Part 25

The women attacked with this frightful disease were mixed in the ward of St. Monique with others who had only a simple fever, and the latter fell an inevitable prey to the hideous contagion, in the very place where, full of confidence, they had hoped to recover their health.

Women with child, women in their confinement, were equally crowded, pell-mell, on narrow and infected truckle-beds.

Nor let it be supposed that I have borrowed from Bailly's Report some purely exceptional cases, belonging to those cruel times, when whole populations, suffering under some epidemic, were tried beyond all human anticipation. In their usual state, the beds of the Hotel Dieu, which were not a metre and a half wide, contained four, and often six patients; they were placed alternately head and feet, the feet of one touching the shoulders of the next; each had only for his share of space 25 centimetres (9 inches); now, a man of medium size, lying with his arms close to his body, is 48 centimetres (16 inches) broad at the shoulders. The poor patients then could not keep within the bed but by lying on their side perfectly immovable; no one could turn without pushing, without waking his neighbour; they therefore used to agree, as far as their illness would allow, for some of them to remain up part of the night in the space between the beds, whilst the others slept; and when the approaches of death nailed these unfortunate people to their place, did they not energetically curse that help, which in such a situation could only prolong their painful agony.

But it was not only that beds thus placed were a source of discomfort, of disgust; that they prevented rest and sleep; that an insupportable heat occasioned and propagated diseases of the skin and frightful vermin; that the fever patient bedewed his neighbours with his profuse perspirations; and that in the critical moment he might be chilled by contact with those whose hot fit would occur later, &c. Still more serious effects resulted from the presence of many sick in the same bed; the food, the medicines, intended for one person, often found their way to another. In short, Gentlemen, in those beds of multiple population, the dead often lay for hours, and sometimes whole nights, intermingled with the living. The principal charitable establishment in Paris thus offered those dreadful coincidences, that the poets of Rome, that ancient historians have represented under King Mezentius, as the utmost extreme of barbarism.

Such was, Gentlemen, the normal state of the old Hotel Dieu. One word, one word only, will suffice to tell what was the exceptional state: they placed some patients on the tops or testers of those same beds, where we have found so much suffering, so many authorized maledictions.

Now, Gentlemen, let us, together with our fellow academician, cast a glance on the ward of surgical operations.

This ward was full of patients. The operations were performed in their presence. Bailly says, "We see there the preparations for the torment; there are heard the cries of the tormented. He who has to suffer the next day has before him a picture of his own future sufferings; he who has passed through this terrible trial, must be deeply moved at those cries so similar to his own, and must feel his agonies repeated; and these terrors, these emotions, he experiences in the midst of the progress of inflammation or suppuration, retarding his recovery, and at the hazard of his life."... "To what purpose," Bailly justly exclaims, "would you make an unfortunate man suffer, if there is not a probability of saving him, and unless we increase that probability by all possible precautions?"

The heart aches, the mind becomes confused, at the sight of so much misery; and yet this hospital, so little in harmony with its intended purpose, still existed sixty years ago. It is in a capital, the centre of the arts, of knowledge, of polished manners; it is in an age renowned for the development of public wealth, for the progress of luxury, for the ruinous creation of a crowd of establishments devoted to amusements, to worldly and futile pleasures; it is by the side of the palace of an opulent archbishop; it is at the gate of a sumptuous cathedral, that the unfortunate, under the deceitful mask of charity, underwent such dreadful tortures. To whom should we impute the long duration of this vicious and inhuman organization?

To the professors of the art? No, no, Gentlemen! By an inconceivable anomaly the physicians, the surgeons, never obtained more than a secondary, a subordinate influence over the administration of the hospitals. No, no, the sentiments of the medical body for the poor could not be doubted, at an epoch and in a country where Dr. Anthony Petit thus answered the irritated queen, Marie Antoinette: "Madam, if I came not yesterday to Versailles, it was because I was attending the lying-in of a peasant, who was in the greatest danger. Your Majesty errs, however, in supposing that I neglect the Dauphin for the poor; I have hitherto treated the young child with as much attention and care as if he had been the son of one of your grooms."

Preference was granted to the most suffering, to those in most danger, disregarding rank and fortune; such was, you see, Gentlemen, the sublime rule of the French Medical Corps; and such is still its gospel. I want no other proof of it than those admirable words addressed by our fellow labourer Larrey, to his friend Tanchou, when wounded at the Battle of Montmirail: "Your wound is slight, sir; we have only room and straw in this ambulance for serious wounds. They will take you into that stable."

The medical corps could not, therefore, with any reason be accused or suspected in regard to the old Hotel Dieu of Paris.

If economy be invoked, I find an answer quite a-propos in Bailly: the daily allowance for the patients at the Hotel Dieu was notably higher than in other establishments in the capital more charitably organized.

Would any one go so far as to assert that the sick condemned to seek refuge in the hospitals, having their sensibilities blunted by labour, by misery, by their daily sufferings, would but faintly feel the effects of the horrible arrangements that the old Hotel Dieu revealed to all clear-sighted people? I will quote from the report of our colleague; "The maladies continue nearly double the time at the Hotel Dieu, compared with those at the Charite: the mortality there is also nearly double!... All the trepanned die in that hospital; whilst this operation is tolerably successful in Paris, and still more so at Versailles."

The maladies continue double the time! The mortality there is double! All those who are trepanned die! The lying-in women die in a frightful proportion, &c. These are the sinister words that strike the eye periodically in the statements of the Hotel Dieu; and yet, let us repeat it, years passed away, and nothing was altered in the organization of the great hospital! Why persist in remaining in a condition that so openly wounds humanity? Must we, together with Cabanis, who also abused the old Hotel Dieu severely, "must we exclaim, that abuses known by all the world, against which every voice is raised, have secret supporters who know how to defend them, in a manner to tire out well-meaning people? Must we speak of false characters, perverse hearts, that seemed to regard errors and abuses as their patrimony?" Let us dare to acknowledge it, Gentlemen, evil is generally perpetrated in a less wicked manner: it is done without the intervention of any strong passion; by vulgar, yet all-powerful routine, and ignorance. I observe the same thought, though couched in the calm and cleverly circumspect language of Bailly: "The Hotel Dieu has existed perhaps since the seventh century, and if this hospital is the most imperfect of all, it is because it is the oldest. From the earliest date of this establishment, good has been sought, the desire has been to adhere to it, and constancy has appeared a duty. From this cause, all useful novelties have with difficulty found admission; any reform is difficult; there is a numerous administration to convince; there is an immense mass to move."

The immensity of the mass, however, did not discourage the old Commissioners of the Academy. Let this conduct serve as an example to learned men, to administrators, who might be called upon to cast an investigating eye on the whole of our beneficent and humane establishments. Undoubtedly, the abuses, if any yet exist, have not individually any thing to be compared to those to which Bailly's report did justice; but would it be impossible for them to have sprung up afresh in the course of half a century, and that in proportion to their multiplicity, they should still make enormous and deplorable breaches in the patrimony of the poor?

I shall modify very slightly, Gentlemen, the concluding words of our illustrious colleague's report, and I shall not in the least alter their innate meaning, if I say, in finishing this long analysis: "Each poor man is now laid alone in a bed, and he owes it principally to the gifted, persevering, and courageous efforts of the Academy of Sciences. The poor man ought to know it, and the poor man will not forget it." Happy, Gentlemen, happy the academy that can adorn itself with such reminiscences!

REPORT ON THE SLAUGHTER-HOUSES.

An attentive glance at the past has been, in all ages and in all countries, the infallible means of rightly appreciating the present. When we direct this glance to the sanitary state of Paris, the name of Bailly will again present itself in the first line amongst the promoters of a capital amelioration, which I shall point out in a few words.

Notwithstanding the numerous acts of parliament,--notwithstanding the positive police regulations, which dated back to Charles IX., to Henry III., to Henry IV., slaughter-houses still existed in the interior of the capital in 1788; for instance, at l'Apport-Paris, La Croix-Rouge, in the streets of the Butcheries, Mont-Martre, Saint-Martin, Traversine, &c. &c. The oxen were, consequently, driven in droves through frequented parts of the town; enraged by the noise of the carriages, by the excitements of the children, by the attacks or barking of the wandering dogs, they often sought to escape,--entered houses or alleys, spread alarm everywhere, gored people, and committed great damage. Fetid gases exhaled from buildings too small and badly ventilated; the offal that had to be carried away gave out an insupportable smell; the blood flowed through the gutters of the neighbourhood, with other remains of the animals, and putrefied there. The melting of tallow, an inevitable annexation of all slaughter-houses, spread around disgusting emanations, and occasioned a constant danger of fire.

So inconvenient, so repulsive a state of things, awakened the solicitude of individuals and of the public administration; the problem was submitted to our predecessors, and Bailly, as usual, became the reporter of the Academical Committee. The other members were Messrs. Tillet, Darcet, Daubenton, Coulomb, Lavoisier, and Laplace.

When Napoleon, wishing to liberate Paris from the dangerous and insalubrious results of internal slaughter-houses, decreed the construction of the fine slaughter-houses known by everybody, he found the subject already well examined, exhibited in all its points of view, in Bailly's excellent work. "We ask," said the reporter of the Academical Commission in 1788, "we ask that the shambles be removed to a distance from the interior of Paris;" and these interior shambles have disappeared accordingly. Does it create surprise that it required more than fifteen years to obtain the grant of this most reasonable demand? I will further remark that, unfortunately, there was nothing exceptional in this; he who sows a thought in a field rank with prejudices, with private interests, and with routine, must never expect an early harvest.

BIOGRAPHIES OF COOK AND OF GRESSET.

The publication of the five quarto volumes of which the History of Astronomy consists, together with the two powerful reports that I have just described, had worn out Bailly. To relax and amuse his mind, he resumed the style of composition that had enchanted him in his youth; he wrote some biographies, amongst others, that of Captain Cook, proposed as a prize-subject by the Academy of Marseilles, and the Life of Gresset.

The biography of Gresset first appeared anonymously. This circumstance gave rise to a singular scene, which the author used to relate with a smile. I will here myself repeat the principal traits of it, if it be only to deter writers, whoever they may be, from launching their works into the world without affixing their names to them.

The Marchioness of Crequi was a lady in the high circles of society, to whom a copy of the eulogium of the author of Vert-Vert was presented as an offering. Some days after Bailly went to pay her a visit; did he hope to hear her speak favourably of the new work? I know not. At all events, our predecessor would have been ill rewarded for his curiosity.

"Do you know," said the great lady as soon as she saw him, "a Eulogy of Gresset recently published? The author has sent me a copy of it, without naming himself. He will probably come to see me; he may, perhaps, have come already. What could I say to him? I do not think any one ever wrote worse. He mistakes obscurity for profundity; it is the darkness before the creation."

Notwithstanding all Bailly's efforts to change the subject of the conversation, perhaps on account of those very efforts, the Marchioness rose, goes in search of the pamphlet, puts it into the author's hands, and begs of him to read aloud, if it be but the first page--quite enough, she said, to enable one to judge of the rest.

Bailly used to read remarkably well. I leave it to be guessed whether, on this occasion, he was able to exercise this talent. Superfluous trouble! Madame de Crequi interrupted him at each sentence by the most disagreeable commentaries, by exclamations such as the following: "Detestable style!" "Confusion worse confounded!" and other similar amenities. Bailly did not succeed in extorting any indulgences from Madame de Crequi, when, fortunately, the arrival of another visitor put an end to this insupportable torture.