So, bearing his full-weight marching kit, he walked up and down, between the baracques, dogged and defiant. The other orderlies and stretcher bearers laughed at him, and said: “There goes Fouquet, punished!” And the patients, who missed him, asked: “Where is Fouquet? Punished?” And the nurse of that ward, who also missed Fouquet, said: “Poor Fouquet! Punished!” But Fouquet, swaggering up and down in full sight of all, was pleased because he had had a good drink the night before, and did not have to wait upon the patients the day after, and to him, the only sane thing about the war was the discipline of the Army.
[ ALONE]
Rochard died to-day. He had gas gangrene. His thigh, from knee to buttock, was torn out by a piece of German shell. It was an interesting case, because the infection had developed so quickly. He had been placed under treatment immediately too, reaching the hospital from the trenches about six hours after he had been wounded. To have a thigh torn off, and to reach first-class surgical care within six hours, is practically immediately. Still, gas gangrene had developed, which showed that the Germans were using very poisonous shells. At that field hospital there had been established a surgical school, to which young men, just graduated from medical schools, or old men, graduated long ago from medical schools, were sent to learn how to take care of the wounded. After they had received a two months’ experience in this sort of war surgery, they were to be placed in other hospitals, where they could do the work themselves. So all those young men who did not know much, and all those old men who had never known much, and had forgotten most of that, were up here at this field hospital, learning. This had to be done, because there were not enough good doctors to go round, so in order to care for the wounded at all, it was necessary to furbish up the immature and the senile. However, the Médecin Chef in charge of the hospital and in charge of the surgical school, was a brilliant surgeon and a good administrator, so he taught the students a good deal. Therefore, when Rochard came into the operating room, all the young students and the old students crowded round to see the case. It was all torn away, the flesh from that right thigh, from knee to buttock, down to the bone, and the stench was awful. The various students came forward and timidly pressed the upper part of the thigh, the remaining part, all that remained of it, with their fingers, and little crackling noises came forth, like bubbles. Gas gangrene. Very easy to diagnose. Also the bacteriologist from another hospital in the region happened to be present, and he made a culture of the material discharged from that wound, and afterwards told the Médecin Chef that it was positively and absolutely gas gangrene. But the Médecin Chef had already taught the students that gas gangrene may be recognized by the crackling and the smell, and the fact that the patient, as a rule, dies pretty soon.
They could not operate on Rochard and amputate his leg, as they wanted to do. The infection was so high, into the hip, it could not be done. Moreover, Rochard had a fractured skull as well. Another piece of shell had pierced his ear, and broken into his brain, and lodged there. Either wound would have been fatal, but it was the gas gangrene in his torn-out thigh that would kill him first. The wound stank. It was foul. The Médecin Chef took a curette, a little scoop, and scooped away the dead flesh, the dead muscles, the dead nerves, the dead blood-vessels. And so many blood-vessels being dead, being scooped away by that sharp curette, how could the blood circulate in the top half of that flaccid thigh? It couldn’t. Afterwards, into the deep, yawning wound, they put many compresses of gauze, soaked in carbolic acid, which acid burned deep into the germs of the gas gangrene, and killed them, and killed much good tissue besides. Then they covered the burning, smoking gauze with absorbent cotton, then with clean, neat bandages, after which they called the stretcher bearers, and Rochard was carried from the operating table back to the ward.
The night nurse reported next morning that he had passed a night of agony.
“Cela pique! Cela brule!” he cried all night, and turned from side to side to find relief. Sometimes he lay on his good side; sometimes he lay on his bad side, and the night nurse turned him from side to side, according to his fancy, because she knew that on neither one side nor the other would he find relief, except such mental relief as he got by turning. She sent one of the orderlies, Fouquet, for the Médecin Chef, and the Médecin Chef came to the ward, and looked at Rochard, and ordered the night nurse to give him morphia, and again morphia, as often as she thought best. For only death could bring relief from such pain as that, and only morphia, a little in advance of death, could bring partial relief.
So the night nurse took care of Rochard all that night, and turned him and turned him, from one side to the other, and gave him morphia, as the Médecin Chef had ordered. She listened to his cries all night, for the morphia brought him no relief. Morphia gives a little relief, at times, from the pain of life, but it is only death that brings absolute relief.
When the day nurse came on duty next morning, there was Rochard in agony. “Cela pique! Cela brule!” he cried. And again and again, all the time, “Cela pique! Cela brule!”, meaning the pain in his leg. And because of the piece of shell, which had penetrated his ear and lodged in his brain somewhere, his wits were wandering. No one can be fully conscious with an inch of German shell in his skull. And there was a full inch of German shell in Rochard’s skull, in his brain somewhere, for the radiographist said so. He was a wonderful radiographist and anatomist, and he worked accurately with a beautiful, expensive machine, given him, or given the field hospital, by Madame Curie.