Canada Slim and the Body Snatchers

Landschlacht, Switzerland, 4 September 2018

I should be dead.

In fact, for at least a quarter of a century.

Back in Canada, I tried to chop a log.

The axe bounced off the log and sliced into my foot.

A mile in the bush limp, a drive home, a quick dash to the local hospital and an ambulance ride from there to the metropolis of Montréal, followed by surgery, hospitalization and convalescence….

And I am alive to tell the tale.

This injury, sadly, was the first of many unfortunate accidents I have had, transforming my body from a wonderland into a battlefield.

In earlier days, blood loss or infection might have ended my life, but I live, as many others live, longer and healthier.

We live in an age where the human anatomy has been mapped, where an abundance of drugs are available, where antiseptic conditions are par for the course in all medical institutions, where medical professionals are highly trained and qualified, where the deliverance of babies is no longer such a danger for infant or mother.

A time of liver and lung, uterus and penis, skull and scalp, arm and hand, face and heart, eye and hip replacements, appendectomies and mastectomies….

A time of virtual and remote, robot-assisted and laser-aided, plastic and emergency surgery….

Days of disinfectant, inoculation, anesthesia, x-rays, MRIs and ultrasound….

 

I take my survival for granted, confident in the advances available to me in case of injury or illness.

 

Sometimes it is good to visit places that remind one of how and why mankind has been able to survive the rigours and ravages inflicted upon the body.

Such a place is in London at a venue of body snatchers and “the fastest knife in the West End“.

The tale begins last fall and travels back in time.

Welcome….

25 October 2017

We spend 80% of our adult lives working, but, on average, 80% of workers often confess that they dislike the work that they do.

My wife is among the happy minority of those who do what they love and love what they do.

My wife is a doctor.

When we travel together it is not uncommon to find us visiting, among many, tourist attractions that are medically themed.

During our week in London we would visit at least three attractions of this nature.

 

(For other London attractions not medically themed, please see: Canada Slim and….

  • the Danger Zone
  • the Paddington Arrival
  • the Street Walked Too Often
  • Underground
  • the Outcast
  • the Wonders on the Wall
  • the Calculated Cathedral
  • the Right Man
  • the Queen’s Horsemen
  • the Royal Peculiar
  • the Uncertainty Principle
  • the Museum of Many

For medically themed London attractions, please see Canada Slim and….

  • the Lamp Ladies
  • the Breviary of Bartholomew)

 

London has its fair share of quirkiness:

Near Wimbledon there is an authentic Buddhist temple that feels like it was discretely teleported directly from Thailand. (Buddhapadipa Temple)

One can climb a castle as if it were the rock face of Mount Everest or the Matterhorn. (Castle Climbing Centre)

Or visit a house lacking electricity and modern plumbing on a Monday night, Silent Night, candlelight tour. (Dennis Severs’ House)

Or tread softly in the necropolis that is Highgate Cemetery.

Come and watch people swing from the gallows. (London Dungeon)

Listen to Anne Boleyn plead her case just before her head is deftly separated from her soft narrow shoulders. (London Dungeon)

Walk by moonlight the Whitechapel backstreets as Jack the Ripper knew them. (London Dungeon)

London Dungeon Logo.jpg

 

We did none of these things, but this is not to suggest that our time was devoid of quirkiness….

 

Time is often not our friend when we travel, so we took the Tube to London Bridge Station instead of walking across the Thames River upon the London Bridge.

We would later sail underneath it but we denied ourselves the tactile experience of trodding upon it.

The River Thames is the longest river in England and the second longest in Britain (after the Severn) and is crossed by over 200 bridges, 27 tunnels, six public ferries, a cable car and a ford.

Thames map.png

Prior to the commencement of my relationship with my wife, I followed on foot the Thames from its source near Cirencester to Oxford.

I would, on visits to London, also spend time by its banks.

 

There has been a London Bridge spanning the Thames since AD 50 and it could be argued that without a London Bridge there might never have been a London.

London Bridge Illuminated.jpg

 

The first London Bridge was built by the Romans (“What have they ever done for us?“) as part of their road-building programme, to help consolidate their conquest.

This Bridge, and those London Bridge constructions that followed until 1209, was built of wood.

These timber crossings would fall into disrepair, be rebuilt and destroyed by both Saxons and Danes, be destroyed by the London tornado of 1091 and the fire of 1136.

The nursery rhyme “London Bridge is falling down” is connected to the Bridge’s historic collapses.

 

After the murder of friend/foe Thomas à Becket, the penitent King Henry II commissioned a new stone bridge with a chapel in the centre dedicated to Becket as martyr.

Begun in 1176, London Bridge was completed in 1209 during the reign of King John.

The Old London Bridge (1209 – 1831) was 26 feet / 8 metres wide, 900 feet / 270 metres long, supported by 19 irregularly spaced arches.

It had a drawbridge to allow for the passage of tall ships and defensive gatehouses on both ends.

By 1358 it was already crowded with 138 shops.

The buildings on London Bridge were a major fire hazard and the increased load on the arches required their reconstruction over the centuries.

In 1212, fire broke out on both sides of the Bridge simultaneously trapping many people in the middle.

Houses on the Bridge were destroyed during Wat Tyler’s Peasants’ Revolt (1381) and Jack Cade’s Rebellion (1450).

By the time of the Tudors there were over 200 buildings on the Bridge, some seven stories high, some overhanging the river by seven feet, others overhanging the road forming a dark tunnel through which traffic had to pass.

Yet this did not prevent the addition, in 1577, of the palatial Nonsuch House to the buildings that crowded the span.

The available roadway was just 12 feet / 4 metres wide , divided into two lanes, so that in each direction, carts, wagons, coaches and pedestrians shared a single file lane 6 feet / 2 metres wide.

 

The bridge’s southern gatehouse became the scene of one of London’s most gruesome sights – a display of the severed heads of traitors, impaled on pikes, dipped in tar and boiled to preserve them against the elements.

The head of William Wallace was the first to appear on the gate in 1305, starting a tradition that was to continue for another 355 years.

 

(Keep this morbid tradition in mind while remembering that before the Anatomy Act of 1832, the only legal supply of corpses for anatomical purposes in the UK were those condemned to death and dissection by the courts.)

 

Other famous heads on London Bridge pikes included Jack Cade (1450), Thomas More (1535), Bishop John Fisher (1535) and Thomas Cromwell (1540).

In 1598, a German visitor to London, Paul Hentzner, counted over 30 heads on the Bridge.

John Evelyn’s Diary noted that the practice stopped in 1660, following the Restoration of King Charles II, but heads were reported at the site as late as 1772.

By 1722 congestion was becoming so serious that the Lord Mayor decreed that “all carts, coaches and other carriages coming out of Southwark into this City do keep all along the west side of the Bridge, and all carts and coaches going out of the City do keep along the east side of the Bridge.”

This has been suggested as one possible origin for the practice of traffic in Britain driving on the left.

By 1762, all houses and shops on the Bridge had been demolished through an Act of Parliament.

Even so, the Bridge was narrow, decrepit and long past its useful life.

alt text

 

The New London Bridge (1831 – 1967) was completed in 1831, and was 928 feet / 283 metres long and 49 feet / 15 metres wide.

By 1896 the Bridge was the busiest point in London and one of its most congested: 8,000 pedestrians and 900 vehicles crossed every hour.

This Bridge is a prominent landmark in T.S. Eliot’s “The Wasteland“, wherein he compares the shuffling commuters across London Bridge to the hellbound souls of Limbo, the first circle of Hell, in Dante’s Inferno.

Subsequent surveys showed that the Bridge was sinking an inch / 2.5 cm every eight years.

By 1924 the east side of the Bridge had sunk 4 inches / 9 cm lower than the west side.

The Bridge would have to be removed and replaced.

In 1967 the City of London placed the Bridge on the market.

 

On 18 April 1868, the Bridge was purchased by Missouri oil entrepreneur Robert McCullough for US $2,460,000.

As the Bridge was dismantled, each piece was meticulously numbered, then shipped via the Panama Canal to California and then trucked from Long Beach to Lake Havasu City in Arizona.

This Bridge was rebuilt across the Bridgewater Channel canal and opened on 10 October 1971.

Gary Nunn’s song “London Homesick Blues” includes the lyrics:

Even London Bridge has fallen down and moved to Arizona.

Now I know why.

The modern, current London Bridge was opened on 17 March 1973, with a length of 928 feet / 283 metres.

 

Emerging from the London Bridge Tube Station I recall John Davidson’s poem “London Bridge” and think to myself that clearly Heathrow Airport hadn’t been built when he wrote it:

Inside the Station, everything’s so old,

So inconvenient, of such manifold

Perplexity, and, as a mole might see

So strictly what a Station shouldn’t be,

That no idea minifies the crude

And yet elaborate ineptitude.

The main line station is the oldest railway station in London fare zone 1 and one of the oldest in the world having opened on 14 December 1836.

It is one of two main line termini in London to the south of the River Thames (the other being Waterloo) and is the fourth-busiest station in London, handling over 50 million customers a year.

London Bridge tube stn Tooley Street entrance.JPG

 

In Tudor and Stuart London, the chief reason for crossing the Thames, to what is now Southwark, was to visit the disreputable Bankside for its pubs, brothels and bear-baiting pits around the south end of London Bridge.

Four hundred years later, Londoners have rediscovered the habit of heading to Southwark, thanks to the traffic-free riverside path and a wealth of top attractions, with the charge led by the mighty Tate Modern.

Of these attractions, the most educational and strangest is the Old Operating Theatre Museum and Herb Garret, at 9a St. Thomas Street.

The Old Operating Theatre Museum, St. Thomas St. - geograph.org.uk - 1073353.jpg

The operating theatre and garret (1822 – 1862) were originally part of St. Thomas Hospital, itself part of the Augustinian Priory of St. Mary Overie, founded in 1106.

The Priory, which stood on the present site of Southwark Cathedral, provided care for the poor and gave board and lodgings to pilgrims.

The “spital” of St. Mary Overie was named St. Thomas in 1173 in tribute to Thomas à Becket, the Christian martyr murdered in Canterbury Cathedral in 1170.

When the Priory and the Hospital were destroyed by fire in 1212, the Bishop of Winchester, Pierre des Roches, paid for them to be rebuilt.

The new Hospital, independent of the Priory, was opened in 1215.

It continued to be staffed by monks and nuns, but surgical work was carried out by barbers since the Council of Tours (1163) had ordained that the shedding of blood was incompatible with holy office.

St. Thomas still provided hospitality for pilgrims.

 

Funds for the Hospital were largely provided by donations from individuals who believed giving to the poor would speed their spiritual journey to heaven.

One donation came from Alice de Bregerake who gifted her property in return for a yearly rent of one single rose.

 

(“There’s a lady who knows all that glitters is gold and she’s buying a stairway to heaven.“)

 

During the early 1500s, Southwark was a thriving community and St. Thomas was at its heart.

Within St. Thomas was the Southwark School of Glaziers, where the stained glass windows for King’s College Chapel in Cambridge were made.

In 1537, the first complete edition of the Holy Bible in English was completed here.

In January 1540 the Priory was dissolved by King Henry VIII, as part of his reforms of the church in England, and the Hospital closed.

In 1551 the Hospital was purchased and repaired by the City of London and two years later Henry’s son Edward VI awarded it a Royal Charter alongside four other London hospitals.

In 1681 fire led to the loss of 24 Hospital buildings.

By 1702 the main Hospital consisted of three grand classical courtyards.

 

In 1703, Dr. Richard Mead (1673 – 1754), one of London’s most famous physicians, was appointed to the Hospital staff.

At the time one of the most common ailments of St. Thomas in-patients, who were treated in the foul wards at the rear of the Hospital, was venereal disease.

Richard Mead 2.jpg

Above: Richard Mead

 

(Remember the aforementioned brothels?)

 

Mead’s recommended cure, aqua limacum (snail water), was included in the Pharmacopoeia Pauperum (a directory of medical treatments to be used in London hospitals) in 1718:

Take garden snails, cleansed and bruised, 6 gallons; earthworms, washed and bruised, 3 gallons; common wormwood, ground ivy and carduus, each one pound and half penny royal; juniper berries, fennel seeds, aniseeds, each half a pound; cloves and cubebs bruised, each 3 ounces; spirit of wine and spring water, of each 8 gallons.

Digest them together for the space of 24 hours and then draw it off in a common alembick.

This is admirably well contrived both for cheapness and efficacy.

It is as good a snail water as can be made….

Mostly given in consumption contracted for viscous practices and venereal contagions, this is the constant drink of those who are under the weakness and decays….

Grapevinesnail 01.jpg

Improvements to the facilities continued throughout the following 150 years.

 

St. Thomas’ Grand Committee Minutes of 21 October 1821 record that the women’s operating theatre be moved from the west end of one of the women’s wards and that “the herb garret over the church be fitted up and in future used as a theatre for such operations instead of the present theatre.

The new operating theatre opened in 1822.

 

John Flint South (1797 – 1882), the son of a Southwark druggist, began his medical training at St. Thomas in 1814.

He was appointed Conservator of the Hospital’s anatomy Museum in 1820 and was made Joint Lecturer in Anatomy in 1823.

In 1841 he was appointed surgeon at St. Thomas, a post he held until 1863.

He was also appointed surgeon to the Female Orphan Asylum in 1843.

South’s Career at St. Thomas spans the entire period of the Old Operating Theatre’s history and as such his memoir, John Flint South Memorials, published 20 years after his death, provides a remarkable insight into how the operating theatre functioned.

Above: John Flint South

 

The Murder Act of 1752 decreed that only executed murderers could be used for dissection, but this did not provide enough subjects for the medical and anatomical schools.

By the 19th century only about 56 people were being sentenced to capital punishment each year, but with the expansion of medical schools as many as 500 cadavers were needed annually.

Body snatching – the secret removal of corpses from burial sites to sell them to medical schools – became so prevalent that it was not unusual for relatives and friends of someone who had just died to watch over the body until burial and then keep watch after burial to stop it being violated.

Interfering with a grave was a misdemeanour, not a felony, and therefore only punishable with a fine and imprisonment rather than exile or execution.

The body snatching trade was a sufficiently lucrative business to run the risk of detection, particularly as the authorities ignored what they considered a necessary evil.

In Edinburgh, during 1827 and 1828, William Burke and William Hare brought a new dimension to the trade of selling corpses “to the doctors” by murdering rather than grave robbing and supplying their victims’ fresh corpses for medical dissection.

The murders raised public awareness of the need for bodies for medical research and contributed to the passing of the Anatomy Act of 1832, which allowed unclaimed bodies and those donated by relatives to be used for the study of anatomy and required the licensing of anatomy teachers, effectively ending the body snatching trade.

 

When pioneering health reformer, Florence Nightingale, returned to London from the Crimean War in 1856 she set up a fund “to establish and control an institute for the training, sustenance and protection of nurses paid and unpaid.

The specialist training of nurses was not universally supported and many doctors viewed it as a threat to their authority.

The work left for nurses, it was believed, required little more than “on-the-job” training.

There were prejudices too against “delicate“, educated women undertaking manual work or having contact with the coarse realities of the hospital wards.

However, Nightingale was an influential and convincing advocate for reform.

The Nightingale Fund raised almost 50,000 pounds.

She chose to establish her School of Nursing at St. Thomas.

The two main deciding factors were Nightingale’s admiration for Sarah Wardroper, St. Thomas Matron and Superintendent of Nurses, and the fact that the Hospital would soon move to a new site where the School could be built to the latest, Nightingale-inspired plan.

The School of Nursing opened at the St. Thomas Southwark site on 24 June 1860 with 15 students.

Florence Nightingale (H Hering NPG x82368).jpg

Above: Florence Nightingale (1820 – 1910)

 

In June 1862, the Hospital moved to make way for a railway line to Charing Cross.

 

With the move, the operating theatre, situated in the attic of St. Thomas Church, was sealed up and lay in darkness for nearly a century.

After the Hospital closed the only access to the roof space of the Church was through an opening, 20 metres above floor level, in the north wall of the first floor chamber of the bell tower.

 

In 1956, Raymond Russell (1922 – 1964), while researching the history of St. Thomas decided to investigate the attic.

He found the garret in darkness, the skylight above the operating theatre had been replaced by slates and the other windows were black with a century of dirt.

Russell’s find was extraordinary:

No other early 19th century operating theatre in Europe has survived.

Image showing operating table and viewing galleries in the operating theatre

It is likely that the use of the garret of St. Thomas as a Hospital apothecary dates back to the present Church’s construction in 1703.

Hooks, ropes and nail holes in the roof and dried opium poppy heads discovered under the floorboards in the 1970s are all evidence of the garret’s former use.

Herbs have been used as medicine since ancient times and before the development of the chemical industry, medicinal compounds were made from natural materials, mostly plants.

Even today, the majority of medicines originate from plant sources.

At St. Thomas, quantities of herbs were purchased from a visiting “herb woman” and the Hospital had its own botanical garden and apothecary’s shop within its grounds.

The apothecary was the chief resident medical officer of the Hospital and was responsible for prescriptions for surgical cases and, in the absence of the physician, for dispensing medicine to all the Hospital’s patients.

In 1822 part of the Herb Garret was converted into a purpose-built operating theatre.

The patients were mainly poor people who were expected to contribute to their care if they could afford it.

Rich patients were treated and operated on at home, probably on the kitchen table, rather than in hospital.

The patients at the Old Operating Theatre were all women.

 

A description of the students packing the theatre to witness an operation has been left by Dr. South:

The operating theatre was of utterly inadequate size for the numbers of pupils who congregated….

The general arrangement of all the theatres was the same: a semicircular floor and rows of semicircular standings, rising above one another to the large skylight which lit the theatre.

On the floor the surgeon operating, with his dressers, other surgeons and apprentices and the visitors stood about the table, upon which the patient lay, so placed that the best possible view of what was going on was given to all present.

The floor was separated by a partition from the rising stand-places, the first two rows were occupied by the other dressers.

Behind a second partition stood the pupils, packed like herrings in a Barrel, but not so quiet, as those behind them were continually pressing on those before and were continually struggling to relieve themselves of it, and had not infrequently to be got out exhausted.

There was also a continual calling out of “Heads, Heads” to those about the table whose heads interfered with the sightseers.

The confusion and crushing was indeed at all times very great, especially when any operation of importance was to be performed.

I have often known even the floor so crowded that the surgeon could not operate till it had been partially cleared.”

 

Patients put up with the audience in their distress because they received medical treatment from some of the best surgeons in the land, which they otherwise they could not afford.

The majority of cases were for amputations or superficial complaints as, without antiseptic conditions, it was too dangerous to do internal operations.

The risk of death at the hands of a surgeon was likely, as there was a lack of understanding of the causes of infection.

Beneath the table was a sawdust box for collecting blood.

The death rate was further heightened by the shock of the operation and because operations took place as a last resort, patients tended to have few reserves of strength.

Until 1847, surgeons had no recourse to anaesthetics and depended on swift technique, the mental preparation of the patient, and alcohol or opiates to dull the patient’s senses.

 

(Dr. Robert Liston (1794 – 1847) was described as “the fastest knife in the West End. 

He could amputate a leg in 2 1/2 minutes.

Indeed he is reputed to have been able to complete operations in a matter of seconds, at a time when speed was essential to reduce pain and improve the odds of survival of a patient.)

Portrait of Robert Liston painted in 1847 by Samuel John Stump

Above: Robert Liston

 

After 1847, ether or choloroform was used.

 

The small room at the side of the Theatre was used to spare the patient the sudden alarm of being brought straight into the Theatre full of students, with the operating table and instruments on view.

Soon after….another female was brought in blindfolded and placed on to the table for the purpose of undergoing an operation for the removal of the leg below the knee.

(The Lancet, October 1829)

 

These were the days before antisepsis (eliminating possible infection in the wound after the operation) or asepsis (avoiding any contamination from the start).

Unsterilized clothes were blood and pus stained while undisinfected hands used undisinfected instruments and sponges from previous operations.

In those days, “surgeons operated in blood-stiffened frock coats – the stiffer the coat, the prouder the busy surgeon“. (Dr. Oliver Wendell Holmes)

Holmes c. 1879

Above: American Dr. Oliver Wendell Holmes Sr. (1809 – 1894)

 

There was no object in being clean.

Indeed cleanliness was out of place.

It was considered to be finicky and affected.

An executioner might as well manicure his nails before chopping off a head.” (Sir Frederick Treves)

Image-Fredericktreves.jpg

Above: Frederick Treves (1853 – 1923)

 

No one wore a face mask or rubber gloves.

There were no blood transfusions nor vaccines.

Neurosurgery, cataract surgery, cardiac surgery, transplant surgery, Caesarian sections and hip replacements were either unknown or too dangerous to attempt.

 

Charles Bell (1774 – 1842), in his Illustrations of the Great Operations of Surgery (1821), describes the five most complex operations undertaken during the time of the Old Operating Theatre.

Below is a description of what the visitor would expect to see:

To one side a table with instruments, covered with a cloth to preserve the edges of the cutting instruments.

On it we expect to see:

  1. A large cushion with tenacula (sharp hooks), needles, pins and forceps.
  2. Ligatures (binding materials) of every variety, well arranged.
  3. Adhesive straps, well made and not requiring heating, but if they should, let chafing dishes be at hand.
  4. Lint, compresses, flannel and calico bandages, double and single headed rollers, tow, cereate spread on lint.  Let there be no want of sponges, so that when the surgeon calls for a sponge, you have not to seek it among the patient’s clothes.  When a sponge falls among the sand, let it be not necessary to touch the wound with it.
  5. Wine and water and hartshorn (ammonia solution used as smelling salts).
  6. A kettle of hot water, a stoup (flagon) of cold water, basins, bucket, plenty of towels, apron and sleeves.”

Photograph of Sir Charles Bell

Above: Scottish Dr. Charles Bell (1774 – 1842)

 

On the wall are two inscriptions:

 

Miseratione non Mercede (Latin for “For compassion, not for gain“)

 

The other sets out the Regulations for the Theatre as approved by the Hospital’s surgeons:

Apprentices and the dressers of the surgeon who operates are to stand around the table.

The dressers of the other surgeons are to occupy the three front rows.

The surgeon’s pupils are to take their places in the rows above.

Visitors are admitted by permission of the surgeon who operates.

 

The blackboard is a reminder of the Theatre’s use for lectures as a report in The Lancet of November 1923 records:

25 November 1923:  At half past one this day, the following clinical remarks were delivered by Mr. Travers, in the female operating theatre, in reference more particularly to the case of compound fracture….

 

The operating table is made of Scots pine, has four stout legs, and at 60 cm high is low by modern standards.

It has an inclined headboard and a long wooden slide extension at the foot end.

The table stands with the foot end towards the audience.

Beneath the table is the aforementioned wooden box of sawdust.

Distinguished visitors (generally foreign professors) were given seats on chairs, stools or a bench at the foot of the table.

The two small side tables held instruments and equipment.

The cupboard contained the instruments, dressing materials and lotions.

There is a wash stand, also of Scots pine, holding a small basin and ewer of blue and white china.

Above this is a tiny looking glass and a row of pegs from which hang the purple frock coats with grocer’s bib and apron.

A low sturdy wooden chair is used by the surgeon chiefly for cases of piles (hemorrhoids) and leg amputations.

 

The Museum also contains a collection of artefacts revealing the horrors of medicine before the age of science, including instruments for cupping (skin sunction), bloodletting, trepanning (drilling a circular hole in the skull) and childbirth.

There are also displays on monastic health care, the history of St. Thomas’s, Florence Nightingale and nursing, medical and herbal medicine.

 

Once upon a time body snatchers stole corpses so doctors could practice their skills and students learn anatomy.

Once upon a time doctors created more corpses and snatched lives from bodies than surviving patients.

Now doctors snatch many bodies from the jaws of death and generally make them whole.

 

Without Egyptian, Chinese, Indian, ancient Greek and Islamic medicine….

Without the trials and errors of dissection and pathological examinations….

Without the development of cell and neuron and molecular theory….

We would not have evolved to the discoveries and understanding of the body that we as a civilization now possess.

Without an understanding of blood circulation, the evolution of dealing with mental illness, the discovery of germs and the dangers of insects, the founding of the talking cures of psychoanalysis and psychotherapy, the study of hormones and immunology, the genetic revelation of genes and genomes, could we have a fighting chance in understanding health and disease in the manner that we do.

Without the stethoscope, the microscope, the hypodermic syringe, the thermometer, x-rays and radiotherapy, the sphygmomanometer (blood pressure measurement), the defibrillator, lasers, the endoscope, ultrasound and CT (computerized tomographic) scanning, MRI (magnetic resonance Imaging) and PET (positron emission tomography), the incubator and medical robots, we would lack the tools that doctors need to heal us and prolong our lives.

Mankind has survived the plague, typhus, cholera, puerperal fever, tuberculosis, influenza, smallpox, polio, cancer and AIDS, and thanks to great discoveries in medicine, though the battle against these scourges remains inconclusive, we still have a greater opportunity to overcome than prior generations had.

Opium provides pleasure and pain relief, quinine treats malaria, digitalis is a tonic for the heart, penicillin cures syphilis and gangrene, the birth control pill offers a woman freedom, drugs for the mind ease mental suffering, ventolin helps us breathe easier, Insulin aids the diabetic, dialysis cleans the kidney, statins lower our cholesterol and vitamins compensate for whatever our diets may lack.

Wounds are properly dressed, anaesthesia makes surgery painless, operations are clean, blood is transfused, exploration of the brain is possible, eyesight can be restored, mothers are less likely to die giving birth, hearts can be healed, organs transplanted, hips replaced and scars reduced by less invasive keyhole methods.

 

Truly, compared to the past, we live in an age of miracles.

 

Sometimes we take modern medicine for granted.

Stand in the middle of the Old Operating Theatre and be reminded how lucky we are to live in this day and age and how far we have travelled to get here.

Above: The Rod of Asclepius, the Greek god of healing and Medicine

Sources: Wikipedia / William and Helen Bynum, Great Discoveries in Medicine / The Old Operating Theatre Museum and Herb Garret Museum Guide / The Rough Guide to London / Rachel Howard and Bill Nash, Secret London: An Unusual Guide / http://www.thegarret.org.uk

 

 

 

 

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Canada Slim and the Breviary of Bartholomew

Landschlacht, Switzerland, 30 June 2018

“Writing a blog about everything that happens to you will honestly help here.” (Therapist)

“Nothing happens to me.”(John Watson, MD)

(“A Study in Pink“, Sherlock)

A view of the London skyline, with the word "Sherlock" in black letters

Two months ago (30 April) I began this post.

Four days later I was involved in an accident resulting in both arms broken.

After 3 weeks in hospital and 4 weeks in a rehab centre and 2 weeks at home, I am finally able to resume this post.

(My other blog is only a month and a half behind, so I am making progress!)

 

Landschlacht, Switzerland, 30 April 2018

I am certain that what I am feeling this morning isn´t unique to myself.

That feeling that my life isn´t completely my own.

That I am being pulled and propelled by others in directions that I would rather choose for myself.

There are the obligations of work where employers view employees as mere tools towards their profits or obstacles carelessly removed when those profits are threatened.

There are the obligations of relationships where everyone wants your time and attention and feels slighted if your time and attention is considered more important to you than their own.

There are times when I can really relate to the words of Dido Armstrong….

Dido - Life for Rent.png

“If my life is for rent….

….I deserve nothing more than I get

Cos nothing I have is truly mine.

I´ve always thought that I would love to live by the sea.

To travel the world alone and live more simply.

I have no idea what´s happened to that dream.

Cos there´s really nothing left here to stop me.

It´s just a thought, only a thought….

While my heart is a shield and I won´t let it down.

While I am so afraid to fail so I won´t even try.

Well, how can I say I´m alive?”

This song comes back to me each time I have the feeling of being a voyeur of my own life.

And as the jukebox of my mind plays this song I am reminded of particular moments in London….

 

London, England, 25 October 2017

She was there for a medical conference.

I was there to carry her bags.

Or so it felt at times.

We had only a week to explore London (23 – 29 October).

Her conference was Thursday to Saturday 26 – 28 October, which meant from Monday to Wednesday and on Sunday I would need to accommodate her wishes and make them my own for the sake of marital bliss.

(Ain´t love grand?)

It wasn´t Thursday yet, so serendipitious exploration by myself wasn´t in the cards this day.

She was determined to see absolutely everything she could while she could and liked having me around to carry our half dozen guidebooks and the liquid refreshment and the various odds and ends tourists insist they overpack their daybags with.

We found ourselves in the section of London known as Smithfield….

 

“The ground was covered, nearly ankle-deep with filth and mire, a thick steam perpetually rising from the reeking bodies of the cattle and mingling with the fog.”

(Oliver Twist, Charles Dickens)

Smithfield is a corruption of “smooth field“, originally open ground outside the city walls, a flat marshy area stretching to the eastern bank of the Fleet River.

Very little of early medieval London remains intact today, because Londoners built houses of wood.

The City burned down in 1077, 1087, 1132, 1136, 1203, 1212, 1220 and 1227.

Almost anything left intact was destroyed in the Great Fire of 1666.

What has survived was begun by a fool.

The great Priory of Saint Bartholomew along with St. Bartholomew´s Hospital was founded in the 12th century by Rahere when Henry I (1068 – 1135), a son of William the Conqueror, was King.

Almost all that is known about Rahere comes from the Book of Foundation.

Rahere´s family was poor, but he was intelligent and ambitious so over time he would acquire rich and powerful friends.

His cheerful and fun-loving character made him popular and he soon became part of Henry I´s court as the king´s jester.

The whole royal household was thrown into grief and gloom when the White Ship bearing the King´s heir and a number of his friends was lost with all hands on board in a winter storm in November 1120.

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Henry never smiled again and Rahere became a priest.

Rahere decided to go on a pilgrimage to Rome, a long and difficult journey by sea or land in those days, controlled by wind and weather and the speed of a sail or a horse, taking a month or more.

Rahere visited various places in Rome associated with St. Peter and St. Paul but then he fell dangerously ill with malaria and was nursed at the Hospital of San Giovanni di Dio on Isola Tiberina by the Brothers of the Order of St. John of God.

If the Book of Foundation is to be believed, in his sickness Rahere vowed that if he would regain his health he would return to England and “erect a hospital for the restoration of poor men.”

Rahere´s prayer was answered and he soon set off for England.

On the way home he had a terrible dream in which he was seized by a beast with four feet and two wings who lifted him up high and placed him on a ledge above a yawning pit.

Rahere cried out in fear of falling and a figure appeared at his side who identified himself as St. Bartholomew and said he had come to help him.

In return the Saint said:

“In my name, thou shalt found a church that shall be a House of God in London at Smithfield.”

So, according to the legend, that´s just what Rahere did.

Rahere´s fabled miraculous return to good health contributed to the priory gaining a reputation for curative powers, with sick people filling the church of St. Bartolomew the Great, notably on 24 August (St. Bartholomew´s Day).

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As Smithfield was part of the King´s market the King´s permission was needed.

A Royal Charter was drawn up (1122) to found a priory of Augustinian canons and a hospital.

Building began in March 1123.

The ghost of Rahere is reputed to haunt St. Bartholomew´s, following an incident during repair work in the 19th century when his tomb was opened and a sandal removed.

The sandal was returned to the church but not Rahere´s foot.

Since then, Rahere is a shadowy, cowled figure that appears from the gloom, brushes by astonished witnesses and fades slowly into thin air.

Rahere is said to appear every year on the morning of 1 July at 7 a.m., emerging from the vestry.

 

Bartholomew Fair was established in 1133 by Rahere to raise funds.

Rahere himself used to perform juggling tricks.

(Samuel Pepys would later write about seeing a horse counting sixpence and a puppet show of Ben Jonson´s 1614 play Bartholomew Fair.)

Crowds throng the streets filled with rides and lined with gaily lit buildings.

In Daniel Defoe´s Moll Flanders (1722) his heroine meets a well-dressed gentleman at the Fair.

William Wordsworth´s poem The Prelude (1803) mentions the din and the Indians and the dwarfs at the Fair.

Victorians would close the Fair down in 1855 to protect public morale.

It was felt that the Fair was encouraging debauchery and public disorder.

The Newgate Calendar wrote that the Fair was “a school of vice which has initiated more youth into the habits of villainy than Newgate Prison itself.”)

 

Hidden in the back streets north of the namesake hospital, St. Bartholomew the Great is London´s oldest and most atmospheric parish church.

Begun in 1123 as the main church of St. Bartholomew´s priory and hospice, it was partly demolished in the Reformation and gradually fell into ruins.

The church once adjoined the hospital and though the hospital mostly survived the Dissolution of the Monasteries, about half of the church was ransacked before being demolished in 1543.

In the early 16th century, Prior William Bolton had an oriel window installed inside the church so he could keep an eye on the monks.

The symbol in the centre panel is a crossbow (bolt) passing through a barrel (tun) in honour of the Prior.

Having escaped the Great Fire of 1666, the church fell into disrepair.

The cloisters were used as a stable, there was a boys´ school in the triforium, a coal and wine cellar in the crypt, a blacksmith´s in the north transept and a printing press where Benjamin Franklin served for a year (1725) as a journeyman printer in the Lady Chapel.

The church was also occupied by squatters in the 18th century.

From 1887, Aston Webb restored what remained and added the chequered patterning and flintwork that now characterizes the exterior.

The Church of Saint Bartholomew the Great is a rare survivor, despite also suffering Zeppelin bombing in World War I and the Blitz in World War II.

To get an idea of the scale of the original church, approach it through the half-timbered Tudor gatehouse on Little Britain Street.

A wooden statue of St. Bartolomew stands in a niche.

Below is the 13th century arch that once formed the entrance to the nave.

The churchyard now stands where the nave once was.

There is also the bust of Edward Cooke made of “weeping marble“, stone that appears to cry if the weather is wet enough and when the central heating hasn´t dried out the stone.

Edward Cooke

The inscription beneath the statue exhorts visitors to “unsluice your briny floods.”

One side of the cloisters survives to the south and now houses the delightful Cloister Café.

Inside the Cloister Café

Under a 15th century canopy north of the altar is the tomb of Rahere.

 

The poet and heritage campaigner John Betjeman (1906 – 1984) kept a flat opposite the churchyard on Cloth Fair.

Betjeman considered St. Bartolomew the Great to have the finest surviving Norman interior in London.

 

Charity in the churchyard on Good Friday still continues.

A centuries-old tradition began when 21 sixpences were placed upon the gravestone of a woman who had stipulated in her will that there would be an annual distribution to 21 widows in perpetuity.

Freshly baked hot cross buns nowadays are not only to widows but to others as well.

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In 2007 the church became the first Anglican parish church to charge admission to tourists not attending worship.

 

St. Bartholomew the Great is the adopted church of the Worshipful Companies of Butchers, Founders, Haberdashers, Fletchers, Farriers, Farmers, Information Technologists, Hackney Carriage Drivers and Public Relations Practitioners.

Perhaps it is this last Company combined with the church´s atmosphere that has made St. Bartholomew´s much beloved of film companies.

 

The fourth wedding of the film Four Weddings and a Funeral (1994) sees Charles (Hugh Grant) deciding to marry ex-girlfriend Henrietta (Anna Chancellor) aka “Duck Face“.

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However, shortly before the ceremony at St. Bartholomew, Charles´ ex-casual girlfriend Carrie (Andie MacDowell) arrives, revealing to Charles that she and Hamish (Corin Redgrave) are separated.

Charles has a crisis of confidence, which he reveals to his deaf brother David (David Bower) and his best friend Matthew (John Hannah).

During the ceremony, when the vicar asks whether anyone knows a reason why the couple should not marry, David, who was reading the vicar’s lips, asks Charles to translate for him and says in sign language that he suspects the groom loves someone else.

The vicar asks whether Charles does love someone else and Charles replies, “I do.”

Henrietta punches Charles and the wedding is halted, with the church forgotten for the rest of the film.

 

In Robin Hood: Prince of Thieves, the Sheriff of Nottingham (Alan Rickman) “marries” Maid Marion (Mary Elizabeth Mastrantonio) in this church meant to be the chapel of Nottingham Castle.

A bowman, ready to release a fiery arrow. Below two figures, beside a tree, silhouetted against a lake background.

William Shakespeare (Joseph Fiennes) reveals to Viola de Lesseps (Gwyneth Paltrow) that he is alive when he surprises her and her husband-to-be Lord Wessex (Colin Furth) inside St. Batholomew´s. (Shakespeare in Love)

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Sarah Miles (Julianne Moore) regularly visits Father Smythe (Jason Isaacs) at the church. (The End of the Affair, 1999)

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William Wilburforce (Ioan Gruffuff)(1797 – 1833) finds spiritual enlightenment in St. Bart´s to inspire him to devote his life to the abolishment of slavery in England. (Amazing Grace)

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Anne Boleyn (Natalie Portman) marries King Henry VIII (Eric Bana) and is crowned Queen of England in a ceremony at St. Bartholomew, as is Snow White (Kristen Stewart). (The Other Boleyn Girl)(Snow White and the Huntsman)

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The interiors of Fotheringray Castle and Chartley Hall (the former where Mary, Queen of Scots (1542 – 1587) was imprisoned, the latter from where she reigned, both ruins) are captured by St. Bartholomew´s. (Elizabeth: The Golden Age)

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Sherlock Holmes (Robert Downey Jr.) and Dr. John Watson (Jude Law) with Inspector Lestrade (Eddie Marsan) and his police force battle Lord Blackwood (Mark Strong) and his men within St. Bartholomew`s. (Sherlock Holmes, 2009)

Robert Downey Jr. and Jude Law, in-character. The background is a window display, featuring shelves containing miscellaneous objects relating to the story. The poster reads "Sherlock Holmes" across the top, with the tagline "Holmes for the holiday" centered at the bottom. The poster is predominately turquoise coloured.

St. Bart´s has also been used in Avengers: Age of Ultron (2015), Transformers: The Last Knight (2017), the TV series Taboo and as a stand-in for Westminster Abbey by T-Mobile for its “royal wedding” advertisement (2011).

 

Historically much blood has been spilt in Smithfield, with both the living their lives dispatched and the dead their bodies snatched.

Blood, both animal and human, has been spilled at Smithfield for centuries that.

Given its ease of access to grazing and water, Smithfield established itself as London´s livestock market, remaining so for almost a thousand years.

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The meat market grew up adjacent to Bartholomew Fair, though it wasn´t legally sanctioned until the 17th century.

Live cattle continued to be herded into Smithfield until the Fair was suppressed and the abattoirs moved out to Islington.

A new covered market hall was erected in 1868 and it remains London´s main meat market.

Early morning by 7 am, Smithfield Market is at its most animated with a full range of stalls open.

 

Human blood was often spilled in Smithfield as well.

 

William Wallace (1270 – 1305), a Scottish knight and one of the main rebel leaders during the Wars of Scottish Independence, was captured near Glasgow, transported to London and taken to Westminster Hall.

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There he was tried for treason and for atrocities against civilians in war, “sparing neither age nor sex, monk nor nun“.

He was crowned with a garland of oak to suggest he was the King of Outlaws.

Wallace responded to the treason charge:

I could not be a traitor to King Edward, for I was never his subject.

Following his trial, Wallace was taken from the Hall to the Tower of London on 23 August 1305.

He was then stripped naked and dragged through the city at the heels of a horse to Smithfield.

He was strangled by hanging but released while he was still alive.

He was then emasculated, eviscerated and his bowels burned before him.

Wallace was then beheaded, drawn and quartered.

His head was preserved (dipped in tar) and placed on a pike atop London Bridge.

In 2005 a memorial service was held for Wallace, on the 700th anniversary of the Scottish rebel´s execution.

Above: Plaque on the wall of St. Bartholomew´s Hospital, marking the place of Wallace´s execution

 

Wat Tyler led the Peasants´ Revolt in 1381.

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At the height of the Revolt, Tyler had them gather, 20,000 strong, at Smithfield after having just taken London by storm.

They assembled to discuss what their next move should be.

They were debating whether to loot the city when the King appeared, accompanied by a retinue of 60 horsemen.

Though Richard II was only a boy of 14, he did not shrink from the challenge.

When he reached the Abbey of St. Bartholomew, Richard stopped and looked at the great crowd and said he would not go on without hearing what they wanted.

If they were discontented, he would placate them.

Tyler, a roofer from Kent, emboldened by the peasants´ success, rode forward to negotiate with the King.

He spoke insolently to the King and to the Lord Mayor of London who was with him.

In reply, the Lord Mayor produced his sword and struck Tyler in the head.

Tyler fell to the ground and was surrounded by the King´s retainers who finished him off while the peasants looked on helplessly.

They were about to launch into a massacre when Richard hurriedly retrieved the situation.

Ordering his retainers to stay where they were, Richard rode forward alone and calmed the mob.

He told them:

“I am your King.

You have no other leader but me.”

The crowd dispersed, the Revolt was over, the peasants went home, their remaining leaders hunted down and hanged without mercy.

 

Smithfield became a regular venue for public executions.

The Bishop of Rochester´s cook was boiled alive here in 1531, after being found guilty of poisoning.

The local speciality was burnings, reaching a peak during the reign of “Bloody” Mary in the 1550s when hundreds of Protestants were burnt at the stake for their beliefs, in revenge for the Catholics who had suffered a similar fate under Henry VIII and Edward VI.

A plaque on the side of the church commemorates those who died at Smithfield as martyrs for their faith – 50 Protestants and the religious reformers who would be called “the Marian martryrs“.

It is foolish, generally speaking, for a philosopher to set fire to another philosopher in Smithfield Market because they do not agree in their Theory of the universe.

That was done very frequently in the last decadence of the Middle Ages and it failed altogether in its object.” (G.K. Chesterton)

On 16 July 1546, Anne Askew of Lincolnshire and three men were burnt at the stake, for going around London distributing Protestant tracts and giving them secretly to the ladies of the Queen´s household.

Askew was arrested, tortured in the Tower of London and then executed.

She was 25.

So many executions….

 

Reportedly some nights there is a strong scent of burning flesh.

 

During the 16th century the Smithfield site was the place of execution of swindlers and coin forgers who were boiled to death in oil.

After 1783, when hangings at Tyburn Tree (present site of Marble Arch) stopped, public executions at the nearby gates of Newgate Prison just south of Smithfield, began to draw crowds of 100,000 and more.

The last public beheading took place here in 1820 when five Cato Street Conspirators were hanged and decapitated with a surgeon´s knife.

It was in hanging that Newgate excelled.

Its gallows dispatched 20 criminals simultaneously.

Unease over the “robbery and violence, loud laughing, oaths, fighting, obscene conduct and still more filthy language” that accompanied public hangings drove the executions inside the prison walls in 1868.

The bodies of the executed were handed over to the surgeons of St. Bartholomew´s for dissection, but body snatchers also preyed on non-criminals buried in the nearby churchyard of St. Sepulchre-without-Newgate.

Such was the demand for corpses that relatives were forced to pay a night watchman to guard the graveyard in a specially built watchhouse to prevent the “Resurrection Men” from retrieving their quarry.

Successfully stolen bodies were taken to the nearby tavern, the Fortune of War, to be sold to the physicians of the St. Bartolomew´s Hospital.

Rahere may have been both head of the Priory and master of the Hospital, but soon these offices, these institutions became distinct identities.

St. Bart´s Hospital wasn´t the first of its kind, for it, like the earliest Hospitals, was a part of a monastery that gave shelter and food to wayfarers, serving both as guesthouse and infirmary, caring not just for the traveller, but for all kinds of needy people, including the sick, the aged and the destitute.

St. Bart´s would become known for taking in expectant mothers, foundlings and orphans and babies from nearby Newgate Prison.

St. Bart´s began with eight brethern and four sisters, all following the rule of the Augustinian order.

For over four centuries, the Hospital continued to be a religious institution.

By 1150, St. Bart´s had become a popular refuge for the chronically ill, many seeking miraculous cures, yet little is known about these patients in medieval times, other than those described in the Book of the Foundation.

 

A carpenter named Adwyne was brought in suffering from chronic contractions resulting from prolonged illness.

First he regained use of his hands by making small tools and as his limbs became stronger he was able to use an axe.

His recovery has much in common with modern physiotherapy and occupational therapy.

 

Gradually, treatments based on medical doctrines were introduced.

 

John Mirfeld, a contemporary of Chaucer, lived within the Priory and was closely connected to the Hospital.

He wrote two books in which he recorded everything he believed conducive to spiritual and physical health.

The first of his works, the Breviarium Bartholomei (Breviary of Bartholomew), written in Latin between 1380 and 1395, is a large compendium of diagnoses, treatments and remedies, which were copied from the standard medical authorities of the day, mainly classical and Arabic, but included cures based on folklore and magic which were an integral part of medieval medicine.

Mirfield´s writings were the best available medical practice 600 years ago.

The Breviarium Bartholomei dealt with general illnesses, then categorized other diseases according to the parts of the bodies they affected.

 

The Order of the Hospital (1552) stated that there should be “one fayre and substantial chest” in which the Hospital´s records were kept.

The chest was to have three locks, which only the president, treasurer and one other governor had the key to a lock.

The Clerk of the Hospital was responsible for writing down a record of the Hospital´s business, for which he kept four books: a repertory (copies of all deeds relating to the Hospital´s property, rights and obligations), a book of survey (the names of all the tenants of the Hospital´s properties and who was responsible for repairs), a book of accounts / the ledger (copies of all deeds relating to the Hospital´s property, rights and obligations), and a journal (a record of the meetings of the hospital´s governers).

 

From 1547 there were usually three Hospital surgeons, each in regular attendance on the patients.

Some of the early surgeons at St. Bart´s were skilled practitioners and highly distinguised in their day.

William Clowes (1544 – 1604) wrote a number of books which have been described as the best surgical texts of the Elizabethan age.

Above: William Clowes

John Woodall (1556 – 1643), a contemporary of William Harvey, wrote The Surgeon´s Mate, a book full of sound and practical advice for ships´ surgeons.

Woodall was one of the first to recognize scurvy (caused by a lack of Vitamin C in the diet) and lemon juice as a treatment for it.

Above: John Woodall

The most common operations were: amputations, lithothomy (removing bladder stones) and trephination (drilling with a circular saw to remove portions of the skull.

But without anaesthetics and any understanding of the causes of infection, pus in wounds was accepted as part of the healing process and mortality rates were high.

More typically, surgeons dealt with accidents such as burns, fractures, knife and gunshot wounds.

They also pulled teeth, lanced boils, drained pus, treated skin disorders, venereal infections, tumours and ulcers.

 

Most drugs were made from home-grown and imported plants and spices and were based on traditional remedies.

In 1618 the first London Pharmacopoeia was published and sponsored by the Royal College of Physicians, embodying a list of approved drugs and the methods of preparing them.

Some exotic substances were included, such as unicorn´s horn and spider´s web, reflecting the practices of the time.

 

One of the more distinguished apothecaries at St. Bart´s was Francis Bernard (1627 – 1698) who amassed a huge library, containing 13,000 volumes, 4,500 of which related to medicine and science, at his house in Little Britain near the Hospital.

 

Pharmacy changed slowly and it was not until the 19th century that scientific analysis began to isolate drugs like morphine, codeine and quinine.

 

Unlike surgeons who acquired their skills by apprenticeship, physicians were university trained.

Until the 17th century, medicine remained largely backward looking, dependent upon classical authorities and ancient remedies.

Diagnosis was made by taking into account the patient´s history, lifestyle and appearance, and external factors such as the environment in which the patient lived.

Gradually, however it became accepted that the human body could be investigated by dissection and that knowledge of anatomy was vital in understanding how the body worked.

 

William Harvey (1578 – 1637) studied medicine and anatomy at the famed University of Padua before serving as physician at St. Bart´s.

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Above: William Harvey

He is credited with one of the greatest advances in medical history: the discovery of the circulation of the blood, published in 1628 in Exercitatio Anatomica de Motu Cardis et Sanguinis in Animalibus (An Anatomical Essay on the Motion of the Heart and Blood in Animals).

Based on his observations and experiments, Harvey demonstrated that the blood circulated constantly around the body, pumped by the heart, going out by the arteries and returning by the veins.

His work was a role model for scientific investigation.

Nonetheless by the 18th century there was still no real understanding of the nature and causes of disease.

 

Peter Mere Latham (1789 – 1875) emphasized the careful physical examination of the patient.

Above: Peter Mere Latham

Some 60 volumes of his casenotes, all carefully indexed, are the earliest examples of detailed patient records.

 

Diagnosis using instruments, such as the stethoscope, was introduced in the first half of the 19th century.

Percivall Pott (1714 – 1788) bridged the gap between the barber-surgeons and the modern art of surgery.

Known for his consideration of the patient and who described amputation as “terrible to bear and horrible to see“, Pott introduced many improvements to surgery and helped raised the standing of his procession.

By the last quarter of the 18th century, systematic medical education (the mix of university education and hands-on apprenticeship) had yet to be introduced in England.

Due to popularity of anatomical, surgical operations and bandaging lectures, the Hospital began to provide a purpose-built lecture theatre.

A wide range of subjects was taught including theory and practice of medicine, anatomy and physiology, surgery, physics, chemistry, materia medica (drugs), midwifery and diseases of women and children.

By 1831, St. Bart´s had the largest medical school in London, providing a complete curriculum for students preparing for medical examination.

 

Health care was transformed in the 19th century.

New specialities arose as medicine became a science.

By the end of the century, research, often conducted in the laboratory, had become the basis of medical science.

 

A story, a legend, begins in 1881, when Dr. John Watson, having returned to London after serving in the Second Anglo-Afghan War, visits the Criterion Restaurant and runs into an old friend named Stamford, who had been a dresser under him at St. Bartholomew’s Hospital.

St. Bart´s was Watson´s alma mater.

Watson confides in Stamford that, due to a shoulder injury that he sustained at the Battle of Maiwand, he has been forced to leave the armed services and is now looking for a place to live.

Stamford mentions that an acquaintance of his, Sherlock Holmes, is looking for someone to split the rent at a flat at 221B Baker Street, but he cautions Watson about Holmes’s eccentricities.

Stamford takes Watson back to St. Bartholomew’s where, in a chemical laboratory, they find Holmes experimenting with a reagent, seeking a test to detect human haemoglobin.

Holmes explains the significance of bloodstains as evidence in criminal trials.

“There´s the scarlet thread of murder running through the colourless skein of life.” (Sherlock Holmes, Sir Arthur Conan Doyle, A Study in Scarlet)

After Stamford introduces Watson to Holmes, Holmes shakes Watson’s hand and comments, “You have been in Afghanistan, I perceive.

Though Holmes chooses not to explain why he made the comment, Watson raises the subject of their parallel quests for a place to live in London, and Holmes explains that he has found the perfect place in Baker Street.

At Holmes’s prompting, the two review their various shortcomings to make sure that they can live together.

After seeing the rooms at 221B, they move in and grow accustomed to their new situation.

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Pathology (the study of the underlying causes and processes of disease) was at first the main area of scientific work.

Case notes of individual patients were systematically compiled, not only as a record of diagnosis and treatment, but also for use in teaching and research.

Gradually, the old beliefs that infection arose spontanteously gave way to the discovery that disease was caused by small living germs (bacteria).

With the introduction of anaesthetics and antiseptics, procedures could be undertaken that were formerly prohibited by the risk of blood loss, infection and the suffering of the patient.

So while the number of operations performed at St. Bart´s increased dramatically, the overall mortality rate kept falling.

During the 1930s, St. Bart´s led the world in the development of mega-voltage X-ray therapy for cancer patients and was the first Hospital to install equipment capable of treating tumours with a 1,000,000 volt beam.

 

St. Bartholomew´s Hospital has existed on the same site since its founding in the 12th century, surviving both the Great Fire of London and the Blitz, making this Hospital the oldest in London.

 

St. Bartholomew´s Hospital Museum, open Tuesday to Friday, 10 am to 4 pm, shows how medical care has developed and the history of the Hospital.

The Museum is part of the London Museums of Health and Medicine and has been described as one of the world´s 10 weirdest medical museums.

Among the medical artifacts are some fearsome amputation instruments, a pair of leather “lunatic restrainers” and jars with labels such as “Poison – for external use only.”

The Museum contains some fine paintings, gruesome surgical tools and a tribute to Sir Arthur Conan Doyle, who wrote some of his Sherlock Holmes stories while studying medicine here.

You have been in Afghanistan, I perceive.

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Upstairs on the 3rd floor of the Hospital, the Barts Pathology Museum (http://www.qmul.ac.uk/bartspathology) is a cavernous, glass-roofed hall lined with jars of pickled body parts, open to the visitor by appointment only.

Around 5,000 diseased specimens in various shades of putrid yellow, gangerous green and bilious orange are neatly arranged on three open-plan floors linked by a spiral staircase.

Only the ground floor of the Museum is open to the public, while the upper galleries are reserved for teaching, cataloguing and conservation.

Some favourites: the deformed liver of a “tight lacer“(corset wearer), the misshapen bandaged foot of a Chinese woman, the skull of the assassin John Bellingham who murdered Prime Minister Spencer Perceval.

The Museum has a series of workshops and talks inspired by its collection.

There are taxidermy classes, lectures on funerary cannibalism and the history of syphilis, and festivals dedicated to bodily decay and broken hearts.

Have a glass of wine amongst severed hands and trepanned skulls.

If you dare….

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Prior to the Anatomy Act of 1832, there were only two ways in which medical schools could acquire corpses: prisoners sentenced to death and dissection, or corpses purchased from the “Resurrection Men” body snatchers.

 

A door leads from the Hospital Museum to the Hospital´s official entrance hall.

On the walls of the staircase are two murals painted by William Hogarth: The Pool of Bethesda and The Good Samaritan, which can only be seen at close quarters on Friday afternoons.

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Hogarth was so enraged by the news that the Hospital was commissioning art from Italian painters that he insisted on doing the staircase murals for free as a demonstration that English painting was equal to Italian.

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The legend recreated in the BBC drama, final episode “The Reichenbach Fall” of the second series of Sherlock.

J.M.W. Turner, “Reichenbach Falls

John finds Sherlock at the St. Bartholomew’s lab but leaves after hearing Mrs. Hudson has been shot.

Sherlock texts Moriarty who meets him on the roof of the hospital to resolve what the criminal calls their “final problem“.

Moriarty reveals that Sherlock must commit suicide or Moriarty’s assassins will kill John, Mrs. Hudson, and Lestrade.

Sherlock realises that Moriarty has a fail-safe and can call the killings off.

Sherlock then convinces Moriarty that he is willing to do anything to make him activate the fail-safe.

After acknowledging that he and Sherlock are alike, Moriarty tells Sherlock “As long as I am alive, you can save your friends,” then commits suicide by shooting himself in the mouth, thereby denying Sherlock knowledge of the abort codes and the ability to prove that Moriarty does exist.

With no way to use the fail-safe, Sherlock calls John, who is rushing back from 221B Baker Street after realising the report about Mrs. Hudson was a ruse.
Claiming that he was always a fake and explaining this last phone call is his “note“, Sherlock swan-dives off the roof of St. Bartholomew as John looks on horrified from the street, thereby ensuring that Moriarty’s true identity dies with him.
After being knocked to the ground by a cyclist, John stumbles over to watch, grief-stricken, as Sherlock’s bloody body is carried away by hospital staff.
St. Bart´s is again used as the location for the resolution to Holmes´ faked suicide, in the first episode (“The Empty Hearse“) of the third Sherlock series.
Just inside the Henry VIII Gate of St. Bartholomew´s Hospital is the Hospital church of St. Bartholomew the Less.
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Inside the light and airy church with its limed oak pews the visitor can find a painting of St. Batholomew, the aforementioned parish chest and memorials to Hospital doctors, nurses and other staff.
On the wall, the Balthrope Monument has the kneeling figure of Robert Balthrope, Sergeant Surgeon to Queen Elizabeth I with the final lines (paraphrased):
“Let here his rotten bones repose till angel´s trumpet sound.
To warn the world of present change and raise the dead from the ground.”
To wander a neighbourhood so rich in history and culture….
To learn of Sherlock Holmes and Dr. Watson, of jesters of joy and saints of determination, of fairs fayre and deadly prisons, of patriots and poets, of movie magic, of queens and martyrs, of rebels who defied kings, of doctors and nurses, of drugs and medicine….
Such is Smithfield, the Springfield of England, such was our Bart day.
The jukebox of my mind thinks of The Simpsons.
Do the Bartman.
Sources
Wikipedia
Nicholas Best, London in the Footsteps of the Famous
Sir Arthur Conan Doyle, A Study in Scarlet
Rena Gardiner, The Story of Saint Bartholomew the Great
Rachel Howard and Bill Nash, Secret London: An Unusual Guide
Rough Guide London
St. Bartholomew`s Hospital: Nine Centuries of Health Care

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Canada Slim and the Lamp Ladies

Landschlacht, Switzerland, 30 December 2017

In this season of goodwill and gratitude for all the blessings we enjoy, those who are healthy should especially be thankful, for we live in an age when life expectancy is higher because mankind has developed medicines and methods to extend life and restore health.

Granted there is still much significant progress needed, for far too many people still fall victim to the scourges of cancer and strokes.

There is still much we do not understand about diseases like Parkinson´s, AIDS and far too many others to comprehensively list here.

Even the common cold with its endless variety of mutations remains unsolvable and must simply be accepted as one of the countless burdens we must endure in life.

What is significant about today when compared with yesteryear is that common injuries are less likely to be fatal.

As well through the contributions of thoughtful compassionate innovators, our attitudes towards the care of the injured and ailing have improved.

Here in Switzerland and back in my homeland of Canada I have been hospitalized due to injuries caused by accidents: a fall from a tree (shattered shoulder), an axe slip (shattered foot), and a fall on a staircase (shattered wrist).

And though I also have medical conditions of anemia and celiac, neither these conditions nor the accidents I have had led to risks of fatality.

For prompt and compassionate medical attention provided to me ensured that I still live a functional, mostly painless, and happy healthy existence.

For the Christian West, Christmas is the season to show thanksgiving to God for sending His Son Jesus Christ to save our immortal souls, we also should not forget the human instruments of change that have assisted mankind to save our mortal flesh.

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I married a doctor, and, even though she is a children´s physician, knowing her has given me an appreciation of just how difficult a profession medicine really is at all levels of medical treatment.

From the surgeon whose precision must be matched with efficiency, to the specialist doctor whose diagnosis must be accurately matched with the most likely cause of the patient´s symptoms, to the technicians who operate machinery that can reveal the interior of a patient´s body, to the family doctor who must know when to send a patient to a specialist and when to trust his/her own treatment, to the pharmacist that must know what medicines do and how to administer them, to the administrator who must balance the needs of patients with the cost of maintaining those needs, to the cleaning staff who ensure that the health care environment is as sterile as humanly possible, to the therapist who teaches the patient how to heal him/herself, to the nurse who monitors and comforts the bedbound sick person unable to fend for him/herself…..

The world of health care is a complex and complicated system demanding dedicated people and a neverending desire to improve itself.

A visit to a London museum two months ago has made me consider how grateful I am that an Englishwoman had the courage to be compassionate, Christian, and transformed the world for the better.

London, England, 24 October 2017

As mentioned in great detail in my blogpost Canada Slim and the Royal Peculiar my wife and I visited Westminster Abbey, that necrophiliac fetish house for the Establishment.

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And folks whether or not they were avowed antiestablishment found themselves commemorated here.

The poet Shelley, despite wishing to be known as an anarchist artist and was buried in Rome, is memorialised here in Poets´ Corner, across from Viscount Castlereagh, a man Shelley loathed.

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Above: Percy Bysshe Shelley (1792 – 1822)

“I met Murder on the way.

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Above: Robert Stewart, Viscount Castlereagh (1769 – 1822)

He had a face like Castlereagh.”

Before leaving the Abbey, we briefly visited the Undercroft Museum with its death-worshipping collection of royal funeral effigies.

Until the Middle Ages, British monarchs were traditionally embalmed and left to lie in state for a set period of time.

Eventually, the corpse was substituted for a wooden figure of the deceased, fully dressed with clothes from the Great Wardrobe and displayed on top of the funeral carriage for the final journey.

As the clothes were expected to fit the effegy perfectly, the likenesses found in the Undercroft are probably fairly accurate.

Edward III´s face has a strange leer, a recreation of the stroke he suffered in his final years.

Above: Westminster Abbey effigy of Edward III (1312 – 1377)

His eyebrows came from a plucked dog.

Several soldiers are known as the Ragged Regiment due to their decrepit decay.

Frances, the Duchess of Richmond and Lennox, holds what may be the world´s oldest stuffed bird, an African Grey parrot that died in 1702.

Above: Frances Teresa Stewart (1647 – 1702)

Samuel Pepys wrote in his diary that Frances was the greatest beauty he had ever seen.

Sadly she was disfigured by smallpox in 1668.

Sadly her final fate no different than that of her parrot.

Leaving the Abbey we see the Methodist Central Hall, an inadequate and unnecessary replacement to the building that once stood here.

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On this site once stood the Royal Aquarium and Winter Garden, opened in 1876, a grand Victorian entertainment venue.

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It housed palm trees, restaurants, an art gallery, an orchestra, a skating rink, the Imperial Theatre, smoking and reading rooms.

A variety of sea creatures were displayed here, but the Aquarium was often plagued by frequent plumbing problems, so the place became better known for the exciting performances staged here than for the fish.

Come one, come all.

See William Leonard Hunt, aka the Great Farini, the world renowned Canadian showman and tightrope walker!

Above: William Hunt, aka the Great Farini (1838 – 1929)

Gasp in awe at 14-year-old Rossa Matilda Richter, aka Zazel, the first ever human cannonball, as she (barely 5 feet tall and 64 lbs heavy) is launched through the air flying 30 feet or more!

Above: Rossa Richter, aka Zazel (1863 – 1929)

Protests were launched over the danger Zazel faced and for a while the venue was in danger of losing its license but crowds kept coming to see the performances.

By the 1890s the Aquarium´s reputation became disreputable and it became known as a place where ladies of poor character went in search of male companions.

The Great Farini and Zazel were one thing, but an Aquarium of ill repute was too much for Victorian propriety to accept.

The Aquarium closed in 1899 and was demolished four years later.

In 1905 construction began on the Hall for Methodists, Christianity´s least entertaining sect.

We headed towards the Thames and followed Millbank Road to a place which suffered the opposite fate of the Aquarium.

While the Aquarium lost its aura of entertainment and was replaced by a stodgy religious institute, opposite the Tate Britain Museum is an almost invisible plaque upon an unremarkable bollard that tells the reader that where the entertaining Tate stands once stood Millbank Prison.

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Above: Tate Britain

Millbank was built to serve as the National Petientiary and was used as a holding facility for convicts due for transportation to Australia.

“Near this site stood Millbank Prison which was opened in 1816 and closed in 1890.

This buttress stood at the head of the river steps from which, until 1867, prisoners sentenced to transportation embarked on their journey to Australia.”

Novelist Henry James called Millbank “a worse act of violence than any it was erected to punish”.

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Above: Henry James (1843 – 1916)

The phrase “down under” is said to be derived from a nearby tunnel through which the convicts were walked in chains down to the river.

A section of the tunnel survives in the cellars of the nearby Morpeth Arms, a pub built to seve the prison warden and said to be haunted by the ghost of a former inmate.

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Depending on their crime, prisoners could be given the choice of receiving a five-to-ten-year jail sentence instead of exile.

Among the many to be sent to Australia – and perhaps the unluckiest of them all – was Isaac Solomon, a convicted pickpocket and the inspiration for the character Fagin in Charles Dickens´ Oliver Twist.

Above: Isaac “Ikey” Solomon (1727 – 1850)

In 1827 Solomon managed to escape while being taken to Newgate Prison.

He fled England to New York, but then travelled on to Tasmania when he discovered his wife had been transported there for crimes of her own.

Upon arrival in Tasmania, Solomon was rearrested, shipped home to London, retried, reconvicted and sentenced to exiled imprisonment for 14 years….back to Tasmania.

We made our weaving way to Pimlico Tube Station, a unique station in that it doesn´t  have an interchange with another Underground or National Rail Line.

We rode the rails until Waterloo, the last station to provide steam-powered services and the busiest railway station in London / the 91st busiest in the world / the busiest transport hub in Europe.

I had once taken the Eurostar from Waterloo Station to Paris as one of the 81,891,738 travellers during the 13 years (1994 – 2007) Eurostar operated from here, before it began service from St. Pancras.

The clock at Waterloo has been cited as one of the most romantic spots for a couple to meet, and has appeared in TV (Only Fools and Horses) and in the film Man Up.

Waterloo Station has appeared in literature (Three Men in a Boat, The Wrong Box, The War of the Worlds), films (Terminus, Rush Hour, Sliding Doors), theatre (The Railway Children), music (the Kinks song “Waterloo Sunset”) and paintings.

Our destination – typical of travelling with a doctor – a hospital, St. Thomas Hospital, noteworthy for a male serial killer and a lady humanitarian.

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Dr. Thomas Neill Cream, also known as the Lambeth Poisoner, was a Scottish Canadian serial killer who claimed victims from the United States, England, Canada and Scotland.

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Above: Dr. Thomas Neill Cream (1850 – 1892)

Born in Glasgow, Cream was raised outside Quebec City.

He attended Montreal´s McGill University and then did his post-graduate training at St. Thomas.

In 1878 Cream obtained qualifications in Edinburgh.

He then returned to Canada to practice in London, Ontario.

In August 1879, Kate Gardener, a woman with whom he was having an affair, was found dead in an alleyway behind Cream´s office, pregnant and poisoned.

Cream claimed that she had been made pregnant by a prominent local businessman, but after being accused of both murder and blackmail, Cream fled to the United States.

Cream established a medical practice not far from the red light district of Chicago, offering illegal abortions to prostitutes.

In December 1880 another patient died after treatment by Cream, followed by another in April 1881.

On 14 July 1881, Danial Stott died of poisoning, after Cream supplied him a remedy for epilepsy.

Cream was arrested, along with Stott´s wife.

Cream was sentenced to life imprisonment in Joliet prison.

Cream was released in 1891, after Governor Joseph Fifer commuted his sentence.

Using money inherited from his father, Cream sailed for England.

He returned to London and took lodgings at 103 Lambeth Palace Road.

At that time, Lambeth was ridden with poverty, petty crime and prostitution.

On 13 October 1891, Nellie Donworth, a 19-year-old prostitute accepted a drink from Cream.

She died three days later.

On 20 October, Cream met 27-year-old prostitute Matilda Clover.

She died the next morning.

On 2 April 1892, after a vacation in Canada, Cream was back in London where he attempted to poison Louise Harvey.

Above: Louise Harvey

On 11 April, Cream met two prostitutes, Alice Marsh, 21, and Emma Shrivell. 18, and talked his way into their flat.

Cream put styrchine in their bottles of Guinness.

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Both women died in agony.

On 3 June 1892, Cream was arrested and was later sentenced to death.

On 15 November, Cream was hanged on the gallows at Newgate Prison and his body buried in an unmarked grave within the prison walls.

Cream´s name does not appear in later McGill graduate directories.

No mention of those who mourned Cream´s victims is made either.

Ladies of the night lost in the shadows of Lambeth lamplight, fallen and forgotten.

Another medical professional is equally remembered at a site as inconspicuous as a prison burial ground: a parking lot.

On the south side of Westminster Bridge, a series of red brick Victorian blocks and modern white additions make up St. Thomas´s Hospital, founded in the 12th century.

At the Hospital´s northeastern corner, off Lambeth Palace Road, is a car park.

A hospital car park isn´t the most obvious location for a museum, but that where one finds the homage to Florence Nightingale, the genteel rebel who invented the nursing profession.

Born on 12 May 1820 at the Villa Colombaia, three decades before Cream, Florence Nightingale was named after the city of her birth, Florence, Italy.

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Above: Florence Nightingale (1820 – 1910)

“There is nothing like the tyranny of a good English family.”

Florence was born into a rich, well-connected family though quite liberal in their attitudes.

Their circle of friends and acquaintances included the author Elizabeth Gaskell, the scientist Charles Darwin and the reform politician the Earl of Shaftesbury.

(For the story of the Earl of Shaftesbury, please see Canada Slim and the Outcast of this blog.)

Her maternal grandfather William Smith campaigned to abolish slavery and Florence´s father William Nightingale educated both her and her sister Frances Parthenope (after her birthplace of Parthenope, Naples) in French, Latin, German, mathematics, philosophy and science, then considered strictly male pursuits,

The Nightingales loved to travel – her parents´ honeymoon lasted so long that they produced two daughters before they returned home.

Growing up Florence visited many European cities.

She travelled to France, Switzerland, Germany and Italy.

She enjoyed visiting museums, dancing at balls, and going to concerts, confessing at one point that she was “music mad”.

In 1838, her father took the family on a tour of Europe where they were introduced to the English-born Parisian heiress Mary Clarke, with whom Florence bonded.

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Above: Mary Clarke (1793 – 1883)

Clarke was a stimulating hostess who did not care for her appearance, and while her ideas did not always agree with those of her guests, “she was incapable of boring anyone”.

Clarke´s behaviour was said to be exasperating and eccentric and she had no respect for upper class British women, whom she regarded generally as inconsequential.

She said that if given the choice between being a woman or a galley slave, she would choose the galleys.

Clarke generally rejected female company and spent her time with male intellectuals.

However Clarke made an exception in the case of Florence.

They were to remain close friends for 40 years despite their 27-year age difference.

Clarke demonstrated that women could be equals to men, an idea that Florence did not obtain from her mother Fanny Smith.

Florence underwent the first of several experiences that she believed were calls from God in February 1837 while at her family home of Embley Park, prompting a strong desire to devote her life to the service of others.

Above: Embley Park

Devout and scholarly, Florence was not expected to do anything much apart from marry and procreate.

As a young woman, Florence was attractive, slender and graceful.

She had rich brown hair, a delicate complexion and a prominent, almost Roman, nose.

She was slim until middle age and tall for a Victorian woman, about 5´8″ or 172 cm in height.

While her demeanour was often severe, she was very charming and possessed a radiant smile.

Florence received several marriage proposals.

She was certainly not supposed to work, but Florence´s ambition was to become a nurse.

Her parents were aghast.

In the Victorian Age, nurses were known for being devious, dishonest and drunken.

Hospitals were filthy, dangerous places exclusively for the poor.

The rich were treated in the privacy of their own homes.

In her youth Florence was respectful of her family´s opposition to her working as a nurse, but nonetheless she announced her decision to enter the field in 1844.

Despite the intense anger and distress of her mother and sister, Florence rebelled against the expected role for a woman of her status to become a wife and mother.

“I craved for something worth doing instead of frittering time away on useless trifles.”

Florence came closest to accepting the marriage proposal of politician and poet Richard Monckton Milnes, but after a nine-year courtship she rejected him in 1849, convinced that marriage would interfere with her ability to follow her calling to nursing.

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Above: Richard Monckton Milnes (1809 – 1885)

Whether Milnes´ devotion to the writing of Marquis de Sade and his extensive collection of erotica had something to do with Florence´s decision remains unstated.

She knew that marriage would mean swapping one cage for another and felt that God meant her to remain single.

“Marriage had never tempted me. 

I hated the idea of being tied forever to a life of Society, and such a marriage could I have.” 

In the essay Cassandra, Florence wrote about the limited choices facing women like her and raged against the way women were unable to put their energy and intelligence to better use.

Florence´s parents allowed her to visit Rome in 1847 with family friends, Charles and Selina Bracebridge, hopefully to take her mind off nursing.

In Rome, Florence met the young politician, former Secretary of War, Sidney Herbert on his honeymoon with his wife Elizabeth.

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Above: Sidney Herbert (1810 – 1861)

Together Florence and Elizabeth visited convents and hospitals run by Catholic nuns.

Sidney and Florence became lifelong close friends and the Herberts would later be insturmental in facilitating Florence´s future nursing work.

Florence continued her travels with the Bracebridges as far as Greece and Egypt.

Her writings on Egypt in particular are testimony to her learning, literaray skill and philosophy of life.

Sailing up the Nile as far as Abu Simbel in January 1850, Florence wrote of the temples there:

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Above: The temples of Abu Simbel: the Great Temple of Ramses II (left), the Temple of Nefertari (right)

“Sublime in the highest style of intellectual beauty, intellect without effort, without suffering …. not a feature is correct – but the whole effect is more expressive of spiritual grandeur than anything I could have imagined.

It makes the impression upon one that thousands of voices do, uniting in one unanimous simultaneous feeling of enthusiasm or emotion, which is said to overcome the strongest man.”

At Thebes, Florence wrote of being “called to God”.

A week later near Cairo she wrote in her diary:

“God called me in the morning and asked me would I do good for Him alone without reputation.”

During a visit to the Parthenon in Athens, Florence rescued an owl, which she called Athena.

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Above: The Parthenon

Athena always perched on Florence´s shoulder or in her pocket, with a specially designed pouch to to catch her droppings.

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Above: Athena (1850 – 1855)

Athena was a demanding creature who had to be bathed with sand daily.

When the badtempered owl died, Florence wrote:

“Poor little beastie, it was odd how much I loved you.”

Her sister Frances wrote a short story, The Life and Death of Athena, ensuring the little owl´s posthumous fame.

Rather than forget nursing as her parents hoped, Florence´s determination grew even stronger.

Later in 1850, Florence visited the Lutheran religious community at Kaiserswerth-am-Rhein, near Dusseldorf, in Germany, where she observed Pastor Theodor Fliedner and the deaconesses working for the poor and the sick in a hospital, orphanage and college.

Above: Kaiserswerth Clinic

She regarded the Kaiserswerth experience as a turning point in her life, where she received months of medical training which would form the basis for her later care.

Florence learned about medicines, how to dress wounds, observed amputations and cared for the sick and dying.

She had never felt happier.

“Now I know what it is to love life.”

On 22 August 1853, Florence took the post of Superintendant at the Institute for the Care of Sick Gentlewomen in Upper Harley Street in London, a position she held until October 1854.

When an epidemic of cholera broke out in London, Florence rushed to nurse victims in the nearby Middlesex Hospital.

Florence read about the disaster facing the British army in the autumn of 1854.

Hundreds of soldiers were sent to fight with the French and the Ottoman Turks against the Tsar´s Russian army in the Crimea were dying of disease.

The Crimean War was the first time the public could read in the newspapers about how the troops were suffering.

Above: Map of the Crimean War (Russian version)

When the news broke of the disaster in the Army, polticians were criticised.

More soldiers were dying from disease, and from cold during the winter, than from enemy action.

“In most cases the flesh and clothes were frozen together.

As for feet, the boots had to be cut off bit by bit, the flesh coming off with them.”

The wounded arrived by the boatloads at the British Army´s base hospitals at Scutari in Constantinople (today´s Istanbul).

Reporting from the front lines in the Crimea, William Howard Russell, Times journalist, blamed disorganization and a lack of supplies.

Fellow Times journalist in Constantinople, Thomas Chenery, reported that the French allowed women to nurse, unlike the British.

After the initial battles in the Crimea, the conflict centred on the besieged port of Sebastopol, where Russian and Ukranian women nursed heroically.

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Above: The Siege of Sebastopol (September 1854 – September 1855), by Franz Roubaud (1902)

Conditions in the vast hospitals were horrific.

“Must men die in agony unheeded?”, demanded the Times.

The scandal provoked a public outcry.

Sidney Herbert, once again Secretary of War, wrote to Florence asking her to lead a group of women nurses – a new and risky idea.

Florence and her team of 38 brave women volunteer nurses that she trained and 15 Catholic nuns set sail for Scutari.

Florence arrived early November 1854 at Selimiye Barracks in Scutari and found that poor care for wounded soldiers was being delivered by overworked medical staff in the face of official indifference.

Medicines were in short supply, hygiene was being neglected and mass infections were common, many of them fatal.

There was no equipment to process food for the patients.

There was a lack of food, a lack of blankets, a lack of beds.

Casualities arrived, after a long journey, dirty and starving.

“It is of appalling horror!

These poor fellows suffer with unshrinking heroism, and die or are cut up without complaint.

We are steeped up to our necks in blood.”

At Scutari the nurses had to contend with rats, lice, cockroaches and an absence of sanitation and had to cope with long hours and hard physical work.

After Florence sent a plea to the Times for a government solution to the poor condition of the facilities, the British Government commissioned engineer Isambard Kingdom Brunel to design a prefabricated hospital that could be built in England and shipped to the Dardanelles.

A 19th century man wearing a jacket, trousers and waistcoat, with his hands in his pockets and a cigar in mouth, wearing a tall stovepipe top hat, standing in front of giant iron chains on a drum.

Above: Isambard Kingdom Brunel (1806 – 1859)

The result was Renkioi Hospital, a civilian facility that had a death rate less than one tenth that of Scutari.

Florence reduced the death rate from 42% to 2% by making improvements in hygiene.

She implemented handwashing and other hygiene practices in the war hospital.

She organized the nurses and soldiers´ wives to clean shirts and sheets and the men to empty the toilets.

She bombarded Herbert with letters asking for supplies and used her own money and funds sent by the public via the Times, to buy scrubbing brushes and buckets, blankets, bedpans and operating tables.

“This morning I foraged in the purveyor´s store – a cruise I make almost daily, as the only way of getting things.  I am really cook, housekeeper, scavenger, washerwoman, general dealer and storekeeper.”

Every night she walked miles of hospital corridors where thousands of casualities lay, holding a Turkish lantern (fanoos) on her nightly rounds of the wards.

Florence would always dismiss the idea that she alone improved the Hospital.

It was a team effort.

In Britain, penny papers popularised the image of “the Lady with the Lamp” patrolling the wards.

Her work went beyond nursing care.

Florence treated the soldiers equally, whatever their rank, and also thought of their families´ welfare.

She wrote letters of condolence to relatives, sent money to widows, and answered inquiries about the missing or ill.

When the initial crisis was over, Florence also organized reading rooms.

As an alternative to alcohol, the Inkerman Café was opened, serving non-alcoholic drinks.

She set up a banking system so ordinary soldiers could send their pay home, rather than drink or gamble it away.

Stories of Florence´s devotion to the men flooded home to Britain.

One soldier wrote home of the love and gratitude for Florence felt by “hundreds of great rough soldiers”.

The men worshipped her.

During her first winter at Scutari, 4,077 soldiers died.

Ten times more soldiers died from diseases such as typhoid, typhus, cholera and dysentary than from battle wounds.

Scutari had been built on top of a huge cesspool.

With overcrowding eased, defective sewers flushed out and ventilation improved, death rates were sharply reduced.

Florence still believed that the death rates were due to poor nutrition, lack of supplies, stale air and overworking of the soldiers.

She came to believe that most of the soldiers at the hospital were killed by poor living conditions.

Florence believed that she needed to maintain military style discipline over her nurses.

“If a patient is cold, if a patient is feverish, if a patient is faint, if he is sick after taking food, if he has a bed-sore, it is generally the fault not of the disease but of the nursing.”

She wanted her nurses to be treated with respect by the men and doctors.

This meant no flirting with doctors or soldiers, no disobedience or drunkenness.

The first image showing Florence as “the Lady with the Lamp” appeared in the Illustrated London News early in 1855.

As the war dragged on, Florence´s work made her internationally famous.

“She is a ministering angel without any exaggeration in these hospitals, and as her slender form glides quietly along each corridor, every poor fellow´s face softens with gratitude at the sight of her.

When all the medical officers have retired for the night and silence and darkness have settled down upon those miles of prostrate sick, she may be observed alone, with a little lamp in her hand, making her solitary rounds.”

Florence hated what she called the “buzz fuzz” of celebrity, but she knew how to use public opinion.

Fame gave her power and influence to make changes, but she knew it obscured the achievements of others and the human cost of the war.

Florence´s image appeared as pottery figurines, souvenirs and even on paper bags.

Songs and poems were written about her.

When the US poet Henry Wadsworth Longfellow published “Santa Philomena” in 1857, it fixed Florence´s image forever as the Lady with the Lamp.

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Above: Henry Wadsworth Longfellow (1807 – 1882)

“Lo! in that house of misery

A lady with a lamp I see

Pass through the glimmering gloom

And flit from room to room.”

After contracting “Crimean fever” from infected goat´s milk, Florence suffered ill health.

After the Crimean War, Florence returned to Britain in August 1856, travelling under the name “Miss Smith” to avoid publicity.

Thin, exhausted and ill, she felt a sense of failure and grieved over the soldiers who did not return.

“My poor men lying in your Crimean graves, I stand at the altar of murdered men.

Florence devoted the rest of her life to ensure that they did not die in vain.

While Florence shrank from public appearances, she skillfully used her reputation and the authority of her name to convincethose in power of the need for health reform, starting with Queen Victoria, whom she impressed greatly when they met in Balmoral.

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Above: Queen Victoria (1819 – 1901)

For the rest of her days she would continue to suffer reoccuring bouts of fever, exhaustion, depression, loss of appetite, insomnia and severe back pain.

Unable to continue nursing, she devoted herself to health reform, founded the first training school for nurses at St. Thomas, campaigned to improve hospital conditions and championed the cause of midwives.

Often irritable, highly critical of herself and others, Florence worked on, writing hundreds of letters, gathering and analysing statistics, commenting on reports, briefing politicians and medical experts.

Prompted by the Indian mutiny of 1857, Florence began a lifelong campaign to improve the health of all Indians, not just British soldiers.

She studied the design of hospitals in Britain and across Europe.

Florence wrote Notes on Nursing to help ordinary women care for their families.

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She stressed the importance of cleanliness, warmth, fresh air, light and proper diet.

Florence wrote some 200 books, pamphlets and articles, and over 14,000 letters.

As well as nursing she wrote about religion and philosophy, sanitation and army hygiene, hospitals, statistics and India.

She wrote about her travels and the frustrations of life for educated women.

Florence changed society´s ideas about nursing.

She believed in looking after a person´s mental as well as physical wellbeing.

She stressed the importance of being sensitive to a patient´s needs and their environment to aid recovery.

She helped make nursing a respectable profession for women.

Her work proved an inspiration to many, including the founder of the Red Cross movement, Henri Dunant.

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Above: Henri Dunant (1828 – 1910)

Florence championed causes that are as just important today as they were in her day, from hospital hygiene and management, to the nursing of soldiers during war and afterwards, and healthcare for all around the world.

In recognition of her pioneering work in nursing, the Nightingale Pledge is taken by new nurses.

The Florence Nightingale Medal is the highest international distinction a nurse can achieve and the annual International Nurses Day is celebrated around the world on her birthday.

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The Florence Nightingale Museum doesn´t just celebrate Florence as a devout woman who single-mindedly revolutionized the healthcare industry but as well it hits the right note by putting the two years she spent tending to the wounded of the Crimean War in the context of a lifetime of tireless social campaigning, and also mentions others involved in that same health care crisis.

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Dimly lit and curiously curated with circular display cases covered in fake grass or wrapped in bandages, this small museum is packed with fascinating exhibits, from Florence´s hand-written ledgers and primitive medical instruments to pamplets with titles like How People May Live and Not Die in India.

The Museum and the neighbourhood of Lambeth are worth exploring, especially in a world too full of Dr. Creams and too few Florence Nightingales.

Perhaps if our politicians visited more museums like the Red Cross Museum in Geneva or the Florence Nightingale Museum there might less incentive to cause war ourselves or to ignore wars far removed from us, such as Yemen – “a pointless conflict (that) has caused the world´s worst humanitarian crisis”.

Perhaps if we followed role models such as Florence we might one day truly find peace on Earth and good will towards man.

Sources: Wikipedia / The Rough Guide to London / Rachel Howard and Bill Nash, Secret London: An Unusual Guide / Simon Leyland, A Curious Guide to London / Florence Nightingale Museum / http://www.florence-nightingale.co.uk

 

The Haa Bay and Needle Park

Zürich, 30 December 2015

You have arrived at “the Haa Bay” as the locals call it: Zürich´s Main Station or Hauptbahnhof.

You should be impressed.

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There are 3,000 trains, carrying around 350,000 passengers, arriving and departing daily on 30 tracks.

The station is one of Switzerland´s oldest.

The first station on this site was opened in 1847 by the Swiss Northern Railway as the terminus for a railway connecting Zürich and Baden (14 miles / 23 km apart).

This was the first railway constructed entirely within Switzerland.

The first train departed Zürich at 1 pm on 7 August 1847, carrying 140 invited passengers.

The railroad followed the south bank of the Limmat and took 45 minutes.

A scheduled service started two days later with four trips daily in each direction.

Zürich´s gentry were impressed.

Before the arrival of the railway their servants had to set out from Baden the night before on foot.

Why?

There were special buns that under Canton law could only be made in Baden.

These buns originated in Milan during the 17th century when that city was under Spanish control.

These Spanish buns from Baden, once safely in Zürich, were used by the gentry to impress their guests at high society tea parties.

So the servants would use the new railway to buy buns in Baden.

Thus this railway line was soon dubbed the Spanish Bun Railway.

The station building seen today was completed in 1873, and from the outside this neo-Renaissance station looks much as it did when it was first built.

In front of the station is a monumental fountain, added in 1889, to the memory of Swiss politican and railway entrepreneur Alfred Escher (1819-1882).

Escher initiated the construction of the Gotthard Railway and was a founder of what is today the Credit Suisse Bank.

All this talk of buns has made you hungry.

Step back inside the station.

While the main concourse has remained unchanged in its sombre sobriety, above your head is a sculpture suspended from the ceiling.

Meet your Guardian Angel, created by the French sculptress Niki de Saint Phalle (1930-2002).

After you´ve eaten, and maybe after a moment of quiet reflection in the Station´s tiny chapel…

(See Reformation by the River and the Railway Tracks of this blog.)

…step outside and look for the River.

Follow the River and walk on behind the Swiss National Museum to where the sea green Limmat meets the coffee coloured Sihl River.

Here is the Swiss National Museum, Zürich.

At the point where these two rivers converge is the peaceful Spit Place Park (Platz Spitz Park), as the park occupies a spit of land separating the rivers.

Looks boring, unimaginative?

Today, perhaps, but it was not always so.

In medieval times, this park, just outside the city walls, was used for grazing animals and for military drills.

In the early 15th century it became a shooting range.

During the 16th century target shooting competitions were staged here.

Zürich still has a shooting competition for teenagers.

The Knabenschiessen takes place on the second weekend in September, accompanied by Switzerland´s largest fun fair.

In 1780 the park became a place for promenades, a French-style pleasure park with riverside avenues and imposing trees.

Here were installed memorials to the City´s great men.

Among them are Saloman Gessner (1730-1788), the founder of the Züricher Zeitung newspaper, and Wilhelm Baumgartner (1820-1867), choir director, pianist and composer.

Saloman Gessner (1730-1788)

Wilhelm Baumgartner (1820-1867)

The construction of the Haa Bay in 1846 brought about the end of the old park and what remained would be, by 1883, transformed into an English-style landscape garden with a bandstand and the Swiss National Museum.

Platzspitz - Zürich, Switzerland

The Gazebo is a vestige of the first Switzerland’s National Exhibition of 1883.

It was first built to be a musical pavilion, a function it still serves to this day.

The meeting of the river waters would make this park Irish novelist James Joyce´s favourite spot in all of Zürich.

Portrait of James Joyce

Alone

The noon’s greygolden meshes make
All night a veil,
The shorelamps in the sleeping lake
Laburnum tendrils trail.
The sly reeds whisper to the night
A name—her name—
And all my soul is a delight,
A swoon of shame.
(James Joyce)

He too arrived, like many still do, at the Haa Bay in October 1904, en route to Trieste.

He was on his honeymoon, newly married to Nora Barnacle, and they stayed for a week in a nearby guesthouse.

Ten years later, the Joyces found themselves back at the same guesthouse with their two children, Giorgio and Lucia, having pawned their furniture in Trieste to escape wartime Austria.

Zürich in 1915 was a haven away from the First World War not only for writers like Joyce, but for also revolutionaries and artists, including the Russian revolutionist Vladimir Ilyich Lenin and the emigré artists who founded the Dadaism art movement.

So many refugees arrived at this time that Bahnhofstrasse was dubbed “Balkanstrasse”.

Lenin would leave Zürich from the Haa Bay on 9 April 1917, crossing Germany without stopping, in a sealed carriage.

Lenin.jpg

Germany allowed Lenin safe passage in the hope that Lenin would destabilise Russia.

Lenin did not disappoint.

During the late 1980s, officials designated the park as an area where drug dealing and drug usage was deemed legal.

It was an attempt to bring out the problem of drug use into the open and address it head on through the provision of pure drugs and clean syringes to contain the spread of disease.

Welcome to Needle Park.

“The strange scene has been a fixture in Zurich for several years, tolerated by city officials who are convinced that drug use should be regarded as a sickness rather than a crime.

Social and medical workers estimate that about 300 to 400 heavy drug users live in the park without shelter, toilets or showers, and that as many as 3,000 others pass through daily to buy and use drugs.

Midway of the grotesque carnival is a concrete path along the edge of the Limmat River, lined with makeshift counters covered with neatly arranged spoons, bottles of water and paper cups bristling with slender, disposable syringes.

The crowd thickens as night falls and drug hustlers work their way through the sea of bodies clogging the path, calling out ”Sugar, sugar, fine sugar!” when they mean heroin, and ”Cokay, cokay!” for cocaine.

The other night, three men crouched under a park lamppost, dividing a white powdery pancake of heroin with a Swiss Army knife.

Next to them, a woman lay in the dirt in a stupor.

Four or five men were intensely working needles into their arms.

A woman in a striped sweater probed for veins in one hand, blood streaming down her fingers, as a woman in leather pants and stained blouse wobbled past, a bloody syringe dangling from her neck.”

(27 September 1990, New York Times)

Police were not allowed to enter the park or make arrests.

Clean needles were given out to addicts as part of the Zurich Intervention Pilot Project, or ZIPP-AIDS program.

However, lack of control over what went on in the park caused a multitude of problems.

Drug dealers and users arrived from all over Europe, and crime became rampant as dealers fought for control and addicts (who numbered up to 20,000) stole to support their habit.

The once-beautiful gardens had degraded into a mess of mud and used needles.

Emergency services were overwhelmed with the number of overdoses, which were almost nightly.

Was the initiative a conscious plan to deal with Zürich´s drug problem?

Or was it a kneejerk reaction to an overwhelming humanitarian crisis?

Most people were reluctant to even acknowledge there even was a problem, especially since a quarter of the addicts were foreigners.

At first, the Swiss tried to make the problem disappear with a law enforcement solution.

They repressed drug use and trafficking with arrests and incarceration.

The proportion of the prison population jailed for drug use increased to 80% at one time.

Police began to push the addicts out of Needle Park.

Addicts moved out of the center of town but simply regrouped around an abandoned train station.

Forms of drug addiction treatment were abstinence-based until methadone came along.

Prevention efforts targeted younger Swiss citizens with avoidance messages.

Then, according to some analysts, two forces changed the way the Swiss addressed the problem.

One analyst speculated that the ruthless law enforcement approach ran counter to the native Swiss tendencies toward tolerance and inclusion.

And then in the 1980s, HIV and AIDS began to spread through the population of addicts.

And so the country took a new approach toward substance abuse and addiction among its citizenry.

The country began to look for other ways to eliminate the worst aspects of their drug abuse and addiction problems.

Needle Park was officially closed on 4 February 1992.

In 1992, the state approved a trial of Heroin Assisted Treatment (HAT), a treatment program in which those who had failed at other methods of treatment could receive medically-controlled doses of heroin every day and thus hopefully be integrated back into society.

The park was cleaned up and reopened in 1993.

This trial ran until 1997 and was evaluated as successful in alleviating some of the worst aspects of addiction – the spread of disease, criminality and prostitution to support the habit, and the exclusion of the person by the rest of society.

Whatever your opinion about the use of hard drugs, it should be borne in mind that today Switzerland has one of the most progressive drug prevention policies on the European continent, with needle exchanges and injection rooms supervised by trained staff.

Switzerland is the only country in the world to operate a widespread, government-funded programme of managed heroin prescription.

(The enforcement of the prohibition on cannabis is spotty, because around 500,000 Swiss people are believed to use cannabis regularly or occasionally.

So as you wander through the streets and parks of Switzerland, don´t be surprised to catch an occasional whiff of “wacky tabaky” in the air.)

It’s estimated that about half of all opiate addicts are receiving treatment.

Only about 3% are in HAT programs, while the remainder, by and large, are in methadone/substitution programs.

In 2007, 20,000 people received substance abuse treatment in Switzerland.

A little less than half of these people were in drug treatment facilities for opiate addiction.

Another quarter entered drug rehabs for help with cocaine addiction and about a fifth of those in drug treatment facilities for their addictions to cannabis.

While these programs do reduce some of the harmful aspects of addiction, what they do not do – what they do not teach – what they do not insist on is the development of a completely drug-free life.

When an addict turns his or her life around fully and leaves all drugs and alcohol behind, he or she can truly experience the joy of living again.

Addicts can find the solution they need to drug or alcohol addiction.

A thorough detoxification followed by counseling and life skills training enable a person in a drug program to see things in a whole new light so they can live an enjoyable, productive life again.

Sit upon a park bench and watch the rivers flow by.

“Picture yourself in a boat on a river
With tangerine trees and marmalade skies
Somebody calls you, you answer quite slowly
A girl with kaleidoscope eyes

Follow her down to a bridge by a fountain
Where rocking horse people eat marshmallow pies
Everyone smiles as you drift past the flowers
That grow so incredibly high

Newspaper taxis appear on the shore
Waiting to take you away
Climb in the back with your head in the clouds
And you’re gone”

Beatles, “Lucy in the Sky with Diamonds”

A colour image of four men in brightly coloured suits of cyan, magenta, yellow and orange

Sources: Only in Zürich, Duncan Smith; Wikipedia; Narconon Switzerland)

 

 

 

 

 

Me at the U of Z

Zürich, 29 December 2015

Both the big name guidebooks, Lonely Planet and Rough Guides, suggest a visit to the University of Zürich.

University of Zurich seal.svg

“See the Archaeological Collection”, they say.

“Visit the Graphics Collection”, they suggest.

“Check out the Law Library”, they advise.

Yet a university is so daunting a place to check out as a tourist, especially one beyond the traditional age of a typical university student.

Universities are designed to deliberately intimidate, to impress the observer with its intellectual hauteur and hallowed hallways of Academe.

Above: the University of Bologna, the oldest in the world, founded in 1088 –

It was a Tuesday.

So many universities are either an assemblage of architecture ancient to behold or postmodern gaudy to gaze upon.

And one encounters either Asher Roth “I Love College” types:

“That party last night was awfully crazy – I wish we taped it.
I danced my ass off and had this one girl completely naked.
Drink my beer and smoke my weed, but my good friends is all I need.
Pass out at 3, wake up at 10, go out to eat, then do it again.
Man, I love college.”

Or the other extreme of dedicated bookworms with their own reserved chairs in the library which they haunt, and, like the tomes they consume, exposure to weather is not good for them.

Both the party animals and the nerds look like vampires – uncomfortable in natural daylight.

When I consider my own academic past I did not fit well into either group.

I never liked being in situations where drugs and alcohol cause a lack of self control, for I know what lurks beneath my veneer of civilisation, but neither did I like the tendency of tedium that constant study seemed to offer.

I found so often that teachers could not excite me for their subjects nor could their recommended writers titillate my mind with their ideas drowned in heavy-handed, obtuse and obscure verbiage.

So few academics seemed to be gifted presenters.

So much formality had to be followed in the formatted essays, tests and theses, that creativity and imagination seemed like unwanted refugees seeking unwelcoming asylum.

I understood, and still understand, that, in any professional endeavour, it is important to know what has come before and what developments are happening now, but, my God, so often these pursuits seem to strangle passion and reward rigidity.

And if you are somehow able to emerge from out of the ocean of reading and assignments, you also have to ensure you have the income to support yourself during this sojourn in this land of ivory towers.

At least in much of western Europe, higher education is tuition-free, but in North America only higher income origins or heavy debt loads guarantee the chance to obtain a respectable degree – suitable for framing or wrapping around fish.

And, oh, we give such creedance to these documents, such abeyance to those with a collection of initials after or titles before their names.

Only those who have achieved fame and/or fortune in fields of entertainment are rewarded more respect.

So it came as a surprise to me that I who bore so little love for Academia would end up as a teacher!

That´s not me above.

That is retired army major Agnar Strandberg teaching math and physics at a junior college in 1960s Sweden.

But as I age, my own photos are really quite similar!

I try as a teacher to be both professional as well as enthusiastic, but I do find myself limited to the curriculum I am asked to teach and the personality of my students.

I have found I have learned more through travelling, personal experience and the serendipity of literature discovered on my own, than I ever learned at school.

I saw, and still see, the value of academic institutions, but the tendency of so many seems to be the suggestion that only these majestic monuments to learning can offer a man value.

So few seem to encourage unstructured thought and boundless creativity.

Yet I remain hopeful.

Perhaps the attention deficient disorder of today´s techno generation will force Academia to consider its methodologies.

Perhaps it will once again find a way to recapture in today´s youth a love of learning, almost forgotten in the pursuit of the Holy Grail, the almighty Degree.

I find myself this day in the University of Zürich´s Ethnographic Museum.

Frightening word that is: ethnographic.

To the average Joe, it sounds much like the study of ethnics.

And this is not so far off the mark.

Ethnography is, quite simply, the scientific study of people, achieved by living amongst them and watching how they interact with one another.

The Museum is a small building, but what it lacks in space it compensates in history and experimental exhibitions.

“In 1887 a group of like-minded scientists, industrialists and politicians proposed a museum that would act as a research and teaching institute.

The response was enthusiastic and the Museum opened in 1889.

At its heart were the private collections of several prominent Zürich citizens.

One had travelled around the world as a Russian court astronomer.

Another had served as a minister at the court of Emperor Menelik II in Ethiopia.

Artifacts were donated by the French Consul to Zürich and bolstered by various gifts made by other foreign nations.

Already upon opening, the Museum was able to display representative exhibits from Africa, Asia, the Americas, Oceania and the polar regions.

Over time the Museum received many donations from a Thai prince and various other donors.

Peter Aufschniter (1899-1973) and Heinrich Harrer (1912-2002), two Austrian mountaineers who escaped a British POW camp in north India, travelled to Lhasa in 1944 and created, and later donated to the Museum, the first accurate map of the Tibetan holy city.

From upper left: roof of the Jokhang Temple; Norbulingka monastery main gate; Potala Palace; Wheel of Dharma and prayer wheels (bottom), Jokhang; satellite picture of Lhasa

In 1972 the University collection was opened to the public.

In 1979, after three relocations, the Museum moved to its present site, the forest setting of Cat Park, atop the old city walls, next to the old Botanical Gardens.

The resulting lack of space meant that the Museum´s holdings of around 30,000 objects – from Benin bronzes to Inuit sculptures – were stored in three separate depots across the City.

No attempt is made to display these objects.

Instead the Museum runs fascinating temporary exhibitions for six to twelve months, focusing on non-European human skills, religious rites and cultural traditions, in an attempt to explode long held Eurocentric ethnographic stereotyping.

Being a university research institute, with a permanent staff of experts and an ample supply of students eager to learn, means that the Museum is not tied to the whims of a fee-paying public.”

(Duncan J. D. Smith, Only in Zürich)

In fact, there are no admission fees.

This day the Museum featured Florence Weiss´ black and white photographs of New Guinean children and mola textiles from Panama.

I liked learning about stilt houses and how New Guinean tribesmen construct canoes carved to fit the hips of their respective wives, thus making each canoe custom-made and unique.

I loved seeing their children at play and at rest.

I marvelled at the intricacy and splendour of Panamian design: the bright colours, the imaginative patterns – clear evidence of love, pride, patience and skill interwoven in layers of beautiful fabric.

Outside the Museum, a bamboo forest grows and a giant stone head guards the entry.

Next door, on the former Cats Bastion, the highest point of the old Schanzengraben moats, is the Old Botanical Garden – a recreational area with an arboretum, a greenhouse (called the Palmhouse), a pavilion and an old apothecary garden (the Gessner Garden).

I needed this Garden, a break from intense tourism.

I needed its calm, its peace, its shadowy oasis from my own self-imposed hustle and bustle.

And the Gessner Garden – named after the doctor, natural scientist and apothecary Conrad Gessner (1709 – 1790) – quietly impresses.

The Gessner Garden shows 50 medicinal plants – herbs and shrubs – used by 16th century healers, each with a citation from a healer of that period – herbs which for centuries have been healing illness or have helped against infirmity.

Problems with blood flow?

Try blood root.

Liver or gall bladder acting up?

Have some milk thistle.

It burns when you pee?

The common juniper shrub to the rescue.

Upset tummy?

Wormwood may just be what the apothecary suggests.

As a doctor´s husband, I can´t help but smile at this wee garden, this isolated patch of medicinal history.

It has been an exhausting day and I am eager to join my wife for dinner.

Tomorrow, I will explore more of the University, more of the City.

There is still so much more to learn.