The Uncommercial Traveller
by Charles Dickens
Sitting at their dinner-table, they could hear the cry of one of the children in pain. The lady's piano, drawing-materials, books, and other such evidences of refinement are as much a part of the rough place as the iron bedsteads of the little patients. They are put to shifts for room, like passengers on board ship. The dispenser of medicines (attracted to them not by self-interest, but by their own magnetism and that of their cause) sleeps in a recess in the dining-room, and has his washing apparatus in the sideboard.
Their contented manner of making the best of the things around them, I found so pleasantly inseparable from their usefulness! Their pride in this partition that we put up ourselves, or in that partition that we took down, or in that other partition that we moved, or in the stove that was given us for the waiting-room, or in our nightly conversion of the little consulting-room into a smoking-room! Their admiration of the situation, if we could only get rid of its one objectionable incident, the coal-yard at the back! 'Our hospital carriage, presented by a friend, and very useful.' That was my presentation to a perambulator, for which a coach-house had been discovered in a corner down-stairs, just large enough to hold it. Coloured prints, in all stages of preparation for being added to those already decorating the wards, were plentiful; a charming wooden phenomenon of a bird, with an impossible top-knot, who ducked his head when you set a counter weight going, had been inaugurated as a public statue that very morning; and trotting about among the beds, on familiar terms with all the patients, was a comical mongrel dog, called Poodles. This comical dog (quite a tonic in himself) was found characteristically starving at the door of the institution, and was taken in and fed, and has lived here ever since. An admirer of his mental endowments has presented him with a collar bearing the legend, 'Judge not Poodles by external appearances.' He was merrily wagging his tail on a boy's pillow when he made this modest appeal to me.
When this hospital was first opened, in January of the present year, the people could not possibly conceive but that somebody paid for the services rendered there; and were disposed to claim them as a right, and to find fault if out of temper. They soon came to understand the case better, and have much increased in gratitude. The mothers of the patients avail themselves very freely of the visiting rules; the fathers often on Sundays. There is an unreasonable (but still, I think, touching and intelligible) tendency in the parents to take a child away to its wretched home, if on the point of death. One boy who had been thus carried off on a rainy night, when in a violent state of inflammation, and who had been afterwards brought back, had been recovered with exceeding difficulty; but he was a jolly boy, with a specially strong interest in his dinner, when I saw him.
Insufficient food and unwholesome living are the main causes of disease among these small patients. So nourishment, cleanliness, and ventilation are the main remedies. Discharged patients are looked after, and invited to come and dine now and then; so are certain famishing creatures who were never patients.