Observations of an Orderly Some Glimpses of Life and Work in an English War Hospital

Part 2

Chapter 24,082 wordsPublic domain

Our hut life was something more than a mere folding-up of bedding on bedsteads and great-coats on shelves. After midday dinner it was allowable to unroll the mattress, make the bed, and rest thereon--which most of us by that time (having been on the run since 6 o'clock parade) were very ready to do. There was half an hour to spare before 2 o'clock parade, and a precious half-hour it was. Snores rose from some of the beds where students of the war had collapsed beneath the newspapers which they had meant to read. Desultory conversation enlivened those corners where the denizens of the hut were energetic enough to polish their boots or sew on buttons. The one or two men who happened to be "going out on pass"--we were allowed one afternoon per week--were putting on their puttees and brushing-up the metal buttons of their walking-out tunics (otherwise known as their Square Push Suits). The buttons of their working tunics had of course been burnished before parade. The correct employment of button-sticks and of the magic cleaner called Soldier's Friend; the polishing of one's out-of-use boots and their placing, on the floor, with tied laces, and with their toes in line with the bed's legs; the substitution of lost braces' buttons by "bulldogs"; the furbishing of one's belt; the propping-up of the front of one's cap with wads of paper in the interior of the crown; the devices whereby non-spiral puttees can be coaxed into a resemblance of spiral ones and caused to ascend in corkscrews above trousers which refuse to tuck unlumpily into one's socks--these, and a host of other matters, always kept a proportion of the hut-dwellers awake and busy and loquacious even in the somnolent post-prandial half-hour before 2 o'clock.

But it was at night, at bedtime, that the hut became generally sociable. Lights-Out sounded at 10.15; and at 10.10 we were all scrambling into our pyjamas. In winter our disrobing was hasty; in summer it was an affair of leisure, and deshabille roamings to and fro in the aisle, and gossip. When the bugle blew and the electric lights suddenly ceased to glow, leaving the hut in a darkness broken only by the dim shapes of the windows and the red of cigarette-ends, many of us still had to complete our undressing. We became adepts at doing this in the dark and so disposing of the articles of our attire that they could be instantly retrieved in the morning. Once between the blankets, conversation at first waxed rather than waned. The Night Wardmaster, whose duty it was to make the round of the orderlies' huts, disapproved of conversation after Lights-Out, and was apt to say so, loudly and menacingly, when he surprised us by popping his head in at the door. But--well--the Night Wardmaster always departed in the long run.... And then uprose, between bed and bed, those unconclusive debates in which the masculine soul delighteth: Theology; Woman; Victuals; Politics; Art; the Press; Sport; Marriage; Money--and sometimes even The War; likewise the purely local topics of Sisters and their Absurdities; Our Officers; The Other Huts; What the Sergeant-Major Said; Why V.A.D.'s can't replace Male Orderlies; What this Morning's Operations Looked Like; Whether an Officers' Ward or a Men's Ward is the nicer; Who Deserves Stripes; C.O.'s Parade and its Terrors; Advantages of Volunteering for Night Duty; The Cushy Job of being in charge of a Sham Lunacy Case; Other Cushy Jobs less cushy than They Sounded; and so forth; until at last protests began to be voiced by the wearier folk who wanted silence.

Silence it was, except for the thunder of occasional passing trains in the near-by railway cutting. These had little power to disturb. Tucked in the brown army blankets, which at first sight look so hard and so prickly, we slumbered, the twenty-one of us, as one man; until, with a cruel jolt, at 5.15 that wretched alarm-clock crashed forth its summons for the fastidious few who liked to rise in ample time to bath and shave before early parade. Sometimes I was of that virtuous band, and sometimes I wasn't; but, either way, I hated the alarm-clock at 5.15,--though not so virulently as did those members of the hut who never by any chance dreamt of rising until five to six. These gentry had reduced the ritual of dressing, and of rolling up their bedding, to a speed at which it might almost be compared to expert juggling: the quickness of the hand deceived the eye. At five minutes to six you would see the juggler asleep on his pillow, in blissful innocence; at six he would be on parade, as correctly attired as you were yourself, and having left behind him, in the hut, a bed as neatly folded as yours. The world is sprinkled with people who can do this kind of thing--and our hut was blessed with its due leaven of them. But I would not assert that they _never_ had to put some finishing touches, either to their dress or to their hut equipment foldings, before the Company Officer's tour of inspection at 8.30. It sufficed that they would pass muster at 6 o'clock, when appearances are less minutely important. And the man who never rises till 5.55 detests an alarm-clock that whirrs at 5.15. The hour at which the alarm-clock should be set to detonate was one of our few acrimonious subjects of argument: I have even known it upset a discussion on Woman. But the early risers had their way, and the clock continued to be set for half an hour in front of Réveillé.

The harsh vibration of the alarm at one end of the day, and the expiry of the Lights-Out talks at the other--these events marked the chief time-divisions in our hut life. While we were absent at work, our interests were many and scattered; but the hut was a nucleus for communal bonds of union which evoked no little loyalty and affection from us all. On the May morning when I first beheld that corrugated-iron abode I thought it looked inviting enough; but I did not guess how fond I was to grow of its barn-like interior and of the sportive crew who shared its mathematically-allotted floor-space. "Next war," one optimist suggested during a typical Lights-Out séance, "let's all enlist together again." There were protests against the implied prophecy, but none against the proposition as such. That is the spirit of hut comradeship ... a spirit which no alarm-clock controversies can do aught to impair; for though 5.15 a.m. is an hour to test the temper of a troop of twenty-one saints, 10.15 p.m. will bring geniality and garrulousness to twenty-one sinners.

III

WASHING-UP

The following substances (to which I had previously been almost a stranger) absorbed much of my interest during my first months as a hospital orderly:

Coagulated pudding, mutton fat and beef fat, cold gravy, treacle, congealed cocoa, suet duff, skins of once hot milk:

Plates, cups, frying-pans and other utensils smeared with the above:

Knives, forks and spoons, ditto.

I am fated to go through life, in the future, not merely with an exalted opinion of scullery-maids--this I should not regret--but also with an only too clear picture, when at the dinner table, of the adventures of each dish of broken meats on its exit from view. I have been behind the scenes at the business of eating, or rather, at the dreadful repairs which must be instituted when the business of eating is concluded in order that the business of eating may recommence.

There were days when the ward-kitchen was to me a battlefield and I seemed to be fighting on the losing side. This was when our scrub-lady was ill or had "got the sack" and it fell to me, the orderly, to do the washing-up single-handed. Those patients who were well enough to be on their feet were supposed to help. (I speak of a men's ward, of course, not an officers'.) They did help, and that right willingly. Sometimes I was blessed by the presence of a patient with a passion for cleaning things. When there were no dishes to clean he would clean taps. When the taps shone like gold he would clean the hooks on the dresser. When all our kitchen gear was clean he would invade, with a kind of fury, the sink-room and clean the apparatus there. When this was done he would clean the ward's windows and door handles. Between-times he would clean his boots and shave patients in bed. The new army is thickly sown with men like that. They are the salt of the earth. I would place them at the summit of the commonwealth's salary list, the bank clerk second, and the business man, the artist and the politician at the bottom. At all events these were my sentiments when a patient of this type, convalescing, began to be able to help me with my kitchen chores. But it occasionally chanced that every single patient in the ward was confined to bed. It was then that I made my most intimate acquaintance with the catalogue of horrors I have cited.

You behold me, with my shirt-sleeves rolled up, faced by a heap of twenty plates, twenty forks, twenty knives and twenty spoons, all urgently requiring washing. Were these my whole task I should not shrink. They would be nicely polished-off long ere one-fifteen arrived--the time when I should (but probably shall not be able to) leave for my own meal in the orderlies' mess. But there are two far more serious opponents waiting to be subdued--the dinner-tin and the pudding-basin. This pair are hateful beyond words. Their memory will for ever haunt me, a spectral disillusionment to spoil the relish of every repast I may consume in the years that are ahead.

The dinner-tin was a rectangular box some three feet long, twenty inches wide and six inches deep. It was made of solid metal, was fitted with a false bottom to contain hot water, and was divided internally into three compartments to hold meat, vegetables and duff. These viands were loaded into the tin at the hospital's central kitchen. I had naught to do with the cookery--which I may mention always seemed to me to be excellent. My sole concern was with the helping-out of the food to the patients and the restoration of the dinner-tin to its shelf in the central kitchen. For unless I restored that tin in a faultless state of cleanliness, the sergeant in charge of the central kitchen would require my blood. The tin's number would betray me. The sergeant needed not to know my name: all he had to do, on discovering the questionable tin, was to glance at its number and then send for the orderly of the ward with a corresponding number.

He was a sergeant whose aspect could be very daunting. I never had to come before him on the subject of a dirty dinner-tin. But he and I had some small passages concerning "specials" (separate diets ordered for patients requiring delicacies). Sometimes the necessary forms for the specials had been incorrectly made out by a Sister with no head for army accuracy in minor clerical details. Thereafter it was my unlucky place to see the sergeant, and put the matter straight with him. I have survived those encounters. I have survived them with an enhanced respect for the sergeant and the organisation of his large and by no means simple department. There were moments, nevertheless, when I approached his presence with a sinking heart. For if I failed to "get round" him in the matter of coaxing another special for a patient, there was Sister to placate on my return to the ward; and it was quite impossible to persuade Sister that she could have made a mistake with her diet sheets, or, if she had, that it was of any consequence.

The dinner-tin was somewhat larger than the sink in which I was supposed to wash it. It was also very heavy. When full of food, and its false bottom charged with hot water, I could only just lift it, and my progress down the ward, carrying it from the trolley in the corridor to the ward-kitchen, was a perilous and perspiring shuffle. As soon as all the patients had been served I placed any left-over slices of meat in the larder: these would be eaten at tea. Then I drained out the hot water from the false bottom. Then (but only after experience had given me wisdom) I ran hot water from the geyser tap into the now empty meat, vegetable and duff compartments, and gave them a hurried swill: this to rid them of the pestilent dregs of fatty material which would otherwise have dried and glued themselves to the floor of the tin. The latter had now to be put on one side, for I must be back in the ward attending to my diners. Only when they had finished their meal, and their bed-tables had been removed, folded up and placed neatly behind each bed, could I tackle the tin in earnest.

I abhor dabbling in grease; but life is full of abhorrent dilemmas which must be endured; and the interior of that dinner-tin somehow got itself cleaned, every day, in the long run. During the early part of any given week I was almost happy over the job. For Monday was "Dry Store" day. On Monday, and on Monday only--and you were helpless for the remainder of the week if you forgot the rule--you could obtain, on presentation of a chit, blacklead for the stoves, metal-polish for the brass, rags for cleaning the floor, floor-polish, one box of matches, bath-brick, soft soap, and--soda. It is an extraordinary chemical, soda. Before I became a ward orderly I had no idea of the remarkable properties of soda. A handful of soda in boiling water, and behold the grease dissolve meekly from the nastiest dinner-tin! It was miraculous. When a pitying scrub-lady first showed me the trick I thought that all my troubles were at an end. Soda made the ward-kitchen seem like heaven. Alas, the supply of soda considered sufficient by the Dry Store authorities never lasted beyond Wednesday. On Thursday, Friday, Saturday and Sunday the dinner-tin had to be cleaned out not by alkaline agency, but by sheer slogging hard labour. And when at last I stood it on edge to dry, and thought to go off duty with a clear conscience, I generally found that I had overlooked the waiting pudding-basin.

On the whole I am inclined to pronounce the pudding-basin a more obdurate utensil than even the dinner-tin. The pudding-basin, however, only appeared every second morning. On duff days (duff being served in the same tin as the meat and vegetables, though in a separate compartment) we had no pudding. By pudding I mean milk pudding--rice or sago or tapioca. Now a milk pudding, such as those my patients received, though perhaps it was looked askance at in the nursery, is food which, as an adult, I am far from despising. Rice pudding I have come with maturer years to regard as a delicacy. Sago and tapioca I still eat rather with amiable resignation than from choice. But any milk pudding, as I now know, has a most vicious habit of cleaving to the dish in which it was cooked. Rice is the least evil offender. The others are absolutely wicked. To clean oleaginous scum from a dinner-tin is not easy, but it is a mere bagatelle compared with cleaning the scorched high-tide-mark of tapioca or sago from the shores of a large metal pudding-basin. I have tried scraping with a knife blade, I have tried every reasonable form of friction, and I can simply state as a fact from my own personal experience (perhaps I am unfortunate) that those metal pudding-basins of ours would frequently yield to nothing less powerful than sandpaper.

I need scarcely say that sandpaper was not supplied by the deities of the Dry Store. Sandpaper did not come within their purview. It had no recognised use in hospital. Therefore it did not exist. But, observing that a succession of metal pudding-basins would be an insupportable prospect without sandpaper, I laid in a stock of sandpaper, paying for the same out of my own private purse. It was a cheap investment. Never have earnings of mine been better spent. Moreover, having once hit on the notion of giving myself a lift illegitimately, so to speak, I added to the smuggling-in of sandpaper a secret purchase of soda. Except that our scrub-ladies, each and all, discovering that the Dry Store's allowance of this priceless chemical had at last apparently been generous, caused it to fly at a disconcerting pace, and as a result sometimes left me short of it, my career as a washer-up afterwards became more comfortable.

I shall never like washing-up. In the communal households of the future I shall heave coal, sift cinders, dig potatoes, dust furniture or scour floors--any task will be mine which, though it makes me dirty, does not make me greasily dirty. But if I must wash-up, if I must study the idiosyncrasies of cold fat, treacly plates, frying-pans which have sizzled dripping-toast on the gas-ring, frozen gravy, and pudding-basins with burnt milk-skins filmed to their sides, I shall be comparatively undismayed. For sandpaper is not yet (like the news posters) abolished; and soda--although I hear its price has risen several hundred per cent.--is still cheaper than, say, diamonds.

IV

A "HUT" HOSPITAL

People have curious ideas of the kind of building which would make a good war hospital. "The So-and-So Club in Pall Mall," I have been told, "should have been commandeered long ago. Ideal for hospital purposes. Of course some of the M.P. members brought influence to bear, and the War Office was choked off...." And so forth.

It would surprise me to hear of anything that the War Office was held back from doing if it wanted to do it. Perhaps the least likely obstructionist to be successful in this project would be a club-frequenting M.P. The War Office has taken exactly and precisely what it chose--even when it would have been better to choose otherwise. In this matter of commandeering buildings for hospitals it may or may not have acted with wisdom; but at least it has been safe in avoiding the advice of the individual who jumps to the conclusion that just any pleasingly-situated edifice will do, provided beds and nurses are shovelled into it in sufficient quantities.

The indignant patriot who was convinced that chicane alone saved the So-and-So Club from being dedicated to the service of the wounded was quite unable to tell me whether the lifts--assuming that lifts existed--were roomy enough to accommodate stretchers; whether, if so, no interval of stairs prevented trollies from being wheeled to every ward; whether the arrangement of the building would allow of the network of plumbing necessitated by the introduction of numerous bathrooms and lavatories (for each ward must possess both); whether the kitchens were so located that they could supply food to top-floor patients without waste of carrying labour on the part of the orderlies' staff. These problems, the mere fringe of the subject, had never occurred to our patriot. His idea of a hospital was a place where soldiers lie in bed and get well. (What queer notions visitors absorb of the _easiness_ of hospital life!) He had not glimpsed the organisation which made the cure possible. The man in bed, a Sister hovering in the background with, apparently, nothing to do but look pleasant--these constituted, for him, the final phenomena of a war hospital. These phenomena, instead of being housed in a wood-and-corrugated-iron shed, might have been staged picturesquely in one of the luxurious salons of the So-and-So Club in Pall Mall. It was a shame that they weren't. He would write to the papers about it. Somebody must be blamed, somebody must be made to hustle. And meanwhile the Sisters and doctors who _were_ installed in gorgeous mansions for their work were openly envying the fortunate ones who had been given those bare but efficient and compactly-planned sheds.

Some years ago a number of public buildings were earmarked for hospital use in case of war. It may surprise the indignant patriots to learn that any preparations whatever were made prior to the outbreak in 1914. Nevertheless all kinds of preparations actually were made. Mistakes and miscalculations may have marred those preparations: the fact remains that, as far as the Territorial Medical Service was concerned, the authorities had merely to press a button and hospitals came into existence. Thus a number of institutions--mostly schools--found themselves ejected from their own roof-trees: found, in short, (what many other folk were to learn later) that the State is omnipotent in war-time and that sectional interests fade into insignificance compared with the interests of the safety of the commonwealth. Some conception of the promptness with which this paper scheme of Sir Alfred Keogh's materialised at the outbreak of war may be gathered from the simple statement that the building of which I myself write was an Orphans' Home on August 4th, 1914. At 6 a.m. on August 5th it was a military hospital.

I do not say that it was a military hospital in working order. But if, by a miracle, wounded _had_ turned up then, there was at least a staff of medical officers and orderlies on the premises to receive them. In point of fact it was some weeks before the first patients arrived. Those weeks, however, were not idle ones. The layman who considers that any large building can be turned instantaneously into a hospital would have had an eye-opener if he had witnessed the work done here. The mere removing of 95 per cent. of the institution's furniture was a colossal task; added thereto was the introduction of hundreds of beds, hundreds of mattresses, hundreds of sets of bedclothes, hundreds of suits of pyjamas, hundreds of--But why prolong a brain-racking list? Then there was the pulling-down and fixing-up of partitions, the removal of every single window for replacement by Hopper sashes, the fitting-in of bathrooms, lavatories, ward-kitchens, sink-rooms, dispensary, cookhouse, operating-theatre, pathological laboratory, linen-store, steward's store, clothing-store, detention-room, administration offices, X-ray department ... all these in a building which, spacious and handsome outwardly, was, as to its interior, a characteristic maze in the Scottish baronial style of architecture beloved by mid-Victorian philanthropists. How the evicted orphans will like to return to those stone-flagged passages and large airy dormitories, after having experienced the comforts of the banal but snug suburban villas in which they are at present located, I know not. There is a certain dignity about the Scottish baronial pile, I admit. The silhouette of its grey stone façade, rising above delightful lawns, makes a good impression--from a distance. Postcard views of it sell freely to visitors. But the best part of our hospital is hidden behind that turreted façade, and is much too "ugly" and utilitarian for postcard immortalisation.

The best part of our hospital--_the_ hospital, to most of us--came into being when the commandeered Scottish baronial orphans' asylum was found to be too small. Then were built "the huts."

The word "hut" suggests something casual, of the camping-out order: a shed knocked together with tin-tacks, doubtfully weather-proof and probably scamped by profiteering contractors. Of the huts provided at certain training centres this may have been true. The finely austere and efficient ranks of hut-wards which constitute the main part of the 3rd London General Hospital are the very antithesis of that picture. They may look flimsy. They were certainly put up at a remarkable pace. I myself witnessed the erection of the final fifty of them. An open field vanished in less than a month, and "Bungalow Town" (as someone nicknamed it) appeared. You would have said that such speed meant countless imperfections of detail. No doubt some tinkerings and modifications were bound to follow, when the regiment of workmen, carpenters, engineers, drainage specialists, electricians, had vanished. But, in the long run, the ideal hospital remained--a hospital with which the So-and-So Club in Pall Mall, for all its luxuriousness, could never hope to compare.