CONTENTS.


CHAPTER I.
PAGE
THE STRAND[1]
CHAPTER II.
THE WESTMINSTER INFIRMARY[104]
RECOGNITION[224]
TESTIMONIAL TO DR. JOSEPH ROGERS[231]
CONCLUSION[241]

REMINISCENCES OF A
WORKHOUSE MEDICAL OFFICER.


CHAPTER I. THE STRAND.

In the latter part of the summer of 1854 I was living in Soho, where I had been engaged in general practice for some ten years, and where, by dint of laborious attention to my profession, I had secured a sufficiency on which to live, when I became aware that an outbreak of Asiatic cholera might be looked for. Some suspicious cases had appeared, when, towards the end of the month of August, there was suddenly developed an epidemic outbreak of such virulence and extent that it became necessary for immediate action to be taken, if this fell disease was to be effectually dealt with. Having taken an active part for some years previously in sundry sanitary measures, I was requested by the parochial authorities of St. Anne's, Soho, to take charge of one of the districts into which the parish was at once divided. During the busiest of those very busy days, a medical friend and neighbour called on me, and in answer to my remark that I was too busy to talk to him, replied, "You are busy now, but you will live to regret this outbreak in Soho. It will ruin the neighbourhood and your practice for many years to come, for the public will believe that it is too unhealthy to live in, and ere long you will have nothing to do."

This casual prediction was amply verified in the following year by the death of many inhabitants, and by the removal of others. As was the case with others in other callings, I had to commence the world afresh. When casting about for the best course to follow, the medical officership of the Strand Workhouse, Cleveland Street, and of the parish of St. Anne's, Soho, fell vacant. The person who held the appointment proposed to resign in favour of his son, and I was strongly urged to compete for it. I elected to try my chance, and, after a severe contest, was selected. Here I began my experiences of the sick poor, which lasted, with a very brief interval, for thirty years. My first impressions were not very exhilarating, and could I have foreseen all that was in store for me, I question whether I should have applied for the appointment at all, but, having been appointed, I resolved to try it for a time at least. The Strand Workhouse in the year 1856 was a square four-storied building fronting the street, with two wings of similar elevation projecting eastwards from each corner. Across the irregularly-paved yard in the rear was a two-storied lean-to building, with windows in the front only, used as a day and night ward for infirm women. There were sheds on each side for the reception of so-called male and female able-bodied people, whilst in the yard, on each side of the entrance gate, was a two-storied building, with an underground apartment lighted by a single window, and with a door for the reception of male and female casual paupers; the wards above being for those of both sexes admitted to the house.