[168] Wilfred Ward's _Life of Wiseman_, vol. ii. p. 191. And see Miss Nightingale's own words given below, p. 299.
The aspect of Miss Nightingale's work, touched upon in this chapter, adds another to the accumulation of difficulties with which she had to deal. It was the one which troubled her most. "In this sink of misery, in this tussle of life or death," she felt the bitter futility of personal grievances and religious differences. It is worry, more than work, that kills; and the religious difficulty was perhaps the last straw which caused the Lady-in-Chief to break down, as we shall hear in the next chapter, under her heavy load of responsibility and care.
For myself, I have done my duty. I have identified my fate with that of the heroic dead.--FLORENCE NIGHTINGALE (private notes, 1855).
In the spring of 1855 Miss Nightingale decided to leave Scutari for a while in order to visit the hospitals in the Crimea. The conditions at Scutari were now greatly improved. Sanitary works had been executed. The hospitals were better supplied. The pressure in the wards, caused by the terrible winter before Sebastopol, was relieved. There were only 1100 cases in the Barrack Hospital, and of those only 100 were in bed. The rate of mortality had fallen from 42 per _cent_ to 22 per _thousand_ of the cases treated. The siege was likely soon to be accompanied by assaults, and the pressure might rather be in the hospitals at Balaclava, where the sick and wounded were if possible to remain, in order to avoid the sufferings of the sea passage to Scutari.
In the Crimea, besides the regimental hospitals, there were four general hospitals. There was the _General Hospital_ at Balaclava, established after the British occupation in September 1854. There was the _Castle Hospital_, consisting of huts on the "Genoese heights" above Balaclava, opened in April 1855. There was the _Hospital of St. George's Monastery_, also consisting of huts, intended for convalescent and ophthalmic cases; and, lastly, there were the _Hospitals of the Land Transport Corps_, again consisting of huts, near Karani. All these hospitals had a complement of female nurses, though the Monastery Hospital not until December 1855, and the Land Transport Hospitals not until 1856. In the spring of 1855, then, there were already female nurses at the General Hospital and the Castle Hospital, under their own superintendents, but all ultimately responsible to Miss Nightingale--as she apprehended, and as the War Office intended. She was now anxious to inspect these hospitals; to increase the efficiency of the female nursing establishments; and, in particular, to introduce those washing and cooking arrangements which had been productive of so much benefit at Scutari. Her visit of inspection was approved by the War Office; and, by instructions dated April 27, she was invested with full authority as Almoner of the Free Gifts in all the British Hospitals in the Crimea. But in other respects her position was somewhat ambiguous. The original instructions, issued by Mr. Herbert, had named her as Superintendent of the female nurses in all the British military hospitals _in Turkey_; and these words gave a standing-ground to her opponents in the Crimea. The intention of the War Office was to give her general superintendence, but to relieve her of direct responsibility for the nurses in the Crimea so long as she was at Scutari. The matter was not, however, cleared up till a later date,[169] and the indefiniteness of her position in the Crimea exposed her to infinite worry and intrigues.