Chapter XXV: All Is Lost!-The Prospect Brightens (4)
Ah! knew I how to read and write as I know how to rhyme,
A song all new I would indite, and in the shortest time!
Behold my little friend, who comes! towards our house comes she,
And, if the chance befals, she'll may-be speak awhile with me.
"Sweet little friend, but you are changed since last I saw your face;
'Twas in the month of June, when you the _pardon_ went to grace."
"And if, young man, so changed I am, what wonder can there be?
When, since the _pardon_ of the Folgoät, death has stood by me;
For 'twas a raging fever that has made the change you see."
"Sweet friend, come with me to the garden; there a little rose
First opened out its dewy bud when Thursday morning rose.
Upon her stalk, so fair and gay, her new-born beauty shone;
The morrow came--her beauty and her freshness all were gone.
"Sweet friend, the door of your young heart I bade you well to close,
That naught might enter to disturb that garden's still repose;
But, ah! you did not listen, and you left ajar the door,
And now the flower is withered up that showed so fair before.
"For fairer things than love and youth this world has not to give,
But in this world nor love nor youth have oft-times long to live;
Our love was like a summer cloud that melts into the sky,
And passing as a breath of wind that dies with scarce a sigh."
FOOTNOTES:
[43] In some versions, "To _Razar Brig_ thou comest at laste."
[44] "Multitude of peasants, ... exhibiting wool, fleeces, forms of wax, etc."
A VISIT TO THE GRANDE CHARTREUSE.
It was a glorious September morning; the freshness of the night was still perceptible, although the rays of the sun were filling the air with a genial warmth, when, issuing from the fortified gates of the beautifully situated town of Grenoble, I turned my steps towards the celebrated monastery of the Grande Chartreuse.
I made an early start, as the road before me was long, consisting of an uninterrupted series of steep ascents, with the exception of the first few miles that lay along the banks of the Isère. This level and comparatively uninteresting country is soon passed, and the traveller, quitting the high-road at the village of Voreppe, strikes into the mountains. On reaching the brow of the hill that rises above that village, a most beautiful panorama presents itself to the view. The fertile and far-famed valley of Grêsivaudan spreads far away to the left and right, shut in on either side by rocky mountains, capped by dark pine forests. The snowy crests of the Alps are conspicuous, while, through the centre of the valley, the Isère, in its sinuous course, gleams in the sun like a silver thread, contrasting with the dark, luxuriant green of the hemp and the gay autumnal tints of the vine.
Commanding a like enchanting view, and nestled in the hills a few miles from Voreppe, is the Convent of Chalais. Founded as a Benedictine abbey in the XIth century, it became later on a dependence of the Grande Chartreuse. At the Revolution, it was sold as national property, but it was destined once again to revert to its pious use; for in 1844 it was bought by the Père Lacordaire for the sons of S. Dominic, whose order he had just restored in France. Often in after-years did he seek there, in the presence of nature's loveliest aspects, some slight repose for his overworked body and ardently active mind.
The road from Voreppe to St. Laurent du Pont appeared to me exceedingly dreary and monotonous, more so, perhaps, than it really was, from the contrast its bare and rugged hills presented to the luxuriant and richly varied scene on which I had just been gazing. So pleasant, however, were the anticipations that filled my mind that the distance was accomplished in a very short time; and a few minutes sufficed for refreshment at St. Laurent.
The village is poor; its church, which is a new building, was built, like most of those in the neighborhood, by the charity of the monks of the Chartreuse; indeed, the village itself has been several times rebuilt by their generosity, having frequently, owing to the quantity of wood used in the construction of its houses, been burnt almost to the ground.
The most beautiful part of the whole journey is now at hand. Within a mile of St. Laurent is the entrance to the famous gorge that bears the name of Desert of S. Bruno. My expectations were raised to the highest pitch; for I had always heard that the scenery of this gorge would alone repay the traveller his journey thither, even if the monastery and its surroundings were entirely devoid of interest. I was not, however, free from misgivings; for how often does that which in itself is really beautiful disappoint us when compared to the bright visions that had charmed our imagination! Such at least was the lesson experience had taught _me_; but to-day I was to learn something new, for the reality far surpassed my most sanguine expectations. Never shall I forget the majestic grandeur of the scenery that continued to unfold itself to my view at every turn of the road until I reached the monastery. The most striking scene of the whole journey, and the one to which the memory loves best to revert, is without doubt the entrance to the Desert de S. Bruno; here both nature and man seem to have combined to render the features of the landscape picturesque and sublime. The mind is totally unprepared for what is coming. During the first mile after leaving the village, the road has been pleasantly winding along the banks of the Guiers Mort, among wooded hills, and through rich mountain pastures--nature in its softer rather than in its grander aspects--and it is at a sudden turn of the road, at a point where the valley seems shut in on all sides, that the entrance to the gorge bursts upon the sight, seemingly as if the rocks had been rent in two to form a passage just sufficient to admit the foaming torrent, while the road is carried along the face of the mountain, now rising perpendicularly from the water's edge to an immense height. A ruined archway, on which is still visible the arms of the Carthusian order, here marks the limits of the former domain of the monastery, and, with the bold, single-arched bridge which carries the road across the stream, and the rustic iron forge that crouches under the opposite rocks, adds a picturesque beauty to the grandeur of the spot.
Until you reach the convent--that is to say, for about eight miles--the beauty of the scenery never for a moment diminishes; the road, which shows great engineering skill, follows the course of the torrent, which it crosses several times. At each turn the view varies; sometimes distant glimpses of the snowy peaks of the Alps are obtained; at other times you are so completely shut in by the mountains that nothing is visible save the magnificent forests that cover their sides. The size of some of the pines in these forests is very remarkable; one could almost imagine that they dated back as far as S. Bruno. I could not refrain from thinking, as I gazed on them, what scenes they must have witnessed, and what strange tales they could unfold were they able to speak; of how many could they tell who passed along that road after bidding the world an eternal farewell--men who had seen life in all its gayest moods, and, having tasted its unsatisfying honors and delights, sought peace and happiness in repentance and self-denial; youths who wore still unsullied their baptismal robes, and fled hither to preserve that innocence that fears even the contact of a sinful world. They could tell how the great S. Hugh had returned sorrowfully along that road from the calm home of his dear Chartreuse, to accept, for God's greater glory, the far distant see of Lincoln, and the dreary task of struggling against an unprincipled king and a corrupt court; they could tell of many others who, like him, had humbly trod that path, thinking to hide themselves from dignities and honors, but had been recalled by the all-penetrating wisdom of the church to wear the mitre or the purple.
About midway between St. Laurent and the monastery there rises by the side of the road a most singular pinnacle-shaped rock, ascending perpendicularly to a considerable height, and called the Pic de L'Œillette. In connection with this rock an amusing story is told of an Englishman, who, having heard that no one had ever reached its summit, determined to secure that honor for his country. Accordingly, he commenced the task with a thorough good-will, and, after much labor, succeeded in accomplishing it to his satisfaction. As soon as his enthusiasm, which showed itself in the form of three genuine British cheers, had in some measure subsided, he began to think of descending; to his dismay, he discovered that to descend would be more than difficult--indeed, to all appearance, impossible; and it was not until he had passed several hours in his very uncomfortable position, meditating, let us hope, on the vanity of human greatness, that he was able to let himself down in most inglorious fashion by the aid of ropes brought to him by some peasants.
Owing to the height of the surrounding mountains and narrowness of the gorge, no distant views of the monastery are obtained; and the traveller comes very suddenly on the imposing pile, which, from its extent, resembles a small village. Without being remarkable in architecture, it is decidedly picturesque; the high pitch of the roofs, rendered necessary by the heavy falls of snow which occur during seven months of the year, and its six belfries rising to various heights, give it a striking and quaint appearance.
Before entering its solemn portals, a few words on the origin and history of the monastery may not be out of place. S. Bruno, after quitting the world, selected this spot, at the invitation of S. Hugh, the holy Bishop of Grenoble, as a suitable place where, in imitation of the fathers of the desert, he, with six disciples, might lead a life of solitude and prayer. At first each recluse built himself a separate cell; but in time, as their number increased, the rude huts grew into a large and regular monastery. The site of this early settlement, now marked by the Chapel of S. Bruno and Notre Dame de Cassalibus, was higher than that of the present structure, which was chosen some thirty years after the death of the holy founder, when the original buildings were destroyed by an avalanche. During its long existence, many have been the vicissitudes the convent has experienced; frequently burnt almost to the ground, pillaged by ruthless nobles or fanatical heretics, it has always risen again from its ruins; and in riches or in poverty, in prosperity or in adversity, its inhabitants have given the same noble example of austere virtue, unbounded charity, and generous hospitality.
The Revolution of 1789 found the Carthusian order at the height of its prosperity; in France alone it counted no less than seventy houses, with immense possessions in lands and revenues. These, of course, were seized by revolutionary greed, and the poor monks driven forth into the world, even from the uninviting solitudes of S. Bruno's desert. With 1815 came the restoration of religion in France, and the return of the scattered members of the religious orders. The Grande Chartreuse once more afforded shelter to the children of S. Bruno, but bereft of all its lands and forests, which had been either expropriated by the state or sold as national property. In July, 1816, possession was taken in the name of the order by Dom Moissonnier, superior-general. A happy day it was for the inhabitants of the surrounding country, who had not forgotten the kind and generous friends of whom they had been deprived for twenty-four years; and the welcome they gave the returning fathers proves that then, as to-day, the cry against religious orders proceeded, not from the people, but from that class, more noisy than numerous, whose sole aim is the destruction of Christianity and the gratification of their own evil passions.
The part of the building reserved for the reception of strangers forms one side of the spacious courtyard, into which you enter through the principal gateway; it contains four large dining-halls and a great number of bed-rooms, often, however, insufficient for the visitors who in the summer crowd to view this lovely spot, and to see something of that wondrous, and in our days unfamiliar, institution--monastic life.
During one's stay at the monastery, which, unless by special permission, is limited to three days, one must be content with Carthusian fare--a curious mixture of vegetable soups, omelettes, carp--of which there seems to be a never-failing supply--and wild fruits from the mountains. Meat is never allowed within the precincts of the convent; not even in case of serious illness is the rule relaxed for the monks.
The long walk and the invigorating purity of the mountain air had sharpened my appetite, and I did ample justice to the viands placed before me, meagre in quality certainly, but not in quantity, finishing with a glass of the famous _liqueur_. I contented myself with a short stroll after dinner, as at so high an altitude the air is cool after sunset; indeed, few are the evenings here, even at midsummer, that people are not glad to assemble for a short time around the glowing logs before retiring to rest.
At midnight, the great bell tolls forth for matins, at which the visitor is permitted to assist in a small gallery looking into the church. A solitary lamp lights but dimly the large and naturally sombre interior. It is an impressive sight to behold in that solemn gloom the white-robed monks entering one by one, and, after prostrating themselves before the altar, noiselessly take their places in the choir. The office lasts until two in the morning. The chant is low and monotonous, unaccompanied by any musical instrument.
Every morning at ten, a father whose special duty it is to entertain visitors shows you over the monastery, explaining everything with the most genial courtesy, answering with perfect affability the oftentimes foolish and ignorant questions that are addressed to him. The visit lasts about an hour and a half.
The chapel is spacious and lofty but exceedingly plain, and contains nothing to interest the antiquarian. The largest room in the building is the chapter-hall, which is finely proportioned, and is decorated with portraits of the first fifty generals of the order, and copies of the celebrated paintings by Lesueur representing the life of S. Bruno.
By far the most interesting part of the whole convent is the cloister, in shape a very long parallelogram, the two side galleries being 721 feet in length; into them open the cells of the monks. In the centre of the cloister is their burial-ground; and thus their abode in life is separated by but a few steps from their final resting-place. The graves of the generals of the order are alone marked by stone crosses; all others lie beneath the greensward unmarked, unnamed. The cells are now but rarely shown. They are all alike, consisting of two rooms one above the other; each has a small garden. Food is passed to the inmates through a wicket opening into the corridor of the cloister; for it is only on Sundays and certain feast-days that the monks dine in common in the refectory; even then the strictest silence is observed.
The library is not extensive; the most valuable books and manuscripts were given, at the Revolution, to different public libraries. The _liqueur_ for which the Grande Chartreuse is so renowned, and which now forms the principal source of income for the convent, is manufactured in a house quite apart from the main buildings. The process is, of course, not shown to visitors, for the recipe used--aromatic herbs of various kinds--is kept a secret; and hitherto all attempts to imitate this _liqueur_ have been failures. The manufacture occupies a large staff of lay brothers. The fathers take no part in it; their lives are purely contemplative. It takes fully two days to explore the environs, and more time may profitably be spent in doing so should the tourist happen to be either an artist or a botanist. The former will find numberless points of view worthy to adorn his album, while the latter will revel in the luxuriance of the wondrous flora which clothes the neighboring hills. The lover of mountain-climbing will find a pleasant and easy day's work in the ascent of the Grand Som, and on a fine day will be amply repaid by the extensive prospect the summit commands. The less enterprising will probably be satisfied with the many pleasant walks through the woods and sloping pastures that surround the monastery, of which varied and striking views may be obtained at every turn.
It was not without a feeling of sincere regret that, on the last evening of my stay, I ascended one of those slopes to take a farewell view of the venerable pile. The last rays of the setting sun lit up the high-pitched roofs and cross-topped belfries; a solemn silence reigned in cloister and courtyard, in chapel and cell. It was a scene on which one could gaze with unmixed pleasure, awakening as it did in the mind feelings so calm and peaceful--a scene so full of all that spoke of future hopes, so empty of all that recalled the fleeting joys of the present!
But the sun had sunk behind the horizon, and the shades of evening, fast closing around, warned me that it was time to cease my musings, and seek, for the last time, the shelter of the hospitable convent-roof.
Early next morning, I was back again to the noisy world, with its crowded streets, bustling hotels, and busy railways; but I shall ever bear in my memory the pleasant recollections of that wonderful combination of the austere charms of monastic life with the most varied beauties of nature, which I have endeavored to describe in these few pages on La Grande Chartreuse.
TO NATURE.
Nature, to me thy face has ever been
Familiar as a mother's; yet it grows
But younger with the wearing years, and shows
Fresher--unlike all others I have seen.
The "beings of the mind," though "not of clay"--
"Essentially immortal,"[45] and "a joy
For ever"[46]--even these may pall and cloy,
For all that poets gloriously say.
Yea, and thy own charms, Nature, when portrayed
By hand of man, become the spoil of time.
The seasons mar, not change, them: in sublime
Repose they reign--but evermore to fade.
Whence comes, then, thy perennial youth renewed?
Thy freshness as of everlasting morn?
God's breath is on thee. Of it thou wast born,
And with its fragrance is thy life bedewed.
Nor can I need aught sterner than thy face
To wean me from the things that pass away.
_Not_ by autumnal lesson of decay,
Or vernal hymn of renovating grace,
But by this fragrance of the Infinite;
For here my soul catches her native air,
And tastes the ever fresh, the ever fair,
That wait her in the Gardens of Delight.
LAKE GEORGE, August, 1873.
FOOTNOTES:
[45]
"The beings of the mind are not of clay:
Essentially immortal, they create
And multiply in us a brighter ray
And more belov'd existence."
--_Byron._
[46]
"A thing of beauty is a joy for ever."
--_Keats._
PARIS HOSPITALS
FROM THE FRENCH OF M. L'ABBE O. DELARC.
Hospitals convey two very different impressions. If gone over on the day specified for public admittance, everything will be found in perfect order, every article used, every place, will shine with cleanliness; the patients will be seen lying under white coverlets behind the folds of neatly drawn curtains, and the men in attendance will be attired in their best uniforms. Every repulsive object has been put out of sight. But should the visitor command sufficient influence to obtain admission when he is not expected, when no preparations have been made for the public, he will acquire a more correct idea of human infirmity. The atmosphere is thick and heavy, the flickering night-lamp scarcely sheds its pale light around. Here lies one whose groans disturb his fellow-sufferers; there shrieks the victim of fever, endeavoring in his delirium to tear away from the _infirmier_ who is holding him down; further on, half-closed curtains insufficiently conceal the mortal remains of such or such a "Number," who expired a few hours ago. Other details, too harrowing to retrace, shall be omitted, but their fearful reality may not be lost sight of in a faithful account of what scenes do occur in a hospital. A heavy coffin is from time to time viewed at the foot of one of the beds. It awaits the corpse of the sufferer, with whom his nearest survivor may have exchanged converse on the preceding day. These, in short, are some of the sights witnessed without the delusive cover of science or preparations for a public exhibition.
The aversion of the poor for benevolent institutions of this kind is hereby explained, although incessant efforts are being made in France to improve the condition of hospitals in a material point of view; and all the objections now made are to be attributed to mismanagement in the past rather than to shortcomings in the present. In spite of progress, nevertheless, the word "hospice" and the thing itself have retained a signification which is replete with mournful forebodings. On the other hand, repugnance for hospitals is perfectly legitimate when grounded on serious motives, and especially when inspired by a feeling of family love. That man would be worthless indeed who could abandon his relatives to public charity without experiencing some kind of sorrow at being unable to keep them, through a trying illness, in his own home. Examples of moral desertions are nevertheless too frequent in Paris. Physicians are well acquainted with those sham patients who prefer hospital bread to any other, because they have not to earn it. There are, however, certain adversities here below which defy all human foresight, which destroy old-established positions, and render the efforts of a whole laborious lifetime unprofitable. A large portion of some lives is spent in contending with unforeseen, unsuspected vicissitudes. Many may therefore die in a hospital who deserved better; but, as a general rule, this end is brought on by a long course of dissipation, and by oblivion of the most sacred duties. A hospital is not unfrequently the last _stage_ on which retribution is played out.
When families are averse to trust their sick to public charity for reasons given above, it is wise not to argue with natural pride, founded, after all, on a praiseworthy motive; yet all who are anxious to relieve the suffering members of Jesus Christ are none the less bound to improve the present condition of hospitals, as far as they have it in their power so to do.
The following pages are published for the purpose of showing how much there is to be done. Not all the good-will nor all the experiments tried by physicians, managers, and almoners for the alleviation of bitter suffering, will ever be superfluous. Objections ever will be made to hospital treatment that cannot be remedied; and, do what we may, the most active Christian charity will never replace the tender care of a mother, daughter, or sister.
After a careful examination of the question, the first lesson acquired is that home relief is the best solution to the problem of misery and illness in needy families; it encourages the lower classes, besides, to perform their domestic duties.
In one case out of ten, it is highly prejudicial to remove a patient from his surroundings; moreover, it loosens the family tie, and in Paris especially, where these bonds are so slight and so incessantly undermined by false theories, it is a more damaging course than elsewhere.
Statistics are very justly resorted to for the solution of many of our problems, but their conclusions cannot be blindly adopted in medical cases; physicians themselves often warn us against glancing them over without investigation. Figures do, however, undeniably prove that mortality in hospitals is much larger than in private dwellings. A considerable number of patients, to whom fresh air is a boon, cannot breathe a vitiated atmosphere with impunity. Crowding is particularly prejudicial to the wounded and in lying-in hospitals. "In 1861," says Dr. Brochin, in his _Encyclopædia of Medical Sciences_, "the proportion of patients cured by home relief was 49 to 100, while the proportion of deaths in private dwellings was 9 to 100. During this same period, deaths in the hospitals were 13 to 100. The average space of time required for the treatment of each patient in his own home is from 14 to 39 days; in the hospitals, from 25 to 83. The average cost of a patient per day is 1 fr. 19 c.; the entire treatment of each, 16 frs. 90 c.; whereas, in the hospitals, a patient costs 2 frs. 25 c. per day, and 61 frs. 45 c. for an entire cure. These figures plead in favor of home relief."
A great deal has been said in these latter times of those immense edifices pompously called "Model Hospitals." There is Lariboisière, for instance, and the new Hôtel Dieu. It would have been wiser had the government spent less in one instance, and been more lavish in another; for, while these magnificent buildings were being erected, palaces were also in course of construction all over the capital, and the laboring classes, thus driven from their workshops, were compelled to seek lodgings up in attics or in out-of-the-way localities. If some trouble had been taken to cleanse and widen the poor man's tenement, or had something been done towards putting him in the way of getting food at little cost, we should boast fewer façades, fewer sumptuous edifices, but the work would be more meritorious.
Physicians have energetically opposed the idea of accumulating so large a number of patients in the Hôtel Dieu as it was originally intended it should contain. Let us trust the observations of experienced men will be taken into consideration, and that the number of beds will be diminished before final arrangements are completed.
HOSPITAL BEDS.
Our beds are too close; and another thing which strikes a foreigner on visiting our hospitals is that the divisions which are supposed to seclude one patient from his neighbor, are perfectly useless for that purpose. In many cases, they are done away with altogether. The proximity of beds varies, however, according to the different asylums. Some of the buildings were not intended for hospitals, and their managers have had to turn rooms into wards in the best way they could, in spite of defective architecture. It is difficult to specify the exact distance kept between the beds; but an idea can be conveyed when I state that any patient, by stretching his arm out, without any great exertion could easily touch his neighbor's hand.
In many hospitals, the beds have been coupled by two and two, so that, if two patients are thus closer to each other on one side, the distance is larger from other patients on the opposite side.
There is, however, always space enough left for a night-table between every two beds. In most hospitals, beds are hung round with white calico curtains; but in some asylums they are omitted, and in these there is literally nothing to hide patients from view. Such a system of total exposure is perfectly inhuman. I should say it originates in a spirit of _medical socialism_; for it compels sufferers to exhibit their wounds to each other during the doctor's visit. Some men and all women cannot endure this ordeal without a struggle. Why not sympathize with that which can be alleviated, if not entirely cured? What would be our feelings if, when brought low by fever and diet, we had to lie near a man who is breathing his last, and to remain in full view of his corpse for long hours after he had expired? But, as before said, the larger number of hospital beds are hung round with curtains, maintained in opposition to our Paris doctors, who have repeatedly protested against them, insisting that all hangings draw unwholesome miasms, and are therefore receptacles of contagion. This objection is not unfounded; eminent practitioners experience great uneasiness on the subject, and the curtain difficulty has often been debated by managers of sanitary institutions.
Endeavors have been made to obviate the evil by a renewal of hangings every six months; in spite of the great expense, the difficulty exists. It is next to impossible to ventilate a ward encumbered to excess with beds and hangings; and, if the principals of hospitals do still advocate curtains, it is because they are actuated by motives of a _moral_ order. In M. Husson's _Study of Hospitals_ we find: "These calico divisions are a great comfort to female patients; it is a great relief to them to be able to conceal their diseases from the public gaze, and thus to isolate themselves from surrounding wretchedness. This feeling of modesty, or shyness in other cases, will long resist the most eloquent exhortations of our doctors on general salubrity."
Our present hospital regulations do not carry out the purpose for which curtains are intended. It is usual to draw them all back at eight A.M., and they are left open until the doctor's visit is over and the wards have been swept. This lasts till about mid-day. The consequence of this arrangement is that, during the most delicate operations, such as the dressing of wounds, the doctor's examination, and the change of a patient's linen, there is no sort of privacy around the sufferer, no more consideration shown for women and young girls than for others. In the day-time, another regulation prevails. Inspectors forbid concealment behind the curtains on account of the difficulty they would experience on surveying proceedings in the wards. For these reasons, the curtains are elegantly looped aside, and contribute more to the decoration of the beds than to use.
Every ward contains two rows of beds, placed along the lateral walls in such wise that the patient's head is near the wall, and his feet turn towards the centre of the ward. Why could not a low partition, covered over with stucco, be raised between each bed? This separation need not exceed 1 metre 50 centimetres in height, nor 1 metre 50 centimetres in width. It would part the beds, and not obstruct ventilation in the upper regions or down the central passage. If the ward were lighted by a sufficient number of windows to allow of one being opened in each of these "cells," the circulation of so much fresh air would greatly benefit the sick.
The front of each cell being open, surveyors would find their task rendered easy, neither would their inspection be hindered by a small iron rod being affixed to the outer side of each partition, on which two light curtains might be drawn in case of a death, or when it were absolutely necessary that a patient should enjoy privacy. The slight screens would not entail the same inconvenience as those which are in use at present, as they are mounted on a very complicated plan all around the beds. Whenever a decease occurs, the stucco coating of the low divisions should be washed with a sponge. It is well known that stucco is not a receptacle for contagion in the same degree as drapery.
Such is the kind of cabinet each patient should have to himself, and it should be wide enough for a chair and night-table to find place by his bedside. These and a crucifix are the indispensable articles every patient has a right to. This system would greatly simplify our hospital beds, now consisting of so many and such cumbersome pieces.
A little space might possibly be lost; a ward now containing twenty-five patients would only hold eighteen; but, on the other hand, what an improvement, and how much healthier an arrangement in a medical point of view!
Patients have certain communications to make to their friends on the days set aside for public admission which are not intended for the hearing of strangers; and, when the hour of death is nigh, it is but natural they should be allowed to hold converse with their relatives without any witnesses. Even this semi-retirement is denied them under the present system; whereas the plan proposed would secure the preservation of family secrets. It will, perhaps, be alleged that the patient would thus be isolated from his fellow-sufferers. By no means. As above remarked, the cells would be open down the central passage, and each patient could see his opposite neighbor. This, added to the going to and fro of _infirmiers_, doctors, sisters, and regular visitors, affords quite enough excitement for an invalid.
Neither is this an innovation. It was once tried at Munich, and, if but imperfectly carried out, no hygienic objection was made to it. We find this organization existed in one of the oldest hospitals in France, the Tonnerre Hôtel Dieu--a monument described by M. Viollet Leduc in his work, _Dictionnaire Raisonné de l'Architecture Française du XI. au XVI. Siècle_. The learned writer says this institution can bear comparison with the most boasted foundations of the present day. In the archives of the Tonnerre Hospital we find the following document. I quote because it forcibly reminds us of S. Vincent de Paul: "The poor are provided for in this institution, and the convalescent are kept a whole week after their cure, when they are sent away with a coat, a shirt, and a pair of boots. A chapel will be added having four altars. The brothers and sisters in charge are twenty in number; they are bound to provide food and drink for the wayfarer; to board pilgrims and strangers, clothe the poor, visit the sick, comfort the prisoner, and bury the dead. The brothers and sisters will not take their meals before the sick have been attended to...."
On closing this paragraph, a question arises whether people in the dark, middle ages were not more solicitous for the poor than in the XVIIIth century. A glance down a report written for Louis XV. on the Hôtel Dieu will corroborate this.
We shall doubtless hear it objected that partitions between hospital beds will inconvenience the doctors and medical students; that it will be difficult to approach patients; and young physicians will declare they cannot follow the _chef's_ instructions near enough. It will be said, further, that, when any operation is going on, the limited space allowed by a narrow cell must exclude the use of surgical instruments.
The following considerations clear the first of these objections; but, in a strict sense of the word, the only essential thing is that the physician should not be impeded in his movements round the sufferer. He, his assistants, and about seven or eight more are all the spectators necessary, and these form a sufficiently large audience. The central passage down all wards affords room for more. Even as the beds are now placed, it is not easy for a larger number to get nearer.
As to operations, they are carried on in a special hall, to which the patient is carried; patients never are operated on in the wards.
THE DOCTOR'S VISIT.
The great everyday occurrence in a hospital is the doctor's visit. It begins at about eight A.M., and lasts till eleven. The _chef_, a term designating the head-physician, examines each sufferer in turn, inquires into his or her state, and dictates prescriptions, which are taken down by an outdoor student. He is also attended by indoor students, other outdoor students, postulants, and auditors. The two latter must have gone through a course of two years' study before they are privileged to walk the hospitals. The postulant is not admitted before he has gone through a special examination, and then becomes an outdoor student. The highest degree under doctor is that of an indoor student; all are, therefore, familiar with medical science excepting the auditor, who, though he may have studied two years in the schools, is but a dilettante--a kind of amateur authorized by the _chef_ to follow him on his rounds with the students. Many even call themselves auditors who slip in unperceived with the crowd. When the head-doctor is followed by all these young men, his _cortége_ is very numerous. There are often as many as fifty in our principal hospitals, seldom less than thirty in the minor ones. Thus, without any amplification of a known fact, a patient has to see about forty strangers round his bed every day. He is operated on in public. Not a line of his features contracted by pain escapes the notice of indifferent spectators; not a motion of his muscles is unheeded. The professor meanwhile develops his medical theories on the living body, studying the "case" with care.
Let us for a moment imagine that your own daughter is lying at the hospital. She is twenty; you have brought her up with all the care and solicitude parents owe to their children; you have often said in her hearing that modesty is the loveliest adornment; that it replaces whatever else is wanting, and can be replaced by nothing. For twenty years, you have watched the growth of her budding virtues; her Christian advancement has been your daily care. Her state now requires she should see an eminent physician once every day. Look into your heart. What is the sensation you feel there at the idea of her being examined by forty or fifty medical students besides?
It is an indignant protest against their attendance.
* * * * *
It is the mission of a priest to be made the confidant of many sorrows; he has to suffer with the sufferer, to mourn with the mourner; and he can state that, of all trials which attend medical treatment in hospitals, there is not one more distasteful than the doctor's visit, especially to women. I appeal to any who have heard patients converse together; I appeal to any brother in the ministry. Is this not the great cause of repugnance for hospitals?
On the other hand, medical science has certain rights; doctors have to go through an apprenticeship, practitioners must follow a course of practice on living beings before they are qualified for operations; it is therefore indispensable that the head-doctor should be followed by disciples, and the height of absurdity to require he should go round the wards alone. It is necessary, likewise, that postulants and students should be present; for it frequently occurs that they are called on to dress wounds during the doctor's absence.
Their attendance is consequently unavoidable; but, this being the case, it is all the more desirable, in the name of female modesty, and in the name of common respect for a needy suffering female, that the presence of noisy _auditors_ should be done away with. They crowd the wards, and learn very little. It should be with medical science as with every other: students ought to have become familiar with the rudiments and theories of their profession before they practice; and a few years in the private schools should be gone through before beginners walk the hospitals. The crowd is perfectly intolerable at the hour of the doctor's visit in our best hospitals, especially at the _Cliniques_ and _Charité_. This might be remedied by each medical student being bound to keep to one asylum for an allotted space of time, let us say one year, after which he could be removed to another. One of the good effects instantly resulting from this would be that our central city hospitals, instead of being crowded to the neglect of others, would find the number of spectators greatly thinned for the benefit of minor hospitals now forsaken. The great thing in all questions relating to benevolent asylums is to examine whence the stand-point is taken for their consideration. Two principles present themselves: common sense and humanity say that physicians and surgeons are intended for hospitals, not hospitals for physicians and surgeons. Medical science--and here we allude to the materialistic and unsound branch of that science--replies: "By no means. Inconvenience must be tolerated, science and progress go foremost."
Let us manfully, though sadly, give up a share for scientific progress (which is not an imaginary thing); and, on looking into it, let us reflect on the bitterness of that irony which so often leaves us to utter the word _equality_, coupled with that other word, _fraternity_, which is just as little understood. Hospitals will not answer the end for which they were instituted until the smallest of those who flee hither to hide their misery and sufferings obtain the same respect, deference, and care lavished on the man who owns a yearly income.
Some time ago, a woman afflicted with an internal disease was carried to a hospital. The head-doctor examined her on the following morning, and immediately concluded that her case was too grave to be remedied.
He declared any attempt made to operate on her would prove fatal and hasten death; the only thing he could do was to prescribe lenients, in order to alleviate intense agony so long as life held out. The young students around him urgently insisted on the operation being performed; whereupon the physician, turning towards them, and finding expostulation unprofitable, said: "If this patient were my wife, gentlemen, I should not attempt what you suggest, I should leave her in peace; you must, therefore, not expect me to do otherwise by this woman...."
Such words as these should be engraved in letters of gold on the hearts of all practitioners.
THE POOR MAN'S DEATH.
A fact that has often been set forth by Christianity is that the secrets of man are revealed on his death-bed. Then it is that every syllable he utters, every motion of his spirit, are full of significance. The smallest sign is a ray of light by which a whole lifetime can be read; and, if the amount of faith in a man is thus disclosed, how easy it is to compute the amount of faith in a nation from what is supplied by observation in so many single cases!
_O mors! bonum est judicium tuum!_--O death! thy judgments are equitable!
No man is better qualified than the priest to look into this matter. A large portion of his time is spent by the dying, and my own personal experience has confirmed me in the following observations.
The most striking features as regards faith in the dying are moral dejection and an almost total absence of hope. These are the inevitable consequences of the efforts which have for some time been made to uproot religious principle from the hearts of the people. It is no wonder that hope fled with her divine sister, faith. Can any thinker form a notion of the state of a man who has been down-trodden all his life, who has been looked on as a bearer of burdens and a _misérable_, and who has nothing to hope for in a future state?
We read in Holy Writ that, when the waters of the deluge began to decrease, and Noe looked out of his ark after his arduous struggle with the elements, he saw a dove, bearing an olive-branch, fly towards him; the bird was the herald of good news, the harbinger of future deliverance.
Our poor, when exhausted by long adversity, look out in vain for the dove, and that hope which carries peace and help seldom brightens their last moments. Death to such as these is nothing but acquiescence in blind fate. What can a priest do in such cases? Teach and enlighten. Very true; but the patient's physical condition does not give him much time to do this thoroughly, nor can the sufferer always attend to the little the priest can do. The thing left to be tried is the awakening of the dying man's memory. The priest therefore recalls the scenes of boyhood, talks of a mother's teachings, of the village church, the long-forgotten first communion, etc., etc. If the poor man come from the South or from Alsace, the _patois_ of his native place rouses wonderful reminiscences; but it is useless to attempt reasoning. A plain-spoken statement of fact that is neither commonplace nor trivial often creates a great impression. It is a mistake to use unrefined phraseology in the hope of redeeming the illiterate by descending to the level of their intelligence; the lower classes prefer plain but elevated language, and value the price of the liquid according to the cost of the vase in which it is contained. Returns to God in the last day are very scarce and always leave much room for the mercy of the Almighty; but it is something to have brought about a desire for the last sacraments, and to have been able to set forth, though imperfectly, one or two of the great truths of Christianity.
Three dissolving elements have greatly hastened the degenerate condition of Paris workmen, and, in general, of the lower classes in this capital. They are the wine-shop, the club, and the journal.
The enormous rate at which wine was taxed under the Empire forced the heads of small families to give up keeping a provision of _ordinaire_ in their cellars; and, as wine could not be kept at home, it had to be fetched from the nearest wine-shop. There was also an additional reason why the usual barrel could not be kept. Houses no longer afford the luxury of a cellar to each flat, and those who could have afforded to pay the duties had no room for a cask of wine from the provinces. But there was the wine-shop; and alcoholic mixtures, colored with dyeing tinctures or logwood, were resorted to instead of the wholesome draught of thin but unadulterated wine which every Frenchman, a few years ago, was so accustomed to. When once the habit is acquired of turning in at a wine-shop, many are the baneful results which ensue; first drunkenness, then extravagance, bad associates, low talk and discussions round the counter, broils--all of which soon get the better of an originally upright conscience unsupported by firm principle.
The evil effects of drink were never known to breed in France such a cankerous wound as that which has spread among us since the siege and the _Commune_. Prior to these melancholy events, alcoholic patients were only now and then brought to our hospitals, but they have increased out of all proportion within the last few years. There can be no mistaking such cases with the following symptoms: delirium, inflammation of the lungs, extraordinary irritability, then languor and that sudden debility which is the forerunner of death. No sooner did a _Communist_ suffer amputation than he expired; for it is almost impossible to operate on men who are in a continual state of intoxication.
Paris clubs were first heard of towards the end of the Empire. M. Emile Ollivier thought a good deal of these gatherings; but they have, in reality, proved to be a most disastrous institution. The only good they accomplished was to propagate a correct idea of the _intellectual and moral degeneracy_ of our people. The lower classes met for no other purpose than that of uniting all their ignorance and hates. What errors, what curses, fell from those short-lived tribunes! What frantic applause welcomed false theories! No European nation could have resisted this trial, much less than any other the French, who are so credulous, so fickle, so sensitive to all outward impressions. The seeds which bore such noxious fruit under the _Commune_ were first sown within Paris clubs.
As to the public press, it would be loss of time and space to demonstrate how that has contributed to general demoralization. The _Siècle_, the _Opinion Nationale_, etc., are read at all wine-shops. The smallest fault or misdemeanor committed by any one connected with the clergy is exposed by these journals to general scandal, aggravated by spiteful comment, exaggerated, then thrown as a rare morsel to open-mouthed multitudes. Such manœuvres are very hurtful with an unenlightened populace, who never discriminate between religion and those who profess it. To them the priest and the faith are synonymous. If the former is immoral, the latter can be good for nothing. A certain amount of logic is wanting by which the contrary could be demonstrated; but the larger proportion are incapacitated for so intellectual an effort. It would lead too far were I to analyze more closely the workings of the three causes which have destroyed our religious and moral convictions. Suffice it that the wine-shop, the club, and the journal have exercised a pernicious influence, and that our working-classes have not the means in their power wherewith to avert it so long as their education is considered complete at the age of _twelve_. From the day a mechanic commences an apprenticeship, he never hears the name of God, unless it is coupled with some curse on the lips of his elders. The church, Jesus Christ, the sacraments, soon become objects of derision.
In short, the end of such an educational system and of such a life is that the poor man who is carried to a Paris hospital, there to die, knows that he will no sooner have breathed his last than his body will belong to medical students; and as to his soul, that better part which, had it been cultured, would have been a glorious harvest for eternity, he cannot comprehend any discourse concerning it; if compelled to listen because he cannot help himself, he falls back on his pillow in morose indifference.
When a nation, once so devout, has come to this, some anxiety is felt for its future; and the words addressed to Ezechiel the prophet rise to our lips: "Lord, can a new life ever animate these scattered bones?"
THE POOR MAN'S BURIAL.
The deeper we dive into the subject of Paris hospitals, the more are we impressed by the melancholy spectacle of extreme misery presented. It is as if we stepped into Dante's circles, and saw nothing before us but horror; only here we look stern facts in the face, and have nothing to do with grand poetic conceptions. It is life, it is reality, it is anguish in a most poignant form; for I have now to speak of the mortal remains of Christians, of brothers, of men like ourselves. When a death occurs in the Paris hospitals, the corpse of the departed remains for one or two hours in the ward, after which space of time it is enveloped in a sheet and carried out on a litter by two _infirmiers_.
None who have ever seen this abandoned _cortége_ will forget it. The corpse is instantly conveyed to an amphitheatre, where it is left, after being stripped of every thread of linen which covered it. Here it lies for forty-eight hours or more, according to the arrangements made by relatives, or to orders received from the authorities. When no objections are made by relatives, indoor and outdoor students proceed to the autopsy of the body.
Laws and regulations have been laid down, by which a certain number only of dead bodies are allowed for medical science; but these rules are frequently infringed, and too much precipitation has often been the cause of needless distress in poor families.
When the necessary formalities have been gone through, the corpses in the amphitheatre are divided into two series: those claimed by relatives, and those which are left to public charity.
We shall see what becomes of both, after a few preliminary considerations.
The mortal remains of all Christians are sacred in the eyes of Catholics. We never erect a temple, or build an altar, without consecrating a spot therein for the relics of a saint, which lie thus honored, like the corner-stone of an edifice.
Neither does the church authorize Mass to be said in any place not having a consecrated place for relics; and on such alone may the body and blood of Christ rest during the holy sacrifice.
Our belief in the resurrection of the body; our assurance that Christians will, on a future judgment day, either rise in glory or stand to hear their eternal condemnation, renders it impossible for us to look on the mortal remains of Christians as do materialists and the professors of unbelief. What to the latter is nothing but a dead body, a fit object for study, is to us a sacred deposit whence immortality will germinate. It is, therefore, no wonder if Catholics are so solicitous to obtain proper burial for such remains. In this instance, as in all others, Christianity is in perfect harmony with the tenderest aspirations of our kindred.
Comments
Log in to leave a comment.
The Catholic World, Vol. 18, October, 1873, to March, 1874.Chapter XXV: All Is Lost!-The Prospect Brightens (4)
0%37 min left in chapter