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I was finally sent to Brighton, and thanks to Lady Dudley's kindness, became an out-patient of one of her officers' hospitals, but even then it was a nuisance being a girl.
She has an invalid mother dependent on her efforts, and is out-patient herself at one of the London hospitals. She was sixteen last Christmas. Another girl, who lives in two cellars near Lisson Grove, with father, mother, and six brothers and sisters, earns 3s. 6d. a week in a well-known factory. She is seventeen years old, but does not look more than ten or eleven.
But the poor woman, not able to rest, and with recourse either to her overbusy family doctor or to the overburdened, careless, out-patient department of some hospital, drags along with her troubles year in and year out, becomes old before her time, and loses through constant pain and distress the freshness of life.
It was in my second year, 1885, that returning from an out-patient case one night, I turned into a large tent erected in a purlieu of Shadwell, the district to which I happened to have been called. It proved to be an evangelistic meeting of the then famous Moody and Sankey. It was so new to me that when a tedious prayer-bore began with a long oration, I started to leave.
Being only a probationer, I am chiefly in the out-patient department, where my duties are to collect the things wanted at the dispensary, make the patients ready to see the surgeon, and pass them on to the dressers. My patients at present are the children, and I love them, and shall break my heart when I have to leave them.
We have found the following method satisfactory in out-patient practice. The patient lying on a couch, the limb is raised about eighteen inches and kept in this position for five minutes till the excess of blood has left it. With the limb still raised, the ulcer with the surrounding skin is covered with a layer, about half an inch thick, of finely powdered boracic acid, and the leg, from foot to knee, excluding the sole, is enveloped in a thick layer of wood-wool wadding. This is held in position by ordinary cotton bandages, painted over with liquid starch; while the starch is drying the limb is kept elevated. With this appliance the patient may continue to work, and the dressing does not require to be changed oftener than once in three or four weeks (W.
Time and again, in my interne days, have I gone the rounds of the wards or the out-patient departments with some kindly-faced, keen-eyed old Sherlock Holmes of the profession, and seen him point to a new case across the ward with the question: "When did that pneumonia come in?" or pick out a pain-drawn, ashy mask in the waiting line, with an abrupt, "Bring me that case of cancer of the stomach.
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