on a similar occasion,
Miss Nightingale felt that she could assert her own authority. She
ordered a Government consignment to be forcibly opened while the
miserable 'Purveyor' stood by, wringing his hands in departmental agony.
Vast quantities of valuable stores sent from England lay, she found,
engulfed in the bottomless abyss of the Turkish Customs House. Other
ship-loads, buried beneath munitions of war destined for Balaclava,
passed Scutari without a sign, and thus hospital materials were
sometimes carried to and fro three times over the Black Sea, before they
reached their destination. The whole system was clearly at fault, and
Miss Nightingale suggested to the home authorities that a Government
Store House should be instituted at Scutari for the reception and
distribution of the consignments. Six months after her arrival this was
done.
In the meantime, she had reorganised the kitchens and the laundries in
the hospitals. The ill-cooked hunks of meat, vilely served at irregular
intervals, which had hitherto been the only diet for the sick men, were
replaced by punctual meals, well-prepared and appetising, while
strengthening extra foods--soups and wines and jellies ('preposterous
luxuries', snarled Dr. Hall)--were distributed to those who needed them.
One thing, however, she could not effect. The separation of the bones
from the meat was no part of official cookery: the rule was that the
food must be divided into equal portions, and if some of the portions
were all bone--well, every man must take his chance. The rule, perhaps,
was not a very good one; but there it was. 'It would require a new
Regulation of the Service,' she was told, 'to bone the meat. ' As for the
washing arrangements, they were revolutionised. Up to the time of Miss
Nightingale's arrival, the number of shirts the authorities had
succeeded in washing was seven. The hospital bedding, she found, was
'washed' in cold water. She took a Turkish house, had boilers installed,
and employed soldiers' wives to do the laundry work. The expenses were
defrayed from her own funds and that of The Times; and henceforward, the
sick and wounded had the comfort of clean linen.
Then she turned her attention to their clothing. Owing to military
exigencies, the greater number of the men had abandoned their kit; their
knapsacks were lost forever; they possessed nothing but what was on
their persons, and that was usually only fit for speedy destruction. The
'Purveyor', of course, pointed out that, according to the regulations,
all soldiers should bring with them into hospital an adequate supply of
clothing, and he declared that it was no business of his to make good
their deficiencies. Apparently, it was the business of Miss Nightingale.
She procured socks, boots, and shirts in enormous quantities; she had
trousers made, she rigged up dressing-gowns. 'The fact is,' she told
Sidney Herbert, I am now clothing the British Army. '
All at once, word came from the Crimea that a great new contingent of
sick and wounded might shortly be expected. Where were they to go? Every
available inch in the wards was occupied; the affair was serious and
pressing, and the authorities stood aghast. There were some dilapidated
rooms in the Barrack Hospital, unfit for human habitation, but Miss
Nightingale believed that if measures were promptly taken they might be
made capable of accommodating several hundred beds. One of the doctors
agreed with her; the rest of the officials were irresolute--it would be
a very expensive job, they said; it would involve building; and who
could take the responsibility? The proper course was that a
representation should be made to the Director-General of the Army
Medical Department in London; then the Director-General would apply to
the Horse Guards, the Horse Guards would move the Ordnance, the Ordnance
would lay the matter before the Treasury, and, if the Treasury gave its
consent, the work might be correctly carried through, several months
after the necessity for it had disappeared. Miss Nightingale, however,
had made up her mind, and she persuaded Lord Stratford--or thought she
had persuaded him--to give his sanction to the required expenditure. One
hundred and twenty-five workmen were immediately engaged, and the work
was begun. The workmen struck; whereupon Lord Stratford washed his hands
of the whole business. Miss Nightingale engaged 200 other workmen on her
own authority, and paid the bill out of her own resources. The wards
were ready by the required date; 500 sick men were received in them; and
all the utensils, including knives, forks, spoons, cans and towels, were
supplied by Miss Nightingale.
This remarkable woman was in truth performing the function of an
administrative chief. How had this come about? Was she not in reality
merely a nurse? Was it not her duty simply to tend the sick? And indeed,
was it not as a ministering angel, a gentle 'lady with a lamp', that she
actually impressed the minds of her contemporaries? No doubt that was
so; and yet it is no less certain that, as she herself said, the
specific business of nursing was 'the least important of the functions
into which she had been forced'. It was clear that in the state of
disorganisation into which the hospitals at Scutari had fallen, the most
pressing, the really vital, need was for something more than nursing; it
was for the necessary elements of civilised life--the commonest material
objects, the most ordinary cleanliness, the rudimentary habits of order
and authority. 'Oh, dear Miss Nightingale,' said one of her party as
they were approaching Constantinople, 'when we land, let there be no
delays, let us get straight to nursing the poor fellows! ' 'The strongest
will be wanted at the wash-tub,' was Miss Nightingale's answer. And it
was upon the wash-tub, and all that the wash-tub stood for, that she
expended her greatest energies. Yet to say that, is perhaps to say too
much. For to those who watched her at work among the sick, moving day
and night from bed to bed, with that unflinching courage, with that
indefatigable vigilance, it seemed as if the concentrated force of an
undivided and unparalleled devotion could hardly suffice for that
portion of her task alone.
Wherever, in those vast wards, suffering was at its worst and the need
for help was greatest, there, as if by magic, was Miss Nightingale. Her
superhuman equanimity would, at the moment of some ghastly operation,
nerve the victim to endure, and almost to hope. Her sympathy would
assuage the pangs of dying and bring back to those still living
something of the forgotten charm of life. Over and over again her
untiring efforts rescued those whom the surgeons had abandoned as beyond
the possibility of cure. Her mere presence brought with it a strange
influence. A passionate idolatry spread among the men--they kissed her
shadow as it passed. They did more. 'Before she came,' said a soldier,
'there was cussin' and swearin' but after that it was as 'oly as a
church. ' The most cherished privilege of the fighting man was abandoned
for the sake of Miss Nightingale. In those 'lowest sinks of human
misery', as she herself put it, she never heard the use of one
expression 'which could distress a gentlewoman'.
She was heroic; and these were the humble tributes paid by those of
grosser mould to that high quality. Certainly, she was heroic. Yet her
heroism was not of that simple sort so dear to the readers of novels and
the compilers of hagiologies--the romantic sentimental heroism with
which mankind loves to invest its chosen darlings: it was made of
sterner stuff. To the wounded soldier on his couch of agony, she might
well appear in the guise of a gracious angel of mercy; but the military
surgeons, and the orderlies, and her own nurses, and the 'Purveyor', and
Dr. Hall, and, even Lord Stratford himself, could tell a different
story. It was not by gentle sweetness and womanly self-abnegation that
she had brought order out of chaos in the Scutari hospitals, that, from
her own resources, she had clothed the British Army, that she had spread
her dominion over the serried and reluctant powers of the official
world; it was by strict method, by stern discipline, by rigid attention
to detail, by ceaseless labour, and by the fixed determination of an
indomitable will.
Beneath her cool and calm demeanour lurked fierce and passionate fires.
As she passed through the wards in her plain dress, so quiet, so
unassuming, she struck the casual observer simply as the pattern of a
perfect lady; but the keener eye perceived something more than that--the
serenity of high deliberation in the scope of the capacious brow, the
sign of power in the dominating curve of the thin nose, and the traces
of a harsh and dangerous temper--something peevish, something mocking,
and yet something precise--in the small and delicate mouth. There was
humour in the face; but the curious watcher might wonder whether it was
humour of a very pleasant kind; might ask himself, even as he heard the
laughter and marked the jokes with which she cheered the spirits of her
patients, what sort of sardonic merriment this same lady might not give
vent to, in the privacy of her chamber. As for her voice, it was true of
it, even more than of her countenance, that it 'had that in it one must
fain call master'. Those clear tones were in no need of emphasis: 'I
never heard her raise her voice', said one of her companions. 'Only when
she had spoken, it seemed as if nothing could follow but obedience. '
Once, when she had given some direction, a doctor ventured to remark
that the thing could not be done. 'But it must be done,' said Miss
Nightingale. A chance bystander, who heard the words, never forgot
through all his life the irresistible authority of them. And they were
spoken quietly--very quietly indeed.
Late at night, when the long miles of beds lay wrapped in darkness, Miss
Nightingale would sit at work in her little room, over her
correspondence. It was one of the most formidable of all her duties.
There were hundreds of letters to be written to the friends and
relations of soldiers; there was the enormous mass of official documents
to be dealt with; there were her own private letters to be answered;
and, most important of all, there was the composition of her long and
confidential reports to Sidney Herbert. These were by no means official
communications. Her soul, pent up all day in the restraint and reserve
of a vast responsibility, now at last poured itself out in these letters
with all its natural vehemence, like a swollen torrent through an open
sluice. Here, at least, she did not mince matters. Here she painted in
her darkest colours the hideous scenes which surrounded her; here she
tore away remorselessly the last veils still shrouding the abominable
truth. Then she would fill pages with recommendations and suggestions,
with criticisms of the minutest details of organisation, with elaborate
calculations of contingencies, with exhaustive analyses and statistical
statements piled up in breathless eagerness one on the top of the other.
humiliant. '
Manning died on January 14th, 1892, in the eighty-fifth year of his age.
A few days later Mr. Gladstone took occasion, in a letter to a friend,
to refer to his relations with the late Cardinal. Manning's conversion
was, he said,
'altogether the severest blow that ever befell me. In a late letter the
Cardinal termed it a quarrel, but in my reply I told him it was not a
quarrel, but a death; and that was the truth. Since then there have been
vicissitudes. But I am quite certain that to the last his personal
feelings never changed; and I believe also that he kept a promise made
in 1851, to remember me before God at the most solemn moments; a promise
which I greatly valued. The whole subject is to me at once of extreme
interest and of considerable restraint. '
'His reluctance to die,' concluded Mr. Gladstone, 'may be explained by
an intense anxiety to complete unfulfilled service. '
The funeral was the occasion of a popular demonstration such as has
rarely been witnessed in the streets of London. The route of the
procession was lined by vast crowds of working people, whose
imaginations, in some instinctive manner, had been touched. Many who had
hardly seen him declared that in Cardinal Manning they had lost their
best friend. Was it the magnetic vigour of the dead man's spirit that
moved them? Or was it his valiant disregard of common custom and those
conventional reserves and poor punctilios which are wont to hem about
the great? Or was it something untameable in his glances and in his
gestures? Or was it, perhaps, the mysterious glamour lingering about
him, of the antique organisation of Rome? For whatever cause, the mind
of the people had been impressed; and yet, after all, the impression was
more acute than lasting. The Cardinal's memory is a dim thing today. And
he who descends into the crypt of that Cathedral which Manning never
lived to see, will observe, in the quiet niche with the sepulchral
monument, that the dust lies thick on the strange, the incongruous, the
almost impossible object which, with its elaborations of dependent
tassels, hangs down from the dim vault like some forlorn and forgotten
trophy--the Hat.
BIBLIOGRAPHY
E. S. Purcell. Life of Cardinal Manning.
A. W. Hutton. Cardinal Manning.
J. E. C. Bodley. Cardinal Manning and Other Essays.
F. W. Cornish. The English Church in the Nineteenth Century.
Dean Church. The Oxford Movement.
Sir J. T. Coleridge. Memoir of the Rev. John Keble.
Hurrell Froude. Remains.
Cardinal Newman. Letters and Correspondence in the English
Church.
Apologia pro Vita Sua.
Wilfrid Ward. Life of Cardinal Newman. W. G. Ward and the Oxford
Movement. W. G. Ward and the Catholic Revival. Life of Cardinal
Wiseman.
H. P. Liddon. Life of E. B. Pusey.
Tracts for the Times, by Members of the University of Oxford.
Lord Morley. Life of Gladstone.
Lives of the Saints, edited by J. H. Newman.
Herbert Paul. Life of J. A. Froude.
Mark Pattison. Autobiography.
T. Mozley. Letters from Rome on the Occasion of the Oecumenical
Council.
Lord Acton. Letters.
H. L. Smith and V. Nash. The Story of the Dockers' Strike.
Florence Nightingale
EVERY one knows the popular conception of Florence Nightingale. The
saintly, self-sacrificing woman, the delicate maiden of high degree who
threw aside the pleasures of a life of ease to succour the afflicted;
the Lady with the Lamp, gliding through the horrors of the hospital at
Scutari, and consecrating with the radiance of her goodness the dying
soldier's couch. The vision is familiar to all--but the truth was
different. The Miss Nightingale of fact was not as facile as fancy
painted her. She worked in another fashion and towards another end; she
moved under the stress of an impetus which finds no place in the popular
imagination. A Demon possessed her. Now demons, whatever else they may
be, are full of interest. And so it happens that in the real Miss
Nightingale there was more that was interesting than in the legendary
one; there was also less that was agreeable.
Her family was extremely well-to-do, and connected by marriage with a
spreading circle of other well-to-do families. There was a large country
house in Derbyshire; there was another in the New Forest; there were
Mayfair rooms for the London season and all its finest parties; there
were tours on the Continent with even more than the usual number of
Italian operas and of glimpses at the celebrities of Paris. Brought up
among such advantages, it was only natural to suppose that Florence
would show a proper appreciation of them by doing her duty in that state
of life unto which it had pleased God to call her--in other words, by
marrying, after a fitting number of dances and dinner-parties, an
eligible gentleman, and living happily ever afterwards. Her sister, her
cousins, all the young ladies of her acquaintance, were either getting
ready to do this or had already done it.
It was inconceivable that Florence should dream of anything else; yet
dream she did. Ah! To do her duty in that state of life unto which it
had pleased God to call her! Assuredly, she would not be behindhand in
doing her duty; but unto what state of life HAD it pleased God to call
her? That was the question. God's calls are many, and they are strange.
Unto what state of life had it pleased Him to call Charlotte Corday, or
Elizabeth of Hungary? What was that secret voice in her ear, if it was
not a call? Why had she felt, from her earliest years, those mysterious
promptings towards . . . she hardly knew what, but certainly towards
something very different from anything around her? Why, as a child in
the nursery, when her sister had shown a healthy pleasure in tearing her
dolls to pieces, had SHE shown an almost morbid one in sewing them up
again? Why was she driven now to minister to the poor in their cottages,
to watch by sick-beds, to put her dog's wounded paw into elaborate
splints as if it was a human being? Why was her head filled with queer
imaginations of the country house at Embley turned, by some enchantment,
into a hospital, with herself as matron moving about among the beds? Why
was even her vision of heaven itself filled with suffering patients to
whom she was being useful? So she dreamed and wondered, and, taking out
her diary, she poured into it the agitations of her soul. And then the
bell rang, and it was time to go and dress for dinner.
As the years passed, a restlessness began to grow upon her. She was
unhappy, and at last she knew it. Mrs. Nightingale, too, began to notice
that there was something wrong. It was very odd--what could be the
matter with dear Flo? Mr. Nightingale suggested that a husband might be
advisable; but the curious thing was that she seemed to take no interest
in husbands. And with her attractions, and her accomplishments, too!
There was nothing in the world to prevent her making a really brilliant
match. But no! She would think of nothing but how to satisfy that
singular craving of hers to be DOING something. As if there was not
plenty to do in any case, in the ordinary way, at home. There was the
china to look after, and there was her father to be read to after
dinner. Mrs. Nightingale could not understand it; and then one day her
perplexity was changed to consternation and alarm. Florence announced an
extreme desire to go to Salisbury Hospital for several months as a
nurse; and she confessed to some visionary plan of eventually setting up
in a house of her own in a neighbouring village, and there founding
'something like a Protestant Sisterhood, without vows, for women of
educated feelings'. The whole scheme was summarily brushed aside as
preposterous; and Mrs. Nightingale, after the first shock of terror, was
able to settle down again more or less comfortably to her embroidery.
But Florence, who was now twenty-five and felt that the dream of her
life had been shattered, came near to desperation.
And, indeed, the difficulties in her path were great. For not only was
it an almost unimaginable thing in those days for a woman of means to
make her own way in the world and to live in independence, but the
particular profession for which Florence was clearly marked out both by
her instincts and her capacities was at that time a peculiarly
disreputable one. A 'nurse' meant then a coarse old woman, always
ignorant, usually dirty, often brutal, a Mrs. Gamp, in bunched-up sordid
garments, tippling at the brandy bottle or indulging in worse
irregularities. The nurses in the hospitals were especially notorious
for immoral conduct; sobriety was almost unknown among them; and they
could hardly be trusted to carry out the simplest medical duties.
Certainly, things HAVE changed since those days; and that they have
changed is due, far more than to any other human being, to Miss
Nightingale herself. It is not to be wondered at that her parents should
have shuddered at the notion of their daughter devoting her life to such
an occupation. 'It was as if,' she herself said afterwards, 'I had
wanted to be a kitchen-maid. ' Yet the want, absurd and impracticable as
it was, not only remained fixed immovably in her heart, but grew in
intensity day by day. Her wretchedness deepened into a morbid
melancholy. Everything about her was vile, and she herself, it was
clear, to have deserved such misery, was even viler than her
surroundings. Yes, she had sinned--'standing before God's judgment
seat'. 'No one,' she declared, 'has so grieved the Holy Spirit'; of that
she was quite certain. It was in vain that she prayed to be delivered
from vanity and hypocrisy, and she could not bear to smile or to be gay,
'because she hated God to hear her laugh, as if she had not repented of
her sin'.
A weaker spirit would have been overwhelmed by the load of such
distresses--would have yielded or snapped. But this extraordinary young
woman held firm, and fought her way to victory. With an amazing
persistency, during the eight years that followed her rebuff over
Salisbury Hospital, she struggled and worked and planned. While
superficially she was carrying on the life of a brilliant girl in high
society, while internally she was a prey to the tortures of regret and
of remorse, she yet possessed the energy to collect the knowledge and to
undergo the experience which alone could enable her to do what she had
determined she would do in the end. In secret she devoured the reports
of medical commissions, the pamphlets of sanitary authorities, the
histories of hospitals and homes. She spent the intervals of the London
season in ragged schools and workhouses. When she went abroad with her
family, she used her spare time so well that there was hardly a great
hospital in Europe with which she was not acquainted; hardly a great
city whose slums she had not passed through. She managed to spend some
days in a convent school in Rome, and some weeks as a 'Soeur de Charite'
in Paris. Then, while her mother and sister were taking the waters at
Carlsbad, she succeeded in slipping off to a nursing institution at
Kaiserswerth, where she remained for more than three months. This was
the critical event of her life. The experience which she gained as a
nurse at Kaiserswerth formed the foundation of all her future action and
finally fixed her in her career.
But one other trial awaited her. The allurements of the world she had
brushed aside with disdain and loathing; she had resisted the subtler
temptation which, in her weariness, had sometimes come upon her, of
devoting her baffled energies to art or literature; the last ordeal
appeared in the shape of a desirable young man. Hitherto, her lovers had
been nothing to her but an added burden and a mockery; but now--for a
moment--she wavered. A new feeling swept over her--a feeling which she
had never known before--which she was never to know again. The most
powerful and the profoundest of all the instincts of humanity laid claim
upon her. But it rose before her, that instinct, arrayed--how could it
be otherwise? --in the inevitable habiliments of a Victorian marriage;
and she had the strength to stamp it underfoot.
'I have an intellectual nature which requires satisfaction,' she noted,
'and that would find it in him. I have a passionate nature which
requires satisfaction, and that would find it in him. I have a moral, an
active nature which requires satisfaction, and that would not find it in
his life. Sometimes I think that I will satisfy my passionate nature at
all events. . . . '
But no, she knew in her heart that it could not be. 'To be nailed to a
continuation and exaggeration of my present life . . . to put it out of my
power ever to be able to seize the chance of forming for myself a true
and rich life'--that would be a suicide. She made her choice, and
refused what was at least a certain happiness for a visionary good which
might never come to her at all. And so she returned to her old life of
waiting and bitterness.
'The thoughts and feelings that I have now,' she wrote, 'I can remember
since I was six years old. A profession, a trade, a necessary
occupation, something to fill and employ all my faculties, I have always
felt essential to me, I have always longed for. The first thought I can
remember, and the last, was nursing work; and in the absence of this,
education work, but more the education of the bad than of the young . . .
Everything has been tried--foreign travel, kind friends, everything. My
God! What is to become of me? '
A desirable young man? Dust and ashes! What was there desirable in such
a thing as that? 'In my thirty-first year,' she noted in her diary, 'I
see nothing desirable but death. '
Three more years passed, and then at last the pressure of time told; her
family seemed to realise that she was old enough and strong enough to
have her way; and she became the superintendent of a charitable nursing
home in Harley Street. She had gained her independence, though it was in
a meagre sphere enough; and her mother was still not quite resigned:
surely Florence might at least spend the summer in the country. At
times, indeed, among her intimates, Mrs. Nightingale almost wept. 'We
are ducks,' she said with tears in her eyes, 'who have hatched a wild
swan. ' But the poor lady was wrong; it was not a swan that they had
hatched, it was an eagle.
II
Miss NIGHTINGALE had been a year in her nursing-home in Harley Street,
when Fate knocked at the door. The Crimean War broke out; the battle of
the Alma was fought; and the terrible condition of our military
hospitals at Scutari began to be known in England. It sometimes happens
that the plans of Providence are a little difficult to follow, but on
this occasion all was plain; there was a perfect coordination of events.
For years Miss Nightingale had been getting ready; at last she was
prepared--experienced, free, mature, yet still young (she was
thirty-four)--desirous to serve, accustomed to command: at that precise
moment the desperate need of a great nation came, and she was there to
satisfy it. If the war had fallen a few years earlier, she would have
lacked the knowledge, perhaps even the power, for such a work; a few
years later and she would, no doubt, have been fixed in the routine of
some absorbing task, and moreover, she would have been growing old.
Nor was it only the coincidence of time that was remarkable. It so fell
out that Sidney Herbert was at the War Office and in the Cabinet; and
Sidney Herbert was an intimate friend of Miss Nightingale's, convinced,
from personal experience in charitable work, of her supreme capacity.
After such premises, it seems hardly more than a matter of course that
her letter, in which she offered her services for the East, and Sidney
Herbert's letter, in which he asked for them, should actually have
crossed in the post. Thus it all happened, without a hitch. The
appointment was made and even Mrs. Nightingale, overawed by the
magnitude of the venture, could only approve. A pair of faithful friends
offered themselves as personal attendants; thirty-eight nurses were
collected; and within a week of the crossing of the letters Miss
Nightingale, amid a great burst of popular enthusiasm, left for
Constantinople.
Among the numerous letters which she received on her departure was one
from Dr. Manning, who at that time was working in comparative obscurity
as a Catholic priest in Bayswater. 'God will keep you,' he wrote, 'and
my prayer for you will be that your one object of worship, Pattern of
Imitation, and source of consolation and strength, may be the Sacred
Heart of our Divine Lord. '
To what extent Dr. Manning's prayer was answered must remain a matter of
doubt; but this much is certain: that if ever a prayer was needed, it
was needed then for Florence Nightingale. For dark as had been the
picture of the state of affairs at Scutari, revealed to the English
public in the dispatches of "The Times Correspondent", and in a
multitude of private letters, yet the reality turned out to be darker
still. What had occurred was, in brief, the complete breakdown of our
medical arrangements at the seat of war. The origins of this awful
failure were complex and manifold; they stretched back through long
years of peace and carelessness in England; they could be traced through
endless ramifications of administrative incapacity--from the inherent
faults of confused systems, to the petty bunglings of minor officials,
from the inevitable ignorance of Cabinet Ministers, to the fatal
exactitudes of narrow routine.
In the inquiries which followed, it was clearly shown that the evil was
in reality that worst of all evils--one which has been caused by nothing
in particular and for which no one in particular is to blame. The whole
organisation of the war machine was incompetent and out of date. The old
Duke had sat for a generation at the Horse Guards repressing innovations
with an iron hand. There was an extraordinary overlapping of authorities
and an almost incredible shifting of responsibilities to and fro. As for
such a notion as the creation and the maintenance of a really adequate
medical service for the army--in that atmosphere of aged chaos, how
could it have entered anybody's head? Before the war, the easygoing
officials at Westminster were naturally persuaded that all was well--or
at least as well as could be expected; when someone, for instance,
actually had the temerity to suggest the formation of a corps of Army
nurses, he was at once laughed out of court. When the war had begun, the
gallant British officers in control of affairs had other things to think
about than the petty details of medical organisation. Who had bothered
with such trifles in the Peninsula? And surely, on that occasion, we had
done pretty well. Thus, the most obvious precautions were neglected, and
the most necessary preparations were put off from day to day. The
principal medical officer of the Army, Dr. Hall, was summoned from India
at a moment's notice, and was unable to visit England before taking up
his duties at the front. And it was not until after the battle of the
Alma, when we had been at war for many months, that we acquired hospital
accommodations at Scutari for more than a thousand men. Errors, follies,
and vices on the part of individuals there doubtless were; but, in the
general reckoning, they were of small account--insignificant symptoms of
the deep disease of the body politic--to the enormous calamity of
administrative collapse.
Miss Nightingale arrived at Scutari--a suburb of Constantinople, on the
Asiatic side of the Bosphorus--on November 4th, 1854; it was ten days
after the battle of Balaclava, and the day before the battle of
Inkerman. The organisation of the hospitals, which had already given way
under the stress of the battle of the Alma, was now to be subjected to
the further pressure which these two desperate and bloody engagements
implied. Great detachments of wounded were already beginning to pour in.
The men, after receiving such summary treatment as could be given them
at the smaller hospitals in the Crimea itself, were forthwith shipped in
batches of 200 across the Black Sea to Scutari. This voyage was in
normal times one of four days and a half; but the times were no longer
normal, and now the transit often lasted for a fortnight or three weeks.
It received, not without reason, the name of the 'middle passage'.
Between, and sometimes on the decks, the wounded, the sick, and the
dying were crowded--men who had just undergone the amputation of limbs,
men in the clutches of fever or of frostbite, men in the last stages of
dysentry and cholera--without beds, sometimes without blankets, often
hardly clothed. The one or two surgeons on board did what they could;
but medical stores were lacking, and the only form of nursing available
was that provided by a handful of invalid soldiers who were usually
themselves prostrate by the end of the voyage. There was no other food
beside the ordinary salt rations of ship diet; and even the water was
sometimes so stored that it was out of reach of the weak. For many
months, the average of deaths during these voyages was seventy-four in
1,000; the corpses were shot out into the waters; and who shall say that
they were the most unfortunate? At Scutari, the landing-stage,
constructed with all the perverseness of Oriental ingenuity, could only
be approached with great difficulty, and, in rough weather, not at all.
When it was reached, what remained of the men in the ships had first to
be disembarked, and then conveyed up a steep slope of a quarter of a
mile to the nearest of the hospitals. The most serious cases might be
put upon stretchers--for there were far too few for all; the rest were
carried or dragged up the hill by such convalescent soldiers as could be
got together, who were not too obviously infirm for the work. At last
the journey was accomplished; slowly, one by one, living or dying, the
wounded were carried up into the hospital. And in the hospital what did
they find?
Lasciate ogni speranza, voi ch'entrate: the delusive doors bore no such
inscription; and yet behind them Hell yawned. Want, neglect, confusion,
misery--in every shape and in every degree of intensity--filled the
endless corridors and the vast apartments of the gigantic barrack-house,
which, without forethought or preparation, had been hurriedly set aside
as the chief shelter for the victims of the war. The very building
itself was radically defective. Huge sewers underlay it, and cesspools
loaded with filth wafted their poison into the upper rooms. The floors
were in so rotten a condition that many of them could not be scrubbed;
the walls were thick with dirt; incredible multitudes of vermin swarmed
everywhere. And, enormous as the building was, it was yet too small. It
contained four miles of beds, crushed together so close that there was
but just room to pass between them. Under such conditions, the most
elaborate system of ventilation might well have been at fault; but here
there was no ventilation. The stench was indescribable. 'I have been
well acquainted,' said Miss Nightingale, 'with the dwellings of the
worst parts of most of the great cities in Europe, but have never been
in any atmosphere which I could compare with that of the Barrack
Hospital at night. ' The structural defects were equalled by the
deficiencies in the commonest objects of hospital use. There were not
enough bedsteads; the sheets were of canvas, and so coarse that the
wounded men recoiled from them, begging to be left in their blankets;
there was no bedroom furniture of any kind, and empty beer bottles were
used for candlesticks. There were no basins, no towels, no soap, no
brooms, no mops, no trays, no plates; there were neither slippers nor
scissors, neither shoe-brushes nor blacking; there were no knives or
forks or spoons. The supply of fuel was constantly deficient. The
cooking arrangements were preposterously inadequate, and the laundry was
a farce. As for purely medical materials, the tale was no better.
Stretchers, splints, bandages--all were lacking; and so were the most
ordinary drugs.
To replace such wants, to struggle against such difficulties, there was
a handful of men overburdened by the strain of ceaseless work, bound
down by the traditions of official routine, and enfeebled either by old
age or inexperience or sheer incompetence. They had proved utterly
unequal to their task. The principal doctor was lost in the imbecilities
of a senile optimism. The wretched official whose business it was to
provide for the wants of the hospital was tied fast hand and foot by red
tape. A few of the younger doctors struggled valiantly, but what could
they do? Unprepared, disorganised, with such help only as they could
find among the miserable band of convalescent soldiers drafted off to
tend their sick comrades, they were faced with disease, mutilation, and
death in all their most appalling forms, crowded multitudinously about
them in an ever-increasing mass. They were like men in a shipwreck,
fighting, not for safety, but for the next moment's bare existence--to
gain, by yet another frenzied effort, some brief respite from the waters
of destruction.
In these surroundings, those who had been long inured to scenes of human
suffering--surgeons with a world-wide knowledge of agonies, soldiers
familiar with fields of carnage, missionaries with remembrances of
famine and of plague--yet found a depth of horror which they had never
known before. There were moments, there were places, in the Barrack
Hospital at Scutari, where the strongest hand was struck with trembling,
and the boldest eye would turn away its gaze.
Miss Nightingale came, and she, at any rate, in that inferno, did not
abandon hope. For one thing, she brought material succour. Before she
left London she had consulted Dr. Andrew Smith, the head of the Army
Medical Board, as to whether it would be useful to take out stores of
any kind to Scutari; and Dr. Andrew Smith had told her that 'nothing was
needed'. Even Sidney Herbert had given her similar assurances; possibly,
owing to an oversight, there might have been some delay in the delivery
of the medical stores, which, he said, had been sent out from England
'in profusion', but 'four days would have remedied this'. She preferred
to trust her own instincts, and at Marseilles purchased a large quantity
of miscellaneous provisions, which were of the utmost use at Scutari.
She came, too, amply provided with money--in all, during her stay in the
East, about L7,000 reached her from private sources; and, in addition,
she was able to avail herself of another valuable means of help. At the
same time as herself, Mr. Macdonald, of The Times, had arrived at
Scutari, charged with the duty of administering the large sums of money
collected through the agency of that newspaper in aid of the sick and
wounded; and Mr. Macdonald had the sense to see that the best use he
could make of The Times Fund was to put it at the disposal of Miss
Nightingale.
'I cannot conceive,' wrote an eye-witness, 'as I now calmly look back on
the first three weeks after the arrival of the wounded from Inkerman,
how it could have been possible to have avoided a state of things too
disastrous to contemplate, had not Miss Nightingale been there, with the
means placed at her disposal by Mr. Macdonald. '
But the official view was different. What! Was the public service to
admit, by accepting outside charity, that it was unable to discharge its
own duties without the assistance of private and irregular benevolence?
Never! And accordingly when Lord Stratford de Redcliffe, our ambassador
at Constantinople, was asked by Mr. Macdonald to indicate how The Times
Fund could best be employed, he answered that there was indeed one
object to which it might very well be devoted--the building of an
English Protestant Church at Pera.
Mr. Macdonald did not waste further time with Lord Stratford, and
immediately joined forces with Miss Nightingale. But, with such a frame
of mind in the highest quarters, it is easy to imagine the kind of
disgust and alarm with which the sudden intrusion of a band of amateurs
and females must have filled the minds of the ordinary officer and the
ordinary military surgeon. They could not understand it--what had women
to do with war? Honest Colonels relieved their spleen by the cracking of
heavy jokes about 'the Bird'; while poor Dr. Hall, a rough terrier of a
man, who had worried his way to the top of his profession, was struck
speechless with astonishment, and at last observed that Miss
Nightingale's appointment was extremely droll.
Her position was, indeed, an official one, but it was hardly the easier
for that. In the hospitals it was her duty to provide the services of
herself and her nurses when they were asked for by the doctors, and not
until then. At first some of the surgeons would have nothing to say to
her, and, though she was welcomed by others, the majority were hostile
and suspicious. But gradually she gained ground. Her good will could not
be denied, and her capacity could not be disregarded. With consummate
tact, with all the gentleness of supreme strength, she managed at last
to impose her personality upon the susceptible, overwrought,
discouraged, and helpless group of men in authority who surrounded her.
She stood firm; she was a rock in the angry ocean; with her alone was
safety, comfort, life. And so it was that hope dawned at Scutari. The
reign of chaos and old night began to dwindle; order came upon the
scene, and common sense, and forethought, and decision, radiating out
from the little room off the great gallery in the Barrack Hospital
where, day and night, the Lady Superintendent was at her task. Progress
might be slow, but it was sure.
The first sign of a great change came with the appearance of some of
those necessary objects with which the hospitals had been unprovided for
months. The sick men began to enjoy the use of towels and soap, knives
and forks, combs and tooth-brushes. Dr. Hall might snort when he heard
of it, asking, with a growl, what a soldier wanted with a tooth-brush;
but the good work went on. Eventually the whole business of purveying to
the hospitals was, in effect, carried out by Miss Nightingale. She
alone, it seemed, whatever the contingency, knew where to lay her hands
on what was wanted; she alone could dispense her stores with readiness;
above all, she alone possessed the art of circumventing the pernicious
influences of official etiquette. This was her greatest enemy, and
sometimes even she was baffled by it. On one occasion 27,000 shirts,
sent out at her instance by the Home Government, arrived, were landed,
and were only waiting to be unpacked. But the official 'Purveyor'
intervened; 'he could not unpack them,' he said, 'with out a Board. '
Miss Nightingale pleaded in vain; the sick and wounded lay half-naked
shivering for want of clothing; and three weeks elapsed before the Board
released the shirts. A little later, however, on a similar occasion,
Miss Nightingale felt that she could assert her own authority. She
ordered a Government consignment to be forcibly opened while the
miserable 'Purveyor' stood by, wringing his hands in departmental agony.
Vast quantities of valuable stores sent from England lay, she found,
engulfed in the bottomless abyss of the Turkish Customs House. Other
ship-loads, buried beneath munitions of war destined for Balaclava,
passed Scutari without a sign, and thus hospital materials were
sometimes carried to and fro three times over the Black Sea, before they
reached their destination. The whole system was clearly at fault, and
Miss Nightingale suggested to the home authorities that a Government
Store House should be instituted at Scutari for the reception and
distribution of the consignments. Six months after her arrival this was
done.
In the meantime, she had reorganised the kitchens and the laundries in
the hospitals. The ill-cooked hunks of meat, vilely served at irregular
intervals, which had hitherto been the only diet for the sick men, were
replaced by punctual meals, well-prepared and appetising, while
strengthening extra foods--soups and wines and jellies ('preposterous
luxuries', snarled Dr. Hall)--were distributed to those who needed them.
One thing, however, she could not effect. The separation of the bones
from the meat was no part of official cookery: the rule was that the
food must be divided into equal portions, and if some of the portions
were all bone--well, every man must take his chance. The rule, perhaps,
was not a very good one; but there it was. 'It would require a new
Regulation of the Service,' she was told, 'to bone the meat. ' As for the
washing arrangements, they were revolutionised. Up to the time of Miss
Nightingale's arrival, the number of shirts the authorities had
succeeded in washing was seven. The hospital bedding, she found, was
'washed' in cold water. She took a Turkish house, had boilers installed,
and employed soldiers' wives to do the laundry work. The expenses were
defrayed from her own funds and that of The Times; and henceforward, the
sick and wounded had the comfort of clean linen.
Then she turned her attention to their clothing. Owing to military
exigencies, the greater number of the men had abandoned their kit; their
knapsacks were lost forever; they possessed nothing but what was on
their persons, and that was usually only fit for speedy destruction. The
'Purveyor', of course, pointed out that, according to the regulations,
all soldiers should bring with them into hospital an adequate supply of
clothing, and he declared that it was no business of his to make good
their deficiencies. Apparently, it was the business of Miss Nightingale.
She procured socks, boots, and shirts in enormous quantities; she had
trousers made, she rigged up dressing-gowns. 'The fact is,' she told
Sidney Herbert, I am now clothing the British Army. '
All at once, word came from the Crimea that a great new contingent of
sick and wounded might shortly be expected. Where were they to go? Every
available inch in the wards was occupied; the affair was serious and
pressing, and the authorities stood aghast. There were some dilapidated
rooms in the Barrack Hospital, unfit for human habitation, but Miss
Nightingale believed that if measures were promptly taken they might be
made capable of accommodating several hundred beds. One of the doctors
agreed with her; the rest of the officials were irresolute--it would be
a very expensive job, they said; it would involve building; and who
could take the responsibility? The proper course was that a
representation should be made to the Director-General of the Army
Medical Department in London; then the Director-General would apply to
the Horse Guards, the Horse Guards would move the Ordnance, the Ordnance
would lay the matter before the Treasury, and, if the Treasury gave its
consent, the work might be correctly carried through, several months
after the necessity for it had disappeared. Miss Nightingale, however,
had made up her mind, and she persuaded Lord Stratford--or thought she
had persuaded him--to give his sanction to the required expenditure. One
hundred and twenty-five workmen were immediately engaged, and the work
was begun. The workmen struck; whereupon Lord Stratford washed his hands
of the whole business. Miss Nightingale engaged 200 other workmen on her
own authority, and paid the bill out of her own resources. The wards
were ready by the required date; 500 sick men were received in them; and
all the utensils, including knives, forks, spoons, cans and towels, were
supplied by Miss Nightingale.
This remarkable woman was in truth performing the function of an
administrative chief. How had this come about? Was she not in reality
merely a nurse? Was it not her duty simply to tend the sick? And indeed,
was it not as a ministering angel, a gentle 'lady with a lamp', that she
actually impressed the minds of her contemporaries? No doubt that was
so; and yet it is no less certain that, as she herself said, the
specific business of nursing was 'the least important of the functions
into which she had been forced'. It was clear that in the state of
disorganisation into which the hospitals at Scutari had fallen, the most
pressing, the really vital, need was for something more than nursing; it
was for the necessary elements of civilised life--the commonest material
objects, the most ordinary cleanliness, the rudimentary habits of order
and authority. 'Oh, dear Miss Nightingale,' said one of her party as
they were approaching Constantinople, 'when we land, let there be no
delays, let us get straight to nursing the poor fellows! ' 'The strongest
will be wanted at the wash-tub,' was Miss Nightingale's answer. And it
was upon the wash-tub, and all that the wash-tub stood for, that she
expended her greatest energies. Yet to say that, is perhaps to say too
much. For to those who watched her at work among the sick, moving day
and night from bed to bed, with that unflinching courage, with that
indefatigable vigilance, it seemed as if the concentrated force of an
undivided and unparalleled devotion could hardly suffice for that
portion of her task alone.
Wherever, in those vast wards, suffering was at its worst and the need
for help was greatest, there, as if by magic, was Miss Nightingale. Her
superhuman equanimity would, at the moment of some ghastly operation,
nerve the victim to endure, and almost to hope. Her sympathy would
assuage the pangs of dying and bring back to those still living
something of the forgotten charm of life. Over and over again her
untiring efforts rescued those whom the surgeons had abandoned as beyond
the possibility of cure. Her mere presence brought with it a strange
influence. A passionate idolatry spread among the men--they kissed her
shadow as it passed. They did more. 'Before she came,' said a soldier,
'there was cussin' and swearin' but after that it was as 'oly as a
church. ' The most cherished privilege of the fighting man was abandoned
for the sake of Miss Nightingale. In those 'lowest sinks of human
misery', as she herself put it, she never heard the use of one
expression 'which could distress a gentlewoman'.
She was heroic; and these were the humble tributes paid by those of
grosser mould to that high quality. Certainly, she was heroic. Yet her
heroism was not of that simple sort so dear to the readers of novels and
the compilers of hagiologies--the romantic sentimental heroism with
which mankind loves to invest its chosen darlings: it was made of
sterner stuff. To the wounded soldier on his couch of agony, she might
well appear in the guise of a gracious angel of mercy; but the military
surgeons, and the orderlies, and her own nurses, and the 'Purveyor', and
Dr. Hall, and, even Lord Stratford himself, could tell a different
story. It was not by gentle sweetness and womanly self-abnegation that
she had brought order out of chaos in the Scutari hospitals, that, from
her own resources, she had clothed the British Army, that she had spread
her dominion over the serried and reluctant powers of the official
world; it was by strict method, by stern discipline, by rigid attention
to detail, by ceaseless labour, and by the fixed determination of an
indomitable will.
Beneath her cool and calm demeanour lurked fierce and passionate fires.
As she passed through the wards in her plain dress, so quiet, so
unassuming, she struck the casual observer simply as the pattern of a
perfect lady; but the keener eye perceived something more than that--the
serenity of high deliberation in the scope of the capacious brow, the
sign of power in the dominating curve of the thin nose, and the traces
of a harsh and dangerous temper--something peevish, something mocking,
and yet something precise--in the small and delicate mouth. There was
humour in the face; but the curious watcher might wonder whether it was
humour of a very pleasant kind; might ask himself, even as he heard the
laughter and marked the jokes with which she cheered the spirits of her
patients, what sort of sardonic merriment this same lady might not give
vent to, in the privacy of her chamber. As for her voice, it was true of
it, even more than of her countenance, that it 'had that in it one must
fain call master'. Those clear tones were in no need of emphasis: 'I
never heard her raise her voice', said one of her companions. 'Only when
she had spoken, it seemed as if nothing could follow but obedience. '
Once, when she had given some direction, a doctor ventured to remark
that the thing could not be done. 'But it must be done,' said Miss
Nightingale. A chance bystander, who heard the words, never forgot
through all his life the irresistible authority of them. And they were
spoken quietly--very quietly indeed.
Late at night, when the long miles of beds lay wrapped in darkness, Miss
Nightingale would sit at work in her little room, over her
correspondence. It was one of the most formidable of all her duties.
There were hundreds of letters to be written to the friends and
relations of soldiers; there was the enormous mass of official documents
to be dealt with; there were her own private letters to be answered;
and, most important of all, there was the composition of her long and
confidential reports to Sidney Herbert. These were by no means official
communications. Her soul, pent up all day in the restraint and reserve
of a vast responsibility, now at last poured itself out in these letters
with all its natural vehemence, like a swollen torrent through an open
sluice. Here, at least, she did not mince matters. Here she painted in
her darkest colours the hideous scenes which surrounded her; here she
tore away remorselessly the last veils still shrouding the abominable
truth. Then she would fill pages with recommendations and suggestions,
with criticisms of the minutest details of organisation, with elaborate
calculations of contingencies, with exhaustive analyses and statistical
statements piled up in breathless eagerness one on the top of the other.
