A Surgeon in Belgium

Chapter 3

Chapter 34,294 wordsPublic domain

The one thing which so impressed us in the character of the Belgians whom we met was its simplicity, and the men who had risen to high rank did not seem to have lost it in their climb to fame. But it was just this, the most delightful of their characteristics, which must have made war for them supremely difficult. For strict discipline and simplicity are almost incompatible. None of us tower so far above our fellows that we can command instant obedience for our own sakes. We have to cover ourselves with gold lace, to entrench ourselves in rank, and to provide ourselves with all sorts of artificial aids before we can rely on being obeyed. These things are foreign to the Belgian mind, and as a result one noticed in their soldiers a certain lack of the stern discipline which war demands. Individually they are brave men and magnificent fighters. They only lacked the organization which has made the little British Army the envy of the world. The fact is that they are in no sense a warlike nation, in spite of their turbulent history of the past, and, indeed, few things could be more incompatible than turbulence and modern warfare. It demands on the part of the masses of combatants an obedience and a disregard of life which are repellent to human nature, and the Belgians are above all things human. Germany is governed by soldiers, and France by officials. Unlike the frogs in the fable, the Belgians are content to govern themselves.

It was our great regret that we had so little time in which to see the work of the Antwerp hospitals, but we made use of what opportunities we had. There are many of them, and those we saw were magnificent buildings, equipped in a way which filled us with envy. The great city hospital, the Stuivenberg, was a model of what a modern hospital ought to be. The wards were large and airy and spotlessly clean, and the nurses seemed to be extremely competent. The kitchens were equipped with all the latest appliances, steam boilers, and gas and electric cookers. But the show part of the hospital was the suite of operating theatres. I have always felt the pardonable pride of a son in the theatres of the London Hospital, but they were certainly eclipsed here. Each theatre was equipped with its own anaesthetizing room, its own surgeon's room, and its own sterilizing rooms and stores, all furnished with a lavishness beyond the financial capacity of any hospital in London. Perhaps some of the equipment was unnecessary, but it was abundantly evident that the State appreciated the value of first-class surgery, and that it was prepared to pay for it. I have never heard the same accusation levelled at Great Britain.

At St. Camille we had the good fortune to see M. Xambotte at work. His reputation as a surgeon is worldwide, and it was pleasant to find that his dexterity as an operator was equal to his reputation. It is not always the case. He is an expert mechanic, and himself makes most of the very ingenious instruments which he uses. He was fixing a fractured femur with silver wires, and one could see the skilled workman in all that he did. There is no training-ground for one's hands like a carpenter's bench, and the embryo surgeon might do much worse with his time than spend six months of it in a workshop. When medical training emerges from its medieval traditions, manual training will certainly form a part, and no one will be allowed to attempt to mend a bone till he has shown his capacity to mend a chair-leg. Here, again, the surgeon was surrounded by all the appliances, and even the luxuries, that he could desire. The lot of the great surgeon abroad is indeed a happy one.

But there is one thing in which we in England are far better off--in our nursing staffs. In most of the hospitals we visited the nursing was carried on by Sisterhoods, and though some of them were evidently good nurses, most of them had no idea whatever of nursing as it is practised in our country. Fresh air, for example, is to them full of dangers. One would almost think that it savoured of the powers of evil. We went into one huge hospital of the most modern type, and equipped lavishly, and such wag the atmosphere that in ten minutes I had to make a rush for the door. One large ward was full of wounded soldiers, many of them with terrible wounds, gangrenous and horrible, and every window was tightly shut. How they could live in such an atmosphere is beyond my comprehension, but the Sisters did not seem to notice it at all.

Some of the surgeons have their specially trained nurses, but nursing as a profession for the classes who are alone competent to undertake it is a conception which has yet to dawn upon the Continent, for only a woman of education and refinement can really be a nurse.

The absence on the Continent of a nursing profession such as ours is not without its influence on medicine and surgery abroad. The individual patient meets with far less consideration than would be the case in this country, and is apt to be regarded as so much raw material. In Belgium this tendency is counteracted by the natural kindliness of the Belgian, but in other countries patients are often treated with a callousness which is amazing. There is in many of the great clinics a disregard of the patient's feelings, of his sufferings, and even of his life, which would be impossible in an English hospital. The contact of a surgeon with his hospital patients as individuals is largely through the nursing staff, and his point of view will be largely influenced by them. There is no one in our profession, from the youngest dresser to the oldest physician, who does not owe a great part of his education to Sister.

V. Termonde

Anyone who has worked in hospitals will realize how important it is for the health of the staff, nurses and doctors, that they should get out into the fresh air for at least some part of every day. It is still more necessary in a war hospital, for not only is the work more exacting, but the cases themselves involve certain risks which can only be safely taken in perfect health. Practically every one is septic, and to anyone in the least run down the danger of infection is considerable; and infection with some of the organisms with which one meets in war is a very serious thing indeed. We had four large motors in Antwerp belonging to the members of our hospital, and always at its service, and every afternoon parties were made up to drive out into the country. As a rule calls were made at various Croix Rouge posts on the way, and in that way we kept in contact with the medical service of the army in the field, and gave them what help we could. We were always provided with the password, and the whole country was open to us--a privilege we very greatly appreciated; for after a hard morning's work in the wards there are few things more delightful than a motor drive. And it gave us an opportunity of seeing war as very few but staff officers ever can see it. We learnt more about the condition of the country and of the results of German methods in one afternoon than all the literature in the world could ever teach. If only it were possible to bring home to the people of Britain one-hundredth part of what we saw with our own eyes, stringent laws would have to be passed to stop men and women from enlisting. No man who deserved the name of man, and no woman who deserved to be the mother of a child, would rest day or night till the earth had been freed from the fiends who have ravaged Belgium and made the name of German vile.

One afternoon towards the end of September we visited Termonde. We heard that the Germans, having burnt the town, had retired, leaving it in the hands of the Belgian troops. It was a rare opportunity to see the handiwork of the enemy at close quarters, and we did not wish to miss it. Termonde is about twenty-two miles from Antwerp, and a powerful car made short work of the distance. Starting directly southwards through Boom, we reached Willebroeck and the road which runs east and west from Malines through Termonde to Ghent, and along it we turned to the right. We were now running parallel to the German lines, which at some points were only a couple of miles away on the other side of the Termonde-Malines railway. We passed numerous Belgian outposts along the road, and for a few miles between Lippeloo and Baesrode they begged us to travel as fast as possible, as at this point we came within a mile of the railway. We did travel, and it would have taken a smart marksman to hit us at fifty miles an hour; but we felt much happier when we passed under the railway bridge of a loop line at Briel and placed it between ourselves and the enemy. The entrance to Termonde was blocked by a rough barricade of bricks and branches guarded by a squad of soldiers. They told us that no one was allowed to pass, and we were about to return disappointed, when one of us happened to mention the password. As without it we could not possibly have got so far, it had never occurred to us that they might think we had not got it; and as we had no possible business in the town, we had no arguments to oppose to their refusal to let us in. However, all was now open to us, and the cheery fellows ran forward to remove the barrier they had put up.

Termonde is, or rather was, a well-to-do town of 10,000 inhabitants lying on the Scheldt at the point where the Dendre, coming up from the south, runs into it. A river in Belgium means a route for traffic, and the town must have derived some advantage from its position as a trade junction. But it possesses an even greater one in the bridge which here crosses the Scheldt, the first road bridge above the mouth of the river, for there is none at Antwerp. At least six main roads converge upon this bridge, and they must have brought a great deal of traffic through the town. When we mention that a corresponding number of railways meet at the same spot, it will be seen Termonde was an important centre, and that it must have been a wealthy town. The Dendre runs right through the centre of the town to the point where it joins the Scheldt, and on each side runs a long stone quay planted with trees, with old-fashioned houses facing the river. With the little wooden bridges and the barges on the river it must have been a very pretty picture. Now it was little better than a heap of ruins.

The destruction of the town was extraordinarily complete, and evidently carefully organized. The whole thing had been arranged beforehand at headquarters, and these particular troops supplied with special incendiary apparatus. There is strong evidence to show that the destruction of Louvain, Termonde, and of several smaller towns, was all part of a definite plan of "frightfulness," the real object being to terrorize Holland and Denmark, and to prevent any possibility of their joining with the Allies. It is strictly scientific warfare, it produces a strictly scientific hell upon this world, and I think that one may have every reasonable hope that it leads to a strictly scientific hell in the next. After a town has been shelled, its occupants driven out, and its buildings to a large extent broken down, the soldiers enter, each provided with a number of incendiary bombs, filled with a very inflammable compound. They set light to these and throw them into the houses, and in a very few minutes each house is blazing. In half an hour the town is a roaring furnace, and by the next day nothing is left but the bare walls. And that is almost all that there was left of Termonde. We walked along the quay beside a row of charred and blackened ruins, a twisted iron bedstead or a battered lamp being all there was to tell of the homes which these had been. A few houses were still standing untouched, and on the door of each of these was scrawled in chalk the inscription:

"GUTE LEUTE, NICHT ANZUNDEN, BREITFUSS, Lt."

One wondered at what cost the approval of Lieutenant Breitfuss had been obtained. His request to the soldiers not to set fire to the houses of these "good people" had been respected, but I think that if the Belgians ever return to Termonde those houses are likely to be empty. There are things worse than having your house burnt down, and one would be to win the approval of Lieutenant Breitfuss.

We crossed the Dendre and wandered up the town towards the Square. For a few moments I stood alone in a long curving street with not a soul in sight, and the utter desolation of the whole thing made me shiver. Houses, shops, banks, churches, all gutted by the flames and destroyed. The smell of burning from the smouldering ruins was sickening. Every now and then the silence was broken by the fall of bricks or plaster. Except a very few houses with that ominous inscription on their doors, there was nothing left; everything was destroyed. A little farther on I went into the remains of a large factory equipped with elaborate machinery, but so complete was the destruction that I could not discover what had been made there. There was a large gas engine and extensive shafting, all hanging in dismal chaos, and I recognized the remains of machines for making tin boxes, in which the products of the factory had, I suppose, been packed. A large pile of glass stoppers in one corner was fused up into a solid mass, and I chipped a bit off as a memento.

In the Square in front of the church of Notre Dame the German soldiers had evidently celebrated their achievement by a revel. In the centre were the remains of a bonfire, and all around were broken bottles and packs of cheap cards in confusion. Think of the scene. A blazing town around them, and every now and then the crash of falling buildings; behind them Notre Dame in flames towering up to heaven; the ancient Town Hall and the Guard House burning across the Square; and in the centre a crowd of drunken soldiers round a bonfire, playing cards. And miles away across the fields ten thousand homeless wanderers watching the destruction of all for which they had spent their lives in toil.

Of the ancient church of Notre Dame only the walls remained. The roof had fallen, all the woodwork had perished in the flames, and the stonework was calcined by the heat. Above the arch of a door was a little row of angels' heads carved in stone, but when we touched them they fell to powder. The heat inside must have been terrific, for all the features of the church had disappeared, and we were surrounded by merely a mass of debris. In the apse a few fragments of old gold brocade buried beneath masses of brick and mortar were all that remained to show where the altar had been.

The Town Hall was once a beautiful gabled building with a tall square tower ending in four little turrets. I have a drawing of it, and it must have formed quite a pleasing picture, the entrance reached by the double flight of steps of which Belgium is so fond, and from which public proclamations were read. It had been only recently restored, and it was now to all intents and purposes a heap of smoking bricks. The upper part of the tower had fallen into the roof, and the whole place was burnt out.

But no words can ever convey any idea of the utter destruction of the whole town, or of the awful loneliness by which one was surrounded. One felt that one was in the presence of wickedness such as the world has rarely seen, that the powers of darkness were very near, and that behind those blackened walls there lurked evil forms. Twilight was coming on as we turned back to our car, and a cold mist was slowly rising from the river. I am not superstitious, and in broad daylight I will scoff at ghosts with anyone, but I should not care to spend a night alone in Termonde. One could almost hear the Devil laughing at the handiwork of his children.

VI. The Chateau

One of the most astounding features of the war is the way in which the Germans, from the highest to the lowest, have given themselves up to loot. In all previous wars between civilized countries anything in the nature of loot has been checked with a stern hand, and there are cases on record when a soldier has been shot for stealing a pair of boots. But now the Crown Prince of the German Empire sends back to his palaces all the loot that he can collect, on innumerable transport waggons, amid the applause of his proud father's subjects. He is of course carrying out the new gospel of the Fatherland that everyone has a perfect right to whatever he is strong enough to take. But some day that doctrine may spread from the exalted and sacred circle in which it is now the guiding star to the "cannon fodder." Some day the common people will have learnt the lesson which is being so sedulously taught to them both by example and by precept, and then the day of reckoning will have come.

Loot and destruction have always gone hand in hand. The private soldier cannot carry loot, and it is one of the most primitive instincts of animal nature to destroy rather than to leave that by which others may profit. Even the pavement artist will destroy his work rather than allow some poor wretch to sit beside his pictures and collect an alms. And there is great joy in destroying that which men are too coarse to appreciate, in feeling that they have in their power that which, something tells them, belongs to a refinement they cannot attain. That was the keynote of the excesses of the French Revolution, for nothing arouses the fury of the unclean so much as cleanliness, and a man has been killed before now for daring to wash his hands. And it is this elemental love of destroying that has raged through Belgium in the last few months, for though destruction has been the policy of their commanders, the German soldier has done it for love. No order could ever comprehend the ingenious detail of much that we saw, for it bore at every turn the marks of individuality. It is interesting to ponder on a future Germany of which these men, or rather these wild beasts, will be the sons. Germany has destroyed more than the cities of Belgium; she has destroyed her own soul.

It is not in the ruined towns or the battered cathedrals of Belgium that one sees most clearly the wholehearted way in which the German soldiers have carried out the commands of their lord and made his desires their own. Louvain, Termonde, Dinant, and a hundred other towns have been uprooted by order. If you wish to see what the German soldier can do for love, you have to visit the chateaux which are dotted so thickly all over the Belgian countryside. Here he has had a free hand, and the destruction he1 wrought had no political object and served no mere utilitarian purpose. It was the work of pure affection, and it showed Germany at her best. One would like to have brought one of those chateaux over to England, to be kept for all time as an example of German culture, that our children might turn from it in horror, and that our country might be saved from the hypocrisy and the selfishness of which this is the fruit.

Among our many good friends in Antwerp there were few whom we valued more than the Baron d'O. He was always ready to undertake any service for us, from the most difficult to the most trivial. A man of birth and of fortune, he stood high in the service of the Belgian Government, and he was often able to do much to facilitate our arrangements with them. So when he asked us to take him out in one of our cars to see the chateau of one of his greatest friends, we were glad to be in a position to repay him in a small way for his kindness. The chateau had been occupied by the Germans, who had now retired--though only temporarily, alas!--and he was anxious to see what damage had been done and to make arrangements for putting it in order again if it should be possible.

A perfect autumn afternoon found us tearing southwards on the road to Boom in Mrs. W.'s powerful Minerva. We were going to a point rather close to the German lines, and our safety might depend on a fast car and a cool hand on the wheel. We had both, for though the hand was a lady's, its owner had earned the reputation of being the most dangerous and the safest driver in Antwerp, and that is no mean achievement. We called, as was our custom, at the Croix Rouge stations we passed, and at one of them we were told that there were some wounded in Termonde, and that, as the Germans were attacking it, they were in great danger. So we turned off to the right, and jolted for the next twenty minutes over a deplorable paved road.

The roar of artillery fire gradually grew louder and louder, and we were soon watching an interesting little duel between the forts of Termonde, under whose shelter we were creeping along, on the one side, and the Germans on the other. The latter were endeavouring to destroy one of the bridges which span the Scheldt at this point, one for the railway and one for the road; but so far they had not succeeded in hitting either. It was a week since our last visit to Termonde, and it seemed even more desolate and forsaken than before. The Germans had shelled it again, and most of the remaining walls had been knocked down, so that the streets were blocked at many points and the whole town was little more than a heap of bricks and mortar. There was not a living creature to be seen, and even the birds had gone. The only sound that broke the utter silence was the shriek of the shells and the crash of their explosion. We were constantly checked by piles of fallen debris, and from one street we had to back the car out and go round by another way. At the end of a long street of ruined houses, many bearing the inscription of some braggart, "I did this," we found our wounded men. They were in a monastery near the bridge at which the Germans were directing their shells, several of which had already fallen into the building. There had been four wounded men there, but two of them, badly hurt, were so terrified at the bombardment that they had crawled away in the night. The priest thought that they were probably dead. Think of the poor wounded wretches, unable to stand, crawling away in the darkness to find some spot where they could die in peace. Two remained, and these we took with us on the car. The priest and the two nuns, the sole occupants of the monastery, absolutely refused to leave. They wished to protect the monastery from sacrilege, and in that cause they held their lives of small account. I have often thought of those gentle nuns and the fearless priest standing in the doorway as our car moved away. I hope that it went well with them, and that they did not stay at their post in vain.

By the bridge stood a company of Belgian soldiers, on guard in case, under cover of the fire of their artillery, the Germans might attempt to capture it. There was very little shelter for them, and it was positively raining shells; but they had been told to hold the bridge, and they did so until there was no longer a bridge to hold. It was as fine a piece of quiet heroism as I shall ever see, and it was typical of the Belgian soldier wherever we saw him. They never made any fuss about it, they were always quiet and self-contained, and always cheerful. But if they were given a position to hold, they held it. And that is the secret of the wonderful losing battle they have fought across Belgium. Some day they will advance and not retreat, and then I think that the Belgian Army will astonish their opponents, and perhaps their friends too.