The Backwash of War The Human Wreckage of the Battlefield as Witnessed by an American Hospital Nurse

Part 2

Chapter 24,021 wordsPublic domain

He laid upon his back a little while, quiet. He was very delirious, and the end could not be far off. His black eyebrows were contracted into a frown, the eyelids closed and quivering. The grey nostrils were pinched and dilated, the grey lips snarling above yellow, crusted teeth. The restless lips twitched constantly, mumbling fresh treason, inaudibly. Upon the floor on one side lay a pile of coverlets, tossed angrily from the bed, while on each side the bed dangled white, muscular, hairy legs, the toes touching the floor. All the while he fumbled to unloose the abdominal dressings, picking at the safety-pins with weak, dirty fingers. The patients on each side turned their backs to him, to escape the smell, the smell of death.

A woman nurse came down the ward. She was the only one, and she tried to cover him with the fallen bedding. Marius attempted to clutch her hand, to encircle her with his weak, delirious, amorous arms. She dodged swiftly, and directed an orderly to cover him with the fallen blankets.

Marius laughed in glee, a fiendish, feeble, shrieking laugh. "Have nothing to do with a woman who is diseased!" he shouted. "Never! Never! Never!"

So they gave him more morphia, that he might be quiet and less indecent, and not disturb the other patients. And all that night he died, and all the next day he died, and all the night following he died, for he was a very strong man and his vitality was wonderful. And as he died, he continued to pour out to them his experience of life, his summing up of life, as he had lived it and known it. And the sight of the woman nurse evoked one train of thought, and the sight of the men nurses evoked another, and the sight of the man who had the _Croix de Guerre_ evoked another, and the sight of the _joyeux_ evoked another. And he told the ward all about it, incessantly. He was very delirious.

His was a filthy death. He died after three days' cursing and raving. Before he died, that end of the ward smelled foully, and his foul words, shouted at the top of his delirious voice, echoed foully. Everyone was glad when it was over.

The end came suddenly. After very much raving it came, after terrible abuse, terrible truths. One morning, very early, the night nurse looked out of the window and saw a little procession making its way out of the gates of the hospital enclosure, going towards the cemetery of the village beyond. First came the priest, carrying a wooden cross that the carpenter had just made. He was chanting something in a minor key, while the sentry at the gates stood at salute. The cortege passed through, numbering a dozen soldiers, four of whom carried the bier on their shoulders. The bier was covered with the glorious tricolour of France. She glanced instinctively back towards Marius. It would be just like that when he died. Then her eyes fell upon a Paris newspaper, lying on her table. There was a column headed, "_Nos Heros! Morts aux Champs d'Honneur! La Patrie Reconnaissante._" It would be just like that.

Then Marius gave a last, sudden scream.

"_Vive la France!_" he shouted. "_Vive les sales embusques! Hoch le Kaiser!_"

The ward awoke, scandalized.

"_Vive la Patrie Reconnaissante!_" he yelled. "_Hoch le Kaiser!_"

Then he died.

PARIS, 19 December, 1915.

THE HOLE IN THE HEDGE

The field hospital stood in a field outside the village, surrounded by a thick, high hedge of prickly material. Within, the enclosure was filled by a dozen little wooden huts, painted green, connected with each other by plank walks. What went on outside the hedge, nobody within knew. War, presumably. War ten kilometres away, to judge by the map, and by the noise of the guns, which on some days roared very loudly, and made the wooden huts shake and tremble, although one got used to that, after a fashion. The hospital was very close to the war, so close that no one knew anything about the war, therefore it was very dull inside the enclosure, with no news and no newspapers, and just quarrels and monotonous work. As for the hedge, at such points as the prickly thorn gave out or gave way, stout stakes and stout boarding took its place, thus making it a veritable prison wall to those confined within. There was but one recognized entrance, the big double gates with a sentry box beside them, at which box or within it, according to the weather, stood a sentry, night and day. By day, a drooping French flag over the gates showed the ambulances where to enter. By night, a lantern served the same purpose. The night sentry was often asleep, the day sentry was often absent, and each wrote down in a book, when they thought it important, the names of those who came and went into the hospital grounds. The field ambulances came and went, the hospital motors came and went, now and then the General's car came and went, and the people attached to the hospital also came and went, openly, through the gates. But the comings and goings through the hedge were different.

Now and then holes were discovered in the hedge. Holes underneath the prickly thorn, not more than a foot high, but sufficient to allow a crawling body to wriggle through on its stomach. These holes persisted for a day or two or three, and then were suddenly staked up, with strong stakes and barbed wire. After which, a few days later, perhaps, other holes like them would be discovered in the hedge a little further along. After each hole was discovered, curious happenings would take place amongst the hospital staff.

Certain men, orderlies or stretcher bearers, would be imprisoned. For example, the nurse of _Salle I._, the ward of the _grands blesses_, would come on duty some morning and discover that one of her orderlies was missing. Fouquet, who swept the ward, who carried basins, who gave the men their breakfasts, was absent. There was a beastly hitch in the ward work, in consequence. The floor was filthy, covered with cakes of mud tramped in by the stretcher bearers during the night. The men screamed for attention they did not receive. The wrong patients got the wrong food at meal times. And then the nurse would look out of one of the little square windows of the ward, and see Fouquet marching up and down the plank walks between the _baracques_, carrying his eighty pounds of marching kit, and smiling happily and defiantly. He was "in prison." The night before he had crawled through a hole in the hedge, got blind drunk in a neighbouring _estaminet_, and had swaggered boldly through the gates in the morning, to be "imprisoned." He wanted to be. He just could not stand it any longer. He was sick of it all. Sick of being _infirmier_, of sweeping the floor, of carrying vessels, of cutting up tough meat for sullen, one-armed men, with the _Croix de Guerre_ pinned to their coffee-streaked night shirts. Bah! The _Croix de Guerre_ pinned to a night shirt, egg-stained, smelling of sweat!

Long, long ago, before any one thought of war--oh, long ago, that is, about six years--Fouquet had known a deputy. Also his father had known the deputy. And so, when it came time for his military service, he had done it as _infirmier_. As nurse, not soldier. He had done stretcher drill, with empty stretchers. He had swept wards, empty of patients. He had done his two years military service, practising on empty beds, on empty stretchers. He had had a snap, because of the deputy. Then came the war, and still he had a snap, although now the beds and the wards were all full. Still, there was no danger, no front line trenches, for he was mobilized as _infirmier_, as nurse in a military hospital. He stood six feet tall, which is big for a Frenchman, and he was big in proportion, and he was twenty-five years old, and ruddy and strong. Yet he was obliged to wait upon a little screaming man, five feet two, whose nose had been shot away, exchanged for the _Medaille Militaire_ upon his breast, who screamed out to him: "Bring me the basin, _embusque_!" And he had brought it. If he had not brought it, the little screaming man with no nose and the flat bandage across his face would have reported him to the _Medecin Chef_, and in time he might have been transferred to the front line trenches. Anything is better than the front line trenches. Fouquet knew this, because the wounded men were so bitter at his not being there. The old men were very bitter. At the end of the summer, they changed the troops in this sector, and the young Zouaves were replaced by old men of forty and forty-five. They looked very much older than this when they were wounded and brought into the hospital, for their hair and beards were often quite white, and besides their wounds, they were often sick from exposure to the cold, winter rains of Flanders. One of these old men, who were nearly always querulous, had a son also serving in the trenches. He was very rude to Fouquet, this old man. Old and young, they called him _embusque_. Which meant that they were jealous of him, that they very much envied him for escaping the trenches, and considered it very unjust that they knew no one with influence who could have protected them in the same way. But Fouquet was very sick of it all. Day in and day out, for eighteen months, or since the beginning of the war, he had waited upon the wounded. He had done as the commonest soldier had ordered him, clodding up and down the ward in his heavy wooden _sabots_, knocking them against the beds, eliciting curses for his intentional clumsiness. There were also many priests in that hospital, likewise serving as _infirmiers_. They too, fetched and carried, but they did not seem to resent it. Only Fouquet and some others resented it. Fouquet resented the war, and the first line trenches, and the field hospital, and the wounded men, and everything connected with the war. He was utterly bored with the war. The hole in the hedge and the _estaminet_ beyond was all that saved him.

There was a priest with a yellow beard, who also used the hole in the hedge. He used it almost every night, when it was open. He slipped out, got his drink, and then slipped down to the village to spend the night with a girl. Only he was crafty, and slipped back again through the hole before daylight, and was always on duty again in the morning. True, he was very cross and irritable, and the patients did without things rather than ask him for them, and sometimes they suffered a great deal, doing without things, on these mornings when he was so cross.

But with Fouquet, it was different. He walked in boldly through the gates in the morning, and said that he had been out all night without leave, and that he was bored to the point of death. So the _Medecin Chef_ punished him. He imprisoned him, and as there was no prison, he served his six days' sentence in the open air. He donned his eighty pounds of marching kit, and tramped up and down the plank walks, and round behind the _baracques_, in the mud, in full sight of all, so that all might witness his humiliation. He did not go on duty again in the ward, and in consequence, the ward suffered through lack of his grudging, uncouth administration.

Sometimes he met the _Directrice_ as he trudged up and down. He was always afraid to meet her, because once she had gone to the _Medecin Chef_ and had him pardoned. Her gentle heart had been touched at the sight of his public disgrace, so she had had his sentence remitted, and he had been obliged to go back to the ward, to the work he loathed, to the patients he despised, after only two hours' freedom in a rare October sun. Since then, he had carefully avoided the _Directrice_ when he saw her blue cloak in the distance, coming down the _trottoir_. Women were a nuisance at the Front.

He frequently encountered the man who picked up papers, and frankly envied him, for this man had a very easy post. He was mobilized as a member of the _formation_ of Hospital Number ----, and his work consisted in picking up scraps of paper scattered about the grounds within the enclosure. He had a long stick with a nail in the end, and a small basket because there wasn't much to pick up. With the nail, he picked up what scraps there were, and did not even have to stoop over to do it. He walked about in the clean, fresh air, and when it rained, he cuddled up against the stove in the pharmacy. The present paper-gatherer was a chemist; his predecessor had been a priest. It was a very nice position for an able-bodied man with some education, and Fouquet greatly desired it himself, only he feared he was not sufficiently well educated, since in civil life he was only a farm hand. So in his march up and down the _trottoir_ he cast envious glances at the man who picked up papers.

So, bearing his full-weight marching kit, he walked up and down, between the _baracques_, dogged and defiant. The other orderlies and stretcher bearers laughed at him, and said: "There goes Fouquet, punished!" And the patients, who missed him, asked: "Where is Fouquet? Punished?" And the nurse of that ward, who also missed Fouquet, said: "Poor Fouquet! Punished!" But Fouquet, swaggering up and down in full sight of all, was pleased because he had had a good drink the night before, and did not have to wait upon the patients the day after, and to him, the only sane thing about the war was the discipline of the Army.

ALONE

Rochard died to-day. He had gas gangrene. His thigh, from knee to buttock, was torn out by a piece of German shell. It was an interesting case, because the infection had developed so quickly. He had been placed under treatment immediately too, reaching the hospital from the trenches about six hours after he had been wounded. To have a thigh torn off, and to reach first-class surgical care within six hours, is practically immediately. Still, gas gangrene had developed, which showed that the Germans were using very poisonous shells. At that field hospital there had been established a surgical school, to which young men, just graduated from medical schools, or old men, graduated long ago from medical schools, were sent to learn how to take care of the wounded. After they had received a two months' experience in this sort of war surgery, they were to be placed in other hospitals, where they could do the work themselves. So all those young men who did not know much, and all those old men who had never known much, and had forgotten most of that, were up here at this field hospital, learning. This had to be done, because there were not enough good doctors to go round, so in order to care for the wounded at all, it was necessary to furbish up the immature and the senile. However, the _Medecin Chef_ in charge of the hospital and in charge of the surgical school, was a brilliant surgeon and a good administrator, so he taught the students a good deal. Therefore, when Rochard came into the operating room, all the young students and the old students crowded round to see the case. It was all torn away, the flesh from that right thigh, from knee to buttock, down to the bone, and the stench was awful. The various students came forward and timidly pressed the upper part of the thigh, the remaining part, all that remained of it, with their fingers, and little crackling noises came forth, like bubbles. Gas gangrene. Very easy to diagnose. Also the bacteriologist from another hospital in the region happened to be present, and he made a culture of the material discharged from that wound, and afterwards told the _Medecin Chef_ that it was positively and absolutely gas gangrene. But the _Medecin Chef_ had already taught the students that gas gangrene may be recognized by the crackling and the smell, and the fact that the patient, as a rule, dies pretty soon.

They could not operate on Rochard and amputate his leg, as they wanted to do. The infection was so high, into the hip, it could not be done. Moreover, Rochard had a fractured skull as well. Another piece of shell had pierced his ear, and broken into his brain, and lodged there. Either wound would have been fatal, but it was the gas gangrene in his torn-out thigh that would kill him first. The wound stank. It was foul. The _Medecin Chef_ took a curette, a little scoop, and scooped away the dead flesh, the dead muscles, the dead nerves, the dead blood-vessels. And so many blood-vessels being dead, being scooped away by that sharp curette, how could the blood circulate in the top half of that flaccid thigh? It couldn't. Afterwards, into the deep, yawning wound, they put many compresses of gauze, soaked in carbolic acid, which acid burned deep into the germs of the gas gangrene, and killed them, and killed much good tissue besides. Then they covered the burning, smoking gauze with absorbent cotton, then with clean, neat bandages, after which they called the stretcher bearers, and Rochard was carried from the operating table back to the ward.

The night nurse reported next morning that he had passed a night of agony.

"_Cela pique! Cela brule!_" he cried all night, and turned from side to side to find relief. Sometimes he lay on his good side; sometimes he lay on his bad side, and the night nurse turned him from side to side, according to his fancy, because she knew that on neither one side nor the other would he find relief, except such mental relief as he got by turning. She sent one of the orderlies, Fouquet, for the _Medecin Chef_, and the _Medecin Chef_ came to the ward, and looked at Rochard, and ordered the night nurse to give him morphia, and again morphia, as often as she thought best. For only death could bring relief from such pain as that, and only morphia, a little in advance of death, could bring partial relief.

So the night nurse took care of Rochard all that night, and turned him and turned him, from one side to the other, and gave him morphia, as the _Medecin Chef_ had ordered. She listened to his cries all night, for the morphia brought him no relief. Morphia gives a little relief, at times, from the pain of life, but it is only death that brings absolute relief.

When the day nurse came on duty next morning, there was Rochard in agony. "_Cela pique! Cela brule!_" he cried. And again and again, all the time, "_Cela pique! Cela brule!_", meaning the pain in his leg. And because of the piece of shell, which had penetrated his ear and lodged in his brain somewhere, his wits were wandering. No one can be fully conscious with an inch of German shell in his skull. And there was a full inch of German shell in Rochard's skull, in his brain somewhere, for the radiographist said so. He was a wonderful radiographist and anatomist, and he worked accurately with a beautiful, expensive machine, given him, or given the field hospital, by Madame Curie.

So all night Rochard screamed in agony, and turned and twisted, first on the hip that was there, and then on the hip that was gone, and on neither side, even with many ampoules of morphia, could he find relief. Which shows that morphia, good as it is, is not as good as death. So when the day nurse came on in the morning, there was Rochard strong after a night of agony, strong after many _picqures_ of strychnia, which kept his heart beating and his lungs breathing, strong after many _picqures_ of morphia which did not relieve his pain. Thus the science of healing stood baffled before the science of destroying.

Rochard died slowly. He stopped struggling. He gave up trying to find relief by lying upon the hip that was there, or the hip that was gone. He ceased to cry. His brain, in which was lodged a piece of German shell, seemed to reason, to become reasonable, with break of day. The evening before, after his return from the operating room, he had been decorated with the _Medaille Militaire_, conferred upon him, _in extremis_, by the General of the region. Upon one side of the medal, which was pinned to the wall at the head of the bed, were the words: _Valeur et Discipline_. Discipline had triumphed. He was very good and quiet now, very obedient and disciplined, and no longer disturbed the ward with his moanings.

Little Rochard! Little man, gardener by trade, aged thirty-nine, widower, with one child! The piece of shell in his skull had made one eye blind. There had been a haemorrhage into the eyeball, which was all red and sunken, and the eyelid would not close over it, so the red eye stared and stared into space. And the other eye drooped and drooped, and the white showed, and the eyelid drooped till nothing but the white showed, and that showed that he was dying. But the blind, red eye stared beyond. It stared fixedly, unwinkingly, into space. So always the nurse watched the dull, white eye, which showed the approach of death.

No one in the ward was fond of Rochard. He had been there only a few hours. He meant nothing to any one there. He was a dying man, in a field hospital, that was all. Little stranger Rochard, with one blind, red eye that stared into Hell, the Hell he had come from. And one white, dying eye, that showed his hold on life, his brief, short hold. The nurse cared for him very gently, very conscientiously, very skilfully. The surgeon came many times to look at him, but he had done for him all that could be done, so each time he turned away with a shrug. Fouquet, the young orderly, stood at the foot of the bed, his feet far apart, his hands on his hips, and regarded Rochard, and said: "_Ah! La la! La la!_" And Simon, the other orderly, also stood at the foot of the bed, from time to time, and regarded Rochard, and said: "_Ah! C'est triste! C'est bien triste!_"

So Rochard died, a stranger among strangers. And there were many people there to wait upon him, but there was no one there to love him. There was no one there to see beyond the horror of the red, blind eye, of the dull, white eye, of the vile, gangrene smell. And it seemed as if the red, staring eye was looking for something the hospital could not give. And it seemed as if the white, glazed eye was indifferent to everything the hospital could give. And all about him was the vile gangrene smell, which made an aura about him, and shut him into himself, very completely. And there was nobody to love him, to forget about that smell.

He sank into a stupor about ten o'clock in the morning, and was unconscious from then till the time the nurse went to lunch. She went to lunch reluctantly, but it is necessary to eat. She instructed Fouquet, the orderly, to watch Rochard carefully, and to call her if there was any change.

After a short time she came back from lunch, and hurried to see Rochard, hurried behind the flamboyant, red, cheerful screens that shut him off from the rest of the ward. Rochard was dead.

At the other end of the ward sat the two orderlies, drinking wine.

PARIS, April 15, 1915.

A BELGIAN CIVILIAN