Think of it again. Of all the coffins that are made in London, more than one in every three is made for a little child: a child that has not yet two figures to its age. Although science has advanced, although vaccination has been discovered and brought into general use, although medical knowledge is tenfold greater than it was fifty years ago, we still do not gain more than a diminution of two per cent in the terrible mortality among our children.
It does not at all follow that the intelligent physician who has learnt how to treat successfully the illnesses of adults, has only to modify his plans a little, to diminish the proportions of his doses, for the application of his knowledge to our little sons and daughters. Some of their diseases are peculiar to themselves; other diseases, common to us all, take a form in children varying as much from their familiar form with us as a child varies from a man. Different as the ways are, or ought to be, by which we reach a fault in a child's mind, and reach a fault in the mind of an adult; so, not less different, if we would act successfully, should be our action upon ailments of the flesh. There is another thing, also, which puzzles the physician who attends on children. He comes to us when we are ill, and questions us of this symptom, and of that; and on our answers he is taught, in very many cases, to base a large part of his opinion. The infant can only wail; the child is silenced by disease; or, when it answers, wants experience, and answers incorrectly. Again, for life or death, all the changes in the sickness of a child are commonly very rapid: so rapid, that a child which suffers under an acute disease should be seen at least every five or six hours by its medical attendant. He knows this quickness of action; he knows how swiftly and how readily the balance may be turned upon which hang life and death. He may have been to Paris or to Vienna, and have studied in an hospital for children; and, out of his experience, he may know how to restore the child whole to the mother's bosom. But all English students can not go abroad for this good knowledge; nor is it fit that they have need to do so. They have need at present. In a rough way, English practitioners of medicine no doubt administer relief to many children; but, that they are compelled to see those perishing continually whom a better knowledge might have saved, none are more ready than themselves—the more skillful the more ready—to admit and to deplore.
The means of studying the diseases of children in London have been confined to one dispensary, and the general hospitals. In these, the hours, the management, and discipline are not readily adapted to the wants of children. It was found, when a committee of the Statistical Society, in 1843, inquired into such matters, that only one in a hundred of the inmates of hospital wards was a child suffering from internal disease. Can we wonder, then—when we call to mind the peculiar characteristics of disease in a child, and the sagacity and close observation they demand—can we wonder that the most assiduous students, growing into medical advisers, can in so many cases, do no more than sympathize with the distress of parents, look at a sick child's tongue, feel its pulse, send powders, and shake their heads with vain regret over the little corpse, around which women weep so bitterly?
The want of a Child's Hospital in London is supplied. The Hospital for Sick Children, lately established and now open, is situated in Great Ormond-street, Queen-square.
London, like a fine old oak, that has lived through some centuries, has its dead bits in the midst of foliage. When we had provided ourselves with the address of the Child's Hospital, and found it to be No. 49 Great Ormond-street, Queen-square, we were impressed with a sense of its being very far out of the way. Great Ormond-street belonged to our great-grandfathers; it was a bit of London full of sap a great number of years ago. It is cut off, now, from the life of the town—in London, but not of it—a suburb left between the New Road and High Holborn. We turned out of the rattle of Holborn into King-street, and went up Southampton-row through a short passage which led us into a square, dozing over its own departed greatness. Solitude in a crowd is acknowledged by the poets to be extremely oppressive, and we felt so much scared in Queen-square at finding ourselves all alone there, that we had not enough presence of mind to observe more than space and houses, and (if our vague impression be correct) a pump. Moreover, there were spectral streets, down which the eye was drawn. Great Ormond-street was written on a corner house in one of them. It was the enchanter's label by which we were bidden forward; so we went into Great Ormond-street—wondering who lived in its large houses, some of them mansions—and looking hazily for No. 49. That was a mansion too broad, stuccoed front, quite fresh and white, bearing the inscription on its surface, "Hospital for Sick Children." A woman with a child in her arms was finding ready admission at the great hall-door. The neat and new appearance of the hospital walls from the outside, restored our thoughts to our own day; and we presently resolved, and carried, that the committee had shown great judgment in their selection of a situation—quiet (very quiet), airy, and central.
At the hall-door there was a porter, so new to his new work that the name of a surgeon to the institution was a strange sound in his ears. Crossing a spacious hall, we were ushered into a fine old ancestral parlor, which is now the board-room of the institution; and there, before a massive antique chimney-piece, we found a young house-surgeon.
Many stiff bows and formal introductions had those old walls seen, when Great Ormond-street was grand, and when frills and farthingales lent state to the great mansion. Many a minuet had been solemnly danced there; many hearts and fans had fluttered, many buckram flirtations had had their little hour; many births, marriages, and deaths had passed away, in due and undue course, out of the great hall-door into the family vaults—as old-fashioned now as the family mansion. Many little faces, radiant in the wintry blaze, had looked up in the twilight, wondering at the great old monument of a chimney-piece, and at the winking shadows peeping down from its recesses. Many, far too many pretty house-fairies had vanished from before it, and left blank spaces on the hearth, to be filled up nevermore.
O! baby's dead, and will be never, never, never seen among us any more! We fell into a waking dream, and the Spring air seemed to breathe the words. The young house-surgeon melted out of the quaint, quiet room; in his place, a group of little children gathered about a weeping lady; and the lamentation was familiar to the ancient echoes of the house. Then, there appeared to us a host of little figures, and cried, "We are baby. We were baby here, each of us in its generation, and were welcomed with joy, and hope, and thankfulness; but no love, and no hope, though they were very strong, could keep us, and we went our early way!"—"And we," said another throng of shades, "were that little child who lived to walk and talk, and to be the favorite, and to influence the whole of this great house, and make it very pleasant, until the infection that could not be stopped, was brought here from those poor houses not far off, and struck us one day while we were at play, and quenched the light of our bright eyes, and changed our prattle into moaning, and killed us in our promise!"—"And I," said another shadow, "am that girl who, having been a sick child once, grew to be a woman, and to love and to be blessed with love, and then—oh, at that hardest time! began to fade, and glided from the arms of my young husband, never to be mine on earth!"—"And I," said another shadow, "am the lame mis-shapen boy who read so much by this fireside, and suffered so much pain so patiently, and might have been as active and as straight as you, if any one had understood my malady; but I said to my fond father, carrying me in his arms to the bed from which I never rose: 'I think, oh dear papa, that it is better I should never be a man, for who could then carry me like this, or who could be so careful of me when you were gone!'" Then all the shadows said together: "We belonged to this house, but others like us have belonged to every house, and many such will come here now to be relieved, and we will put it in the hearts of mothers and fathers to remember them. Come up, and see!"
We followed, up the spacious stairs into a large and lofty room, airy and gay. It had been the drawing-room of the old house. A reviving touch had passed over its decorations; and the richly-ornamented ceiling, to which little eyes looked up from little beds, was quite a cheerful sight. The walls were painted, in panel, with rosy nymphs and children; and the light laughter of children welcomed our entrance. There was nothing sad here. Light iron cribs, with the beds made in them, were ranged, instead of chairs, against the walls. There were half-a-dozen children—all the patients then contained in the new hospital; but, here and there, a bed was occupied by a sick doll. A large gay ball was rolling on the floor, and toys abounded. From this cheerful place we looked into a second room—the other drawing-room, furnished in a like manner, but as yet unoccupied.
There were five girls and a boy. Five were in bed near the windows; two of these, whose beds were the most distant from each other, confined by painful maladies, were resting on their arms, and busily exporting and importing fun. A third shared the profits merrily, and occasionally speculated in a venture on its own account. The most delightful music in this world, the light laughter of children floated freely through the place. The hospital had begun with one child. What did he think about, or laugh about? Maybe those shadows who had had their infant home in the great house, and had known in those same rooms the needs now sought to be supplied for him, told him stories in his sleep.