It was a luxation of the thigh. The patient was a remarkably stout man, and bade fair to put in requisition the whole retinue of the hospital.
'Remember. Mr. F——,' said the attending surgeon, on leaving in the morning, 'be careful and have every thing ready—every thing. There must be no delay in seeking instruments while we are engaged with the patient.'
'I had better bleed him, probably?' replied I, inquiringly.
'Yes; an hour or so before twelve; and have him kept in the bath until then.'
I selected a double set of apparatus, consisting of very little else than a good strong block-and-tackle, and some padded buck-skin girths, and soon had them in their proper place in the 'theatre' of operations. This is an apartment of the hospital having very much the appearance of an ordinary theatre, but differing from it in being more especially appropriated to the enactment of tragedies; the play generally consisting in the lively representation of suffering on the part of the patient, and the exhibition of the coolest nonchalance by the officiating surgeons. If sometimes enlivened by an interlude between the chief actors and the subs, their sallies are wholly spontaneous, and usually fail to receive that applause which is the customary reward of such improvisations on other boards. The room is small, and ranges of boxes extend on the three sides of an ovoid, to the ceiling, forming an incommodious but commanding observatory for spectators. The pit is separated from the boxes by a thin partition. In this little space, lies the chief difference between the theatre of the hospital and more strictly dramatic edifices. The floor is the stage, on which those weekly representations take place, that seldom fail to draw crowds of students from the neighboring college, during its session; though it is not often that the spectacle of misery, (too purely unpoetical,) draws a tear from the lachrymal sac of the ardent and enthusiastic disciple of Hippocrates.
The audience are, in truth, mostly exceedingly phlegmatic in their manifestations of sympathy. They behold the struggles of a luckless wretch, in the clutches of the veritable Procrustes, who endeavors to make him conform to the measure of his bed, by a few inches of stretching, in the reduction of a luxated thigh, without apparently any fellow-feeling for his pitiable situation. They behold one of the lower limbs severed quite up to the hip-joint, and rivulets of blood streaming from the divided vessels of the stump, without a tremor, or a groan, or an exclamation, to evince the simultaneous racking of their own nerves; although it is true, that some youthful spectator will occasionally betray a tendency to deliquium, when he is immediately transported to a more kindred atmosphere.
The person to be operated on, was a man of vigorous constitution, and evinced great anxiety to have his body restored to its symmetry, and his limb to its usefulness. Though, as is usual in such cases, the probable severity of the operation, its duration, and the uncertainty of success, were laid before him in their true light, he was firm in his determination to have it done. Poor man! he could not bring himself to believe that there was a possibility of failure; nor did he suspect that, as strong a man as he was in resolution and bodily powers, he would be compelled, before the ceremonials of reduction were gone through with, to cry out, 'Give me some drink, Titinius, as a sick child.' Yet that such should be the case, shows that necessity is stronger than mortal resolution; and the same individual who asks you to reduce his limb, and then bids you cease your harrowing attempts, will in turn rebuke you if you obey his orders, given in the wildness of despair, and the limb thereby remain indissolubly locked in its distorted posture, an enduring monument of his own weakness, and of your culpable pliancy.
The patient was placed in a warm bath, and bled until faint. The object was to make him a sick man, as a preparatory step to rendering him whole. While superintending this necessary process, I hailed the nurse of ward No. 13, whose duty it was to attend to the regulation of the theatre.
'Nurse, have you seen that every thing is in order in the theatre?'
'I just came from there, doctor. I believe nothing is wanting.'