Evan turned sideways to push his way between a high fishmonger's cart and a coster's barrow and out into the street.
He could imagine Monk's face when he learned-and Runcom's. This was a completely different thing, a very dangerous and very ugly thing.
Chapter 2
Hester Latterly straightened up from the fire she had been sweeping and stoking and looked at the long, cramped ward of the infirmary. The narrow beds were a few feet apart from each other and set down both sides of the dim room with its high, smoke-darkened ceiling and sparse windows. Adults and children lay huddled under the gray blankets in all conditions of illness and distress.
At least there was enough coal and she could keep the place tolerably warm, even though the dust and fine ash from it seemed to get into everything. The women in the beds closest to the fire were too hot, and kept complaining about the grit getting into their bandages, and Hester was forever dusting the table in the center of the room and the few wooden chairs where patients well enough occasionally sat. This was Dr. Pomeroy's ward, and he was a surgeon, so all the cases were either awaiting operations or recovering from them-or, in over half the instances, not recovering but in some stage of hospital fever or gangrene.
At the for end a child began to cry again. He was only five and had a tubercular abscess in the joint of his shoulder. He had been there three months already, waiting to have it operated on, and each time he had been taken along to the theater, his legs shaking, his teeth gritted, his young face white with fear, he had sat in the anteroom for over two hours, only to be told some other case had been treated today and he was to return to his bed.
To Hester's fury, Dr. Pomeroy had never explained either to the child or to her why this had been done. But then Pomeroy regarded nurses in the same light as most other doctors did: they were necessary only to do the menial tasks-washing, sweeping, scrubbing, disposing of soiled bandages, and rolling, storing and passing out new ones. The most senior were also to keep discipline, particularly moral discipline, among the patients well enough to misbehave or become disorderly.
Hester straightened her skirt and smoothed her apron, more from habit than for any purpose, and hurried down to the child. She could not ease his pain-he had already been given all he should have for that, she had seen to it-but she could at least offer him the comfort of arms around him and a gentle word.
He was curled up on his left side with his aching right shoulder high, crying softly into the pillow. It was a desolate, hopeless sound as if he expected nothing, simply could not contain his misery any longer.
She sat down on the bed and very carefully, not to jolt the shoulder, gathered him up in her arms. He was thin and light and not difficult to support. She laid his head against her and stroked his hair. It was not what she was there for; she was a skilled nurse with battlefield experience in horrific wounds and emergency surgery and care of men suffering from cholera, typhus and gangrene. She had returned home after the war hoping to help reform the backward and tradition-bound hospitals in England, as had so many other of the women who had nursed in the Crimea; but it had proved far more difficult than she expected even to find a post, let alone to exert any influence.
Of course Florence Nightingale was a national heroine. The popular press was full of praise for her, and the public adored her. She was perhaps the only person to emerge from the whole sorry campaign covered with glory. There were stories of the hectic, insane, misdirected charge of the Light Brigade right into the mouths of the Russian guns, and scarcely a military family in the country had not lost either a son or a friend in the carnage that followed. Hester herself had watched it helplessly from the heights above. She could still see in her mind's eye Lord Raglan sitting ramrod stiff on his horse as if he had been riding in some English park, and indeed he had said afterwards that his mind had been on his wife at home. It certainly could not have been on the matter at hand, or he could never have given such a suicidal command, however it was worded-and there had been enough argument about it afterwards. Lord Raglan had said one thing-Lieutenant Nolan had conveyed another to Lords Lucan and Cardigan. Nolan was killed, torn to pieces by a splinter from a Russian shell as he dashed in front of Cardigan waving his sword and shouting. Perhaps he had intended to tell Cardigan he was charging the manned guns-not the abandoned position the order intended. No one would ever know.
Hundreds were crippled or slain, the flower of the cavalry a scatter of mangled corpses in Balaclava. For courage and supreme sacrifice to duty the charge had been a high-water mark of history-militarily it was useless.
And there had been the glory of the thin red line at the Alma, the Heavy Brigade who had stood on foot, their scarlet uniforms a wavering line holding back the enemy, clearly visible even from the far distance where the women waited. As one man fell, another took his place, and the line never gave. The heroism would be remembered as long as stories of war and courage were told, but who even now remembered the maimed and the dead, except those who were bereaved, or caring for them?
She held the child a little closer. He was no longer crying, and it comforted her in some deep, wordless place in her own spirit. The sheer, blinding incompetence of the campaign had infuriated her, the conditions in the hospital in Scutari were so appalling she thought if she survived that, kept her sanity and some remnant of humor, then she would find anything in England a relief and encouragement. At least here there would be no cartloads of wounded, no raging epidemic fevers, no men brought in with frostbitten limbs to be amputated, or bodies frozen to death on the heights above Sebastopol. There would be ordinary dirt, lice and vermin, but nothing like the armies of rats that had hung on the walls and fallen like rotting fruit, the sounds of the fat bodies plopping on beds and floors sickening her dreams even now. And there would be the normal waste to clean, but not hospital floors running with pools of excrement and blood from hundreds of men too ill to move, and rats, but not by the thousands.
But that horror had brought out the strength in her, as it had in so many other women. It was the endless pomposity, rule-bound, paper shuffling self-importance, and refusal to change that crippled her spirit now. The authorities regarded initiative as both arrogant and dangerous, and in women it was so totally misplaced as to be against nature.
The Queen might turn out to greet Florence Nightingale, but the medical establishment was not about to welcome young women with ideas of reform, and Hester had found this out through numerous infuriating, doomed confrontations.
It was all the more distressing because surgery had made such giant steps forward. It was ten years, to the month, since ether had been used successfully in America to anesthetize a patient during an operation. It was a marvelous discovery. Now all sorts of things could be done which had been impossible before. Of course a brilliant surgeon could amputate a limb; saw through flesh, arteries, muscle and bone; cauterize the stump and sew as necessary in a matter of forty or fifty seconds. Indeed Robert Liston, one of the fastest, had been known to saw through a thigh bone and amputate the leg, two of his assistant's fingers, and the tail of an onlooker's coat in twenty-nine seconds.
But the shock to the patient in such operations was appalling, and internal operations were out of the question because no one, with all the thongs and ropes in the world, could tie someone down securely enough for the knife to be wielded with any accuracy. Surgery had never been regarded as a calling of dignity or status. In fact, surgeons were coupled with barbers, more renowned for strong hands and speed of movement than for great knowledge.