The day after my decision was made found me at “headquarters,” the only two-story building on hospital ground, then occupied by the chief surgeon and his clerks. He had not yet made his appearance that morning, and while awaiting him, many of his corps, who had expected in horror the advent of female supervision, walked in and out, evidently inspecting me. There was at that time a general ignorance on all sides, except among the hospital officials, of the decided objection on the part of the latter to the carrying out of a law which they prognosticated would entail “petticoat government;” but there was no mistaking the stage-whisper which reached my ears from the open door of the office that morning, as the little contract surgeon passed out and informed a friend he met, in a tone of ill-concealed disgust, that “_one of them had come_.”
To those not acquainted with hospital arrangements, some explanations are necessary. To each hospital is assigned a surgeon-in-chief. To each _division_ of the hospital, a surgeon in charge. To each _ward_ of the division, an assistant surgeon. But when the press of business is great, contract doctors are also put in charge of wards. The surgeon-in-chief makes an inspection each day, calling a board of inferior surgeons to make their report to him. The surgeon in charge is always on the ground, goes through the wards daily, consulting with his assistants and reforming abuses, making his report daily to the surgeon-in-chief. The assistant surgeon has only his one or two wards to attend, passing through them twice each day and prescribing. In cases of danger he calls in the surgeon in charge for advice or assistance. The contract surgeons performed the same duties as assistant surgeons, but ranked below them, as they were not commissioned officers and received less pay. Each ward had its corps of nurses, unfortunately not practised or expert in their duties, as they had been sick or wounded men, convalescing and placed in that position,—however ignorant they might be,—till strong enough for field duty. This arrangement bore very hard upon all interested, and harder upon the sick, as it entailed constant supervision and endless teaching; but the demand for men in the field was too imperative to allow those who were fit for their duties there to be detained for nursing purposes, however skillful they may have become.