"About My Father's Business": Work Amidst the Sick, the Sad, and the Sorrowing

by Thomas Archer

But there is now an opportunity for acknowledging this obligation, and for recognizing the useful career of this really admirable institution. The lease of the present house has already expired, and the committee have been obliged to give up possession. It is therefore necessary to support the new hospital for those who need the aid that such a charity alone can give, and the building has already been erected, only a few yards further in the shelter of the bluff, where it has provided another home. With a commendable anxiety to keep strictly within their probable means, the committee have decided not to imitate a too frequent mode of proceeding, by which a large and splendid edifice would saddle their undertaking with a heavy debt, and perhaps cripple resources needed for carrying on their actual work; but they have obtained from Mr. Grüning, the architect, a plain building which will provide for their needs for some time to come, and may be hereafter increased in accommodation by additions that will improve, rather than detract from, its completeness. A great establishment, with a hundred beds, laundries, drying-houses, and hot and cold sea-baths on the premises, would cost £13,000; and as the actually available funds in hand for building purposes were not more than £5,000, with another probable £1,000 added by special donations expected during the year, the committee, however reluctantly, folded up the original plan, and estimated the cost of a plain unpretentious building, calculated at first to receive thirty-three male and thirty-three female patients, but capable of additions which will raise its usefulness and completeness to the higher demand, whenever there are funds sufficient to pay for them. The expenditure for the new hospital was about £7000, and, should the anticipated donations be increased fourfold, there will be no difficulty in crowning the work, by such provisions as will include the full number of a hundred faint and failing men and women within the retreat where they find rest and healing.

WITH THE LITTLE ONES.

Yes, and amidst the mystery of suffering and pain,—the beginning of that discipline which commences very early, and continues, for many of us, during a whole lifetime, at such intervals as may be necessary for the consummation which we can only faintly discern when we begin to see that which is invisible to the eyes of flesh and of human understanding, and is revealed only to the higher reason—the essential perception which is called faith.

I want you to come with me to that eastern district of the great city which has for so long a time been associated with accounts of distress, of precarious earnings, homes without food or fire, scanty clothing, dilapidated houses, dire poverty and the diseases that come of cold and starvation. The place that I shall take you to is quite close to the Stepney Station of the North London Railway. The district is known as Ratcliff; the streets down which we shall pass are strangely destitute of any but small shops, where a front "parlour" window contains small stocks of chandlery or of general cheap odds and ends. The doorways of the houses are mostly open, and are occupied by women and children, of so poor and neglected an appearance, that we need no longer wonder at the constant demands made upon the institution which we are about to visit. Just here the neighbourhood seems to have come to a dreary termination at the brink of the river, and to be only kept from slipping into the dark current by two or three big sheds and wharves, belonging to mast, rope, and block-makers, or others connected with that shipping interest the yards of which are, many of them, deserted, no longer resounding to the noise of hammers. The black spars and yards of vessels alongside seem almost to project into the roadway as we turn the corner and stand in front of a building, scarcely to be distinguished from its neighbours, except for the plain inscription on its front, "East London Hospital for Children and Dispensary for Women," and for a rather more recent appearance of having had the woodwork painted. But for this there would be little more to attract attention than might be seen in any of the sail-makers' dwellings, stores, and lofts in the district; and, in fact, the place itself is—or rather was—a sail-maker's warehouse, with trap-doors in the rough and foot-worn floors, steep and narrow stairs, bulks and baulks of timber here and there in the heavy ceilings and awkward corners, not easily turned to account in any other business. Some of these inconveniences have been remedied, and the trap-doors as well as the awkwardest of the corners and the bulks have been either removed or adapted to present purposes, for the business is to provide a home and careful nursing for sick children, and the long rooms of the upper storeys are turned into wards, wherein stand rows of Lilliputian iron bedsteads, or tiny cribs, where forty boys and girls, some of them not only babes but sucklings, form the present contingent of the hundred and sixty little ones who have been treated during the year. Not a very desirable-looking residence you will say, but there are a good many inmates after all; and the scrupulous cleanliness of the place, as seen from the very passage, is an earnest of that plan of making the best of things which has always been characteristic of this hospital at Ratcliff Cross. Some eight or nine grownup folks, and from thirty to forty children, make a bright, cheerful home (apart from the suffering and death which are inseparable from such a place) in that old sail-maker's warehouse, if brightness and cheerfulness are the accompaniments of good and loving work, as I thoroughly believe they are.

It was during the terrible visitation of cholera, nearly twelve years ago, that this work of mercy was initiated, and the manner of its foundation has about it something so pathetic that it is fitting the story should be known, especially as the earnest, hopeful effort with which the enterprise began seems to have characterised it to the present day. Among the medical men who went about in the neighbourhood of Poplar and Ratcliff during the epidemic, was Mr. Heckford, a young surgeon, who, having recently come from India, was attached to the London Hospital, and who took a constant and active part in the professional duties he had undertaken. In that arduous work, he, as well as others, received valuable and indeed untiring aid from the ready skill and thoughtful care of a few ladies, who, having qualified themselves as nurses, devoted themselves to the labour of love amongst the poor. To one of this charitable sisterhood, who had been his frequent helper in the time of difficulty and danger, the young surgeon became attracted by the force of a sympathy that continued after the plague was stayed in the district to which they had given so much care, and when they had time to think of themselves and of each other. They went away together a quietly married couple; both having one special aim and object in relation to the beneficent career upon which they had entered in company. Knowing from hardly-earned experience the dire need of the district, they at once began to consider what they could do to alleviate the sufferings of the women and children, so many of whom were sick and languishing, in hunger and pain, amidst conditions which forbade their recovery. If only they could make a beginning, and do something towards arresting the ravages of those diseases that wait on famine and lurk in foul and fœtid alleys;—if they could establish a dispensary where women—mothers too poor to pay a doctor—could have medicine and careful encouragement; if they could find a place where, beginning with a small family of say half a dozen, they might take a tiny group of infants to their home, and so set up a centre of beneficent action, a protest against the neglect, the indifference, and the preventable misery for which that whole neighbourhood had so long had an evil distinction.

The question was, how to make a beginning: but the young doctor and his wife had been so accustomed to the work of taking help to the very doors of those who needed it, that all they wanted was to find a place in the midst of that down-east district where they could themselves live and work. Out of their own means they bought the only available premises for their purpose—a rough, dilapidated, but substantial, and above all, a ventilable sail-loft with its adjacent house and store-rooms, and there they quietly established themselves as residents, with ten little beds, holding ten poor little patients supported by themselves, in the hope that voluntary aid from some of the benevolent persons who knew what was the sore need of the neighbourhood would enable them in time to add twenty or thirty more, when the big upper storeys should be cleansed and mended and made into wards. That hope was not long in being realised, and on the 28th of January, 1868, after a determined effort to maintain the institution and to devote themselves to its service, a regular committee was formed and commenced its undertakings, the founders still remaining and working with unselfish zeal. From twenty to thirty little ones were received from out that teeming district, where a large hospital with ten times the number of beds would not be adequate to the needs of the infant population, the mothers of which have to work to earn the scanty wages which in many cases alone keep them from absolute starvation. The struggle to maintain the wards in the old sail-lofts was all the harder, from the knowledge that in at least half the number of cases where admission was necessarily refused, from want of space and want of funds, the little applicants were sent away to die, or to become helpless invalids or confirmed cripples, not less from the effects of destitution—the want of food and clothing—than from the nature of the diseases from which they were suffering.

The young doctor and his wife dwelt there, and with cultivated tastes and accomplishments submitted to all the inconveniences of a small room or two, from which they were almost ousted by the increasing need for space. With a bright and cheerful alacrity they adapted those very tastes and accomplishments to supplement professional skill and tender assiduous care: the lady—herself in such delicate health that her husband feared for her life, and friends anxiously advised her to seek rest and change—used books and music to cheer the noble work, and always had a picture on her easel, with which to hide the awkward bulges and projections, or to decorate the bare walls and brighten them with light and colour.

It was at Christmas-tide seven years ago that I first visited the hospital, and there were then very pleasant evidences of the season to be discovered in all kinds of festive ornament in the long wards, and especially in the smaller rooms, where this loving woman had attracted other loving women around her, as nurses to the suffering little ones; and was there and then engaged in the superintendence of a glorious Christmas-tree. But the time came when the hoped-for support having arrived, Mr. and Mrs. Heckford felt that they could leave the family of forty children to the care of those who had taken up the work with heartfelt sympathy. They had laboured worthily and well, but, alas!—the reward came late—late at least for him, who had been anxious to take his wife away to some warmer climate, in an endeavour to restore the strength that had been spent in the long effort to rear a permanent refuge for sick children in that dense neighbourhood. It was he who stood nearest to shadow-land,—he who was soonest to enter into the light and the rest that lay beyond. Mr. Heckford died, I believe, at Margate, after a short period of leisure and travel, which his wife shared with him. His picture, presented by her to the charity which they both founded, is to be seen in the boys' ward. Another portrait of him—a portrait in words written by the late Mr. Charles Dickens, who visited and pathetically described the children and their hospital in December, 1868, conveys the real likeness of the man.