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

Part 4

Chapter 43,941 wordsPublic domain

The stretcher-case, before he is taken to his ward, must also "give his particulars," must also be interviewed by the Pack Store officials, and must also have assigned to him his blue uniform (wherewith are a shirt, a cravat, slippers and socks) in anticipation of the time when he shall be able to use his feet again and promenade our corridors and grounds. He receives the customary packet of cigarettes (probably the second, for he often gets one at the railway station too), and then, on another stretcher, mounted on a trolley, is wheeled off to his ward. Here, bestowed in bed at last, we leave him to his blanket-bath, his meal, his temperature-taking and chart filling-in by the Sister, his visit from the doctor, and all the rest of it. For the moment we see no more of him; we must race back to the receiving hall, and, if there are no more patients to take away, return the trolley to its proper nook, put straight the blankets and pillows on the beds, sweep the floor, and tidy up generally, in readiness for the next convoy's advent.

Presently the huge room, beneath its dim arched ceiling, is silent and empty once more. The four ranks of beds, without a crease on their brown blankets, are bare of occupants. The Sister and her probationers have vanished. The Pack Store orderlies have carried off their loot of dirty khaki tunics and trousers for the fumigator. The clerical V.A.D.'s have gone to enter "particulars" in ledgers and card-indices. The cookhouse people have removed their cocoa urn. The sergeant is inspecting the metal ward-tickets left in his rack. A glance at them tells him how many beds, and which beds, are free in the hospital; for the tickets have no duplicates; any given ticket can only reappear in the rack when the bed which it connotes is out of use and awaiting a newcomer; the ticket hangs from a nail in the wall beside the patient's bed just so long as that bed is tenanted. So the rack of metal tickets might almost take the place of that important document, of which a freshly-compiled edition is typed every morning, the Empty Bed List; and the sergeant is meditative as he sorts into the rack the tickets which have newly been sent in from the Sisters of wards where there have been departures. "Not much room in the eye-wound wards," he ponders; or, "A lot of empties in the medicals." And then ... the tinkle of the telephone....

"Another convoy expected at 6.15? Twenty walking-cases and seventeen cots. Right you are!"

And at 6.15 the party of orderlies will be back again at the front door, again the motor-cars will stream up the drive, again the ambulances will come with their stretchers, and again the receiving hall will awaken from its interlude of silence to echo with the activities incidental to a clearing house of those damaged human bundles which are the _raison d'être_ of our great war-hospital.

VII

"T.... A...."

War-hospital patients are of many sorts. It is a common mistake of the arm-chair newspaper devourer to lump all soldiers together as quaint, bibulous, aitch-dropping innocents, lamblike and gauche in drawing-rooms, fierce and picturesque on the field, who (to judge by their published photographs) are continually on the grin and continually shaking hands either with each other or with equally grinsome French peasant women at cottage doors or with the local mayor who congratulates them on the glorious V.C.'s which, of course, they are continually winning. In a war hospital that harbours many thousands of patients per annum, we should know, in the long run, something about the characteristics of Tommy Atkins; and it is with resentment that I hear him thus classified as a mere type. He is not a type. Discipline and training have given him some veneer of generalised similarities. Beneath these, Tommy Atkins is simply the man in the street--any man in any street; and if you look out of your window in the city and see a throng of pedestrians upon the pavement you might just as well say that because they are all civilians they are all alike as that, because all soldiers wear khaki, they are all alike.

I have a quarrel with the Press on the score of its persistent fostering of this notion that "our gallant lads" (as the sentimental scribe calls them) are a pack of children about whose exploits an unfailing stream of semi-pathetic, semi-humorous anecdotes must be put forth. Even the old professional army exhibited no dead level either of blackguards on the one hand or humble Galahads on the other. But whatever may have been the case before the war, all the armies of Europe are now alike in this, that they are composed of civilians who merely happen to have adopted a certain garb for the performance of a certain job--and, be it remarked, a temporary job. That garb has not reduced the citizens, who have the honour to wear it, to a monotonous level either of intelligence or of conduct: nor even of opinions about the war itself. I have had fire-eaters in my ward who breathed the sentiments of _John Bull_ and the _Evening News_, and I have had pacifists (they seemed to have fought no less bravely) who, week by week, read and approved Mr. Snowden in the _Labour Leader_; I have had Radicals and Tories, and patients who cared for neither party, but whose passion was cage-birds or boxing or amateur photography; I have had patients who were sulky and patients who were bright, patients who were unlettered and patients who were educated, patients who could hardly express themselves without the use of an ensanguined vocabulary and patients who were gently spoken and fastidious. Each of them was Tommy Atkins--the inanely smirking hero of the picture-paper and the funny paragraph. Neither his picture nor the paragraph may be positively a lie, and yet, when the arm-chair dweller chucklingly draws attention to them, I am tempted to relapse into irreverence and utter one or other (or perhaps both) of two phrases which T. Atkins is himself credited with using _ad nauseam_--"Na-poo" and "I _don't_ think."

When I assert--as I do unhesitatingly assert--that no one could work in a war-hospital ward for any length of time without an ever-deepening respect and fondness for Tommy Atkins, it is the same thing as asserting that the respect and fondness are evoked by close contact with one's countrymen: nothing more nor less. A hospital ward is a haphazard selection of one's fellow-Britons: the most wildly haphazard it is possible to conceive. And the pessimistic cynic who, after a sojourn in that changing company for a month or two can still either generalise about them or (if he does) can still not acknowledge that in the mass they are amazingly lovable, is beyond hope. The war has taught its lessons to us all, and none more important than this. For myself I confess that I never knew before how nice were nine out of ten of the individuals with whom I sat silent in trains, whom I glanced at in business offices or behind counters, whom I saw in workshops or in the field or who were my neighbours in music-halls. They were strangers. In the years to come I hope they will be strangers no longer. For they and I have dressed alike and borne the same surname--Atkins.

Of course, there remain a few generalisations which _can_ safely be risked about even so nondescript a person as the new Tommy Atkins. As practically all the Tommy Atkinses are, at this moment, concentrated on the prosecution of one great job, it is natural that their main interests should revolve round that job. They all (for instance) want the job to be finished. They all (within my experience) want it to be finished well. They nearly all desire earnestly to cease soldiering as soon as the job _is_ finished well. I never yet met the man (though he may exist, outside the brains of the scribes aforementioned) who, having tasted the joys of roughing it, is determined not to return to a humdrum desk in an office: on the contrary, that office and that humdrum desk have now become this travelled adventurer's most roseate dream. I have conversed with patients drawn from nearly every walk in life, and I do not remember one who definitely spoke of refusing to go back to his former work--if he could get it.

One of my patients had been a subterranean lavatory attendant. You would have thought his ambitions--after visits to Egypt, Malta, the Dardanelles and France--might have soared to loftier altitudes. He had survived hair-raising adventures; he had taken part in the making of history; although wounded he had not been incapacitated for an active career in the future; and he was neither illiterate nor unintelligent. Yet he told me, with obvious satisfaction, that his place was being kept open for him. I was, as it were, invited to rejoice with him over the destiny which was his. I may add that the singular revelations which he imparted as to the opportunities for extra earnings in his troglodyte trade extorted from me a more enthusiastic sympathy than might be supposed possible.

That agreeable domestic pet, _homo sapiens_, remains unchanged even when you dress him up in a uniform and set him fighting. He is always consistently inconsistent; he is always both reasonable and unreasonable. You can try to cast him in a mould, but he resumes his normal shapelessness the moment the mould is removed. Expose him to frightful ordeals of terror and pain, and he will emerge grumbling about some petty grievance or carrying on a flirtation with another man's wife or squabbling about sectarian dogmas or gambling on magazine competitions or planning new businesses--in fact, behaving precisely as the natural lord of creation always does behave. No member of our hospital staff, I imagine, will ever forget the arrival of the first batch of exchanged British wounded prisoners; It was the most tragic scene I have ever witnessed. It is a fact, for which I make no apology, that tears were shed by some of those whose task it was to welcome that pitiful band of martyrs. We had received convoys of wounded many a time, but _these_ broken creatures, so pale, so neglected, so thin and so infinitely happy to be free once more, had a poignant appeal which must have melted the most rigid official. (And we are neither very official, here, nor very rigid.) Well, amongst these liberated captives was one who told a sad tale of starvation at his internment camp. There is little doubt that it was a true tale, in the main. On that I make no comment. I simply introduce you to this gentleman, who had been restored to his native land after ten months of entombment, in order to mention that on the following morning, when his breakfast was placed before him, he turned up his nose at it. Loudly complaining of the poorness of the food, he leant out of bed, picked up a brown-paper parcel which had been his only luggage, and produced from it some German salted herring, which he proceeded to eat with grumbling gusto.

That is not specially Tommy Atkins; it is _homo sapiens_ of the hearthside, whether in suburban villa or in slum, for ever dissatisfied (more especially with his victuals) and for ever evoking our affection all the same.

No; Tommy Atkins is never twice alike. He is unanimous on few debatable matters. One of them, as I have said, is the desirability of finishing the war--in the proper way. (But even here there are differences as to what constitutes the proper way.) Another is (I trust I shall not shock the reader) the extreme displeasingness of life at the front. I would not say that our hospital patients are positively thankful to be wounded, nor that they do not wish to recover with reasonable rapidity. But that they are glad to be safe in England once more is undeniable. The more honour to them that few, if any, flinch from returning to duty--when they know only too well what that duty consists of. But they make no bones about their opinion. Not long ago I was the conductor of a party of convalescents who went to a special matinée of a military drama. The theatre was entirely filled with wounded soldiers from hospitals, plus a few nurses and orderlies. It was an inspiring sight. The drama went well, and its patriotic touches received their due meed of applause. But when the heroine, in a moving passage, declared that she had never met a wounded British soldier who was not eager to get back to the front, there arose, in an instant, a spontaneous shout of laughter from the whole audience. That was Tommy Atkins unanimous for once.

He was unanimous too, I should add, in perceiving immediately that the actress had been disconcerted by his roar of amusement. The poor girl's emotional speech had been ruined. She looked blank and stood irresolute. At once a burst of hand-clapping took the place of the laughter. It was not ironical, it was friendly and apologetic. "Go ahead!" it said. "We're sorry. Those lines aren't your fault, anyway. You spoke them very prettily, and it was a shame to laugh. But the ass of a playwright hadn't been in the trenches, and if your usual audiences relish that kind of speech they haven't been there either."

So much for Tommy Atkins in his unanimous mood--unanimously condemning cant and at the same time unanimously courteous. Now that I come to reflect I believe that, in his best moments, these are perhaps the only two points concerning which Tommy Atkins _is_ unanimous. Whether he lives up to them or not (and to expect him unflinchingly to live up to them in season and out of season is about as sensible as to expect him perpetually to live up to the photographs and anecdotes), we may take them as his ideal. He dislikes humbug: he tries to be polite. Could one sketch a sounder scaffolding on which to build all the odd divergencies--crankinesses and heroisms, stupidities and engagingnesses--which may go to make the edifice of an average decent soul's material, mental and spiritual habitation?

* * * * *

_Postscript._--An expert--one of England's greatest experts--who has read the above tells me that I have not done justice to the old professional army men of Mons and the Aisne. When wounded and in our hospital they _did_ want to go back to fight. But their sole reason, given with frankness, was that they considered they were needed: the new army, in training, was not ready: it would be murder to send the new army out, unprepared, to such an ordeal.

This authority, who has interviewed many thousands of convalescents, further remarked: "The wounded man who has been under shell fire and who professes to be eager to go back, whether ordered or no, is a liar. On the other hand, the scrim-shankers who try to get out of going back, when they should go back, are an amazingly small minority."

VIII

LAUNDRY PROBLEMS

A number of oddly unmasculine duties fell to the lot of the R.A.M.C. orderly prior to the time when "V.A.D.'s" were allowed to take his place (at least to some extent) throughout our English war-hospitals. One of my first tasks in the morning was the collecting and classification of my ward's dirty linen. The work cannot be called difficult. It would be an exaggeration to say that it demands a supreme intellectual effort. But to the male mind it is, at least, rather novel. The average bachelor has perhaps been accustomed to scrutinise his collars, handkerchiefs and underclothes before and after their trips to the laundry. He has seldom, I think, had intimate trafficking with pillow-cases, sheets, counterpanes and tablecloths. In the reckoning of these he is apt to make mistakes and to lapse into a casualness which, in a woman familiar with household routine, would be improbable. "Sister's" sharpest reproofs were called forth by errors made in connection with this daily exchange of clean for dirty linen.

A form, of course, had to be filled in. (The army provides a form for everything.) This form presents a catalogue of eighty-one separate items, from "Blankets" ("Child's," "Infant's"--I do not know what is the difference between them, and I never had to deal with either--"G.S."--whatever that may be--and "White") to "Waist-coats, Strait." It distinguishes between ten kinds of "Cases"--pillow-cases, paillasse-cases, and the like: for example, there are "barrack" bolster-cases and "hospital" bolster-cases; and you must not confound "hospital" mattress-cases with "officers'" mattress-cases. You are misled if you imagine that the heading "Cases" has exhausted the possibilities which appeared to be latent in that noun; for, in addition to the ten unqualified "Cases" there are seven more, defined as "Cases, slip." Can you wonder that the orderly, presented with a bin-full of confused and crumpled objects ready for the wash, and told to count them and enter their numbers in the appointed columns, occasionally made a wrong guess? Then there were eight sorts of "Cloths"--tablecloth, tray-cloth, distinctive cloth, and so forth. (To how many lay minds does "distinctive cloth" convey any meaning?) Counterpanes you would think to be obvious enough; but that remarkable compilation, the _Check Book for Hospital Linen_ ("Printed for H.M. Stationery Office...." etc.), recognises four varieties. It also allows for four varieties of sheets, four of aprons and four of trousers. Of towels it knows six.

Each ward has a certain stock of linen in its cupboard. That stock can only be kept at the proper level by strict barter of a soiled object for a clean duplicate of the same object. As there are three hundred and sixty-five days in the year on which this transaction occurs, and sixty wards' bundles of linen to be dealt with by both the Dirty Linen Department and the Clean Linen Department on each of those days, it is clear that exactitude in the filling-in of the form aforementioned becomes an affair of almost nightmare importance. Bring back from the Clean Linen Store three dusters instead of the four dusters which you previously handed in at the Dirty Linen Store, and your cupboard will, to the end of time, be short of one duster which it should have possessed. Even if Sister fails to pounce promptly on the evidence of the loss, the quartermaster's dread stocktaking will ultimately find you out. Your cupboard declines to correspond with his book-entries. And there is trouble brewing, in consequence. (But indeed, if the loss of a single duster were the sole crime revealed on stocktaking day, you would be fortunate.)

The orderly, with an obese bundle of washing on his back, plods from the ward to the Dirty Linen Store at quarter to nine every morning. I say he "plods" because the bundle is generally too heavy for transportation at a rapid pace. Twenty sheets are usually but a part of the bundle; and twenty sheets are alone no light burden. Between his teeth--both his hands being occupied with the balancing of the bundle--he carries his chit: that indispensable list. Arrived at the store he dumps the bundle on the ground, opens it, and pitches its contents piecemeal over a counter to one of the staff of the store. One by one the objects are named and counted aloud, as they fly across the counter, the staff orderly simultaneously checking the list and keeping an eye on what he is receiving. For we may, by guile, palm off on him one sheet as two. It can be done, by means of a certain legerdemain which comes with practice. Or we may have received from the Dry Store, amongst the rags meant for cleaning purposes, a couple of quite worn-out socks, not a pair, and long past placing on human feet: these derelicts, with a rapid motion, can be passed over the counter amongst the good socks, and only later in the day will the Dirty Linen Store officials detect the fraud--when it is impossible to locate its perpetrator. The store-orderly's job is therefore one requiring some astuteness: his checking of the list has to be achieved at a high speed and in the midst of a babel; for as many ward-orderlies are present as the length of the counter will accommodate, and they are all getting rid of their dirty-linen bundles at the tops of their voices.

Altercations, I am afraid, were not infrequent in the epoch when the actors in this drama were of the male sex. (Even now, when the scene is mainly feminine, I believe differences of opinion continue to arise, but doubtless the language in which they are conducted is seemlier if no less deadly.) The store-orderly had a marvellous eye for the difference between two kinds of shirts which are worn by our patients. One kind has a pleat in the back, the other kind hasn't; and I confess I occasionally transposed them, on the form. It was fatal to do so. There was a separate line for each brand of shirt and there must be a separate entry. The store-orderly's trained powers of observation could see that pleat, or the absence of it, even as the shirt slid across his line of vision in a torrent of other shirts. His hand shot out and grabbed it back from joining the heap on the floor within the counter. His pencil poised itself from the ticking-off of the items on the form. "Wrong again!" he would cry, sometimes in anguish and sometimes in anger. And there was nothing for it but to apologise. To keep on good terms with the various orderlies in the various stores was the secret of making one's life worth living--a secret even profounder than that of keeping on good terms with Sister: to be sure it was (though she seldom realised it) the very foundation of the art of keeping on good terms with her. You could not even begin to please Sister unless, at the end of those incessant journeyings of yours which she did not see, you had dealings with store-orderlies who were obliging and who would give you the things which the taskmistress had sent you to fetch (or would drop a kindly hint as to where and by what means you could acquire them). The Dirty Linen Store orderly who declined to accept your plea for forgiveness when you had been obtuse enough to see a fomentation-wringer in a teacloth, could devastate the harmony of a whole forenoon. A sweet reasonableness was undoubtedly the note to strike when such a contretemps occurred.

Having got quit of the last item in your bundle, you returned to the ward to attend to other (and generally less entertaining) duties until such time as it was proper to repair to the Clean Linen Store. The staff of the Clean Linen Store, a huge department whose system of book-keeping is enough to make the brain reel (for here sheets, etc., are dealt with not in dozens but in thousands), had in the interim received your chit from their colleagues of the Dirty Linen Store. These latter, rashly or otherwise, had guaranteed its accuracy by initialing it. Accordingly, in the Clean Linen Store, a fresh bundle was ready for your acceptance, its contents consisting of duplicates of the objects now on their way to the laundry.