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A Surgeon in Belgium
by Henry Sessions Souttar
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As time has gone on, the State has laid down certain rules by means of which the men who formed it could serve it better, and these are our laws which we obey not for our own good directly, but for the good of the State. From the point of view of the plain man in the street, it is all utterly illogical, for it would be logical to go and take from your neighbour whatever you wished, so long as you were strong enough to hold it. But, let us thank Heaven, no sane man is logical, and only a Professor would dare to make the claim. It is one of the prerogatives of his office, and should be treated with tolerance.

And as our views of life are small and limited by our surroundings, when States grew large they took from the shoulders of the individual his responsibilities in the great State which the world has now become; and the States of which the world was composed agreed together on certain rules which should control their relations to one another, not for the good of each, but for the good of the greater State of which they were members. They are not so accurately laid down as the laws of our separate States, but they are broad, general principles for the use of statesmen and not of legalists. They are the Charter of Civilization among the nations of the world, and the nation which disregards them does so at her peril, and has handed in the abnegation of her position as a civilized State. Like the laws of each State, they are utterly illogical—at least, to those who have made up their minds that they are strong enough to hold what they can take from their neighbours.

I am often told, in half-defence of what they have done, that the Germans are conducting the war in a strictly logical manner. At first, I must admit, I was rather taken with the idea, and, indeed, one felt almost sorry for a noble nation sacrificing its feelings on the uncompromising altar of Logic. For the object of war is obviously to defeat your enemy, and it may be argued that anything which will accelerate that result is not only justifiable, but almost humane, for it will shorten the unavoidable horrors of war. I should like to mention a few of the features of logical warfare, all of which have at one time or another been adopted by our opponents, and I shall then describe as far as I can an example which I myself saw.

When an army wishes to pass through a country, the civil population is in the way. To get rid of them, the best plan, and the quickest, is to annihilate the first town of a suitable size to which the army comes. If the town is wiped out, and men, women, and children slaughtered indiscriminately, it will make such an impression in the rest of the country that the whole population will clear out and there will be no further trouble. The country will then be free for the passage of troops, and there will be no troublesome civil population to feed or govern. The conduct of the war will be greatly facilitated. Of course, it will be necessary at intervals to repeat the process, but this presents the further advantage that it advertises to other nations what they may expect if war enters their borders. This, one of the most elementary rules of logical warfare, has been strictly observed by Germany. The sack of Louvain and the slaughter of its inhabitants met with an immediate success. Wherever the German army arrived, they entered with few exceptions empty towns. Termonde, Malines, Antwerp, had everything swept and garnished for their reception. It would, of course, be absurdly illogical to confine one's attack to persons capable of defence. To kill a hundred women and children makes far more impression than to kill a thousand men, and it is far safer, unless, of course, it is preferred to use them as a screen to protect your own advancing troops from the enemy's fire.

It is a mistake to burden your transport with the enemy's wounded, or, indeed—low be it spoken—with your own. The former should always be killed, and the latter so far as the degree of culture of your country will allow. It is one of the regrettable points, logically, of Germany's warfare that she appears to pay some attention to her wounded, but our information on this point is deficient, and it is possible that she limits it to those who may again be useful.

To kill the Medical Staff of the enemy is obviously most desirable. Without them a large number of the wounded would die. If, therefore, it is possible to kill both the doctors and the wounded together, it is a great advantage, and of all possible objectives for artillery a hospital is the most valuable. So complete was our confidence in the German observance of this rule that when we heard that they were likely to bombard Antwerp, we were strongly advised to remove our Red Cross from the sight of prying aeroplanes, and we took the advice. Several other hospitals were hit, but we escaped.

There are many other rules of logical warfare, such as ignoring treaties, engagements, and, indeed, the truth in any form. But these are those with which I myself came in contact, and which therefore interested me the most. There is only one unfortunate objection to logical warfare, and that is that it is the duty of the whole civilized world, as it values its eternal salvation, to blot out from the face of the earth they have defiled the nation which practises it.

I do not wish to be unfair to those with whom we are fighting, or to arouse against them an unjust resentment. I am merely attempting to express succinctly the doctrines which have been proclaimed throughout Germany for years, of which this war is the logical outcome, and in the light of which alone its incidents can be understood. She is the home of logic, the temple where material progress is worshipped as a god. For her there is no meaning in those dim yearnings of the human mind, in which logic has no part, since their foundations are hidden in depths beneath our ken, but which alone separate us from the beasts that perish. And, above all things, I would not be thought to include in such a sweeping statement all those who call themselves German. There are many in Germany who are not of this Germany, and in the end it may be for them as much as for ourselves that we shall have fought this war.

It is only when viewed in this setting that a scene such as that we saw at Lierre can be understood. By itself it would stand naked, meaningless, and merely horrible. Clothed in these thoughts, it is pregnant with meaning, and forms a real epitome of the whole German conception of war; for horror is their dearest ally, and that scene has left on my mind a feeling of horror which I do not think that time will ever eradicate.

Lierre is an old-world town on the River Nethe, nine miles south of Antwerp, prosperous, and thoroughly Flemish. Its 20,000 inhabitants weave silk and brew beer, as they did when London was a village. Without the physical advantages of Antwerp, and without the turbulence of Ghent, Lierre has escaped their strange vicissitudes, and for hundreds of years has enjoyed the prosperity of a quiet and industrious town. Its church of St. Gommarius is renowned for its magnificent proportions, its superb window tracery, and its wonderful rood-loft—features in which it has eclipsed in glory even the great cathedrals of Belgium, and which place it alone as a unique achievement of the art of the fifteenth century. It is in no sense a military town, and has no defences, though there is a fort of the same name at no great distance from it.

Into this town, without warning of any kind, the Germans one morning dropped two of their largest shells. One fell near the church, but fortunately did no harm. One fell in the Hospital of St. Elizabeth. We heard in Antwerp that several people had been wounded, and in the afternoon two of us went out in one of our cars to see if we could be of any service. We found the town in the greatest excitement, and the streets crowded with families preparing to leave, for they rightly regarded these shells as the prelude of others. In the square was drawn up a large body of recruits just called up—rather late in the day, it seemed to us. We slowly made our way through the crowds, and, turning to the right along the Malines road, we drew up in front of the hospital on our right-hand side. The shell had fallen almost vertically on to a large wing, and as we walked across the garden we could see that all the windows had been broken, and that most of the roof had been blown off. The nuns met us, and took us down into the cellars to see the patients. It was an infirmary, and crowded together in those cellars lay a strange medley of people. There were bedridden old women huddled up on mattresses, almost dead with terror. Wounded soldiers lay propped up against the walls; and women and little children, wounded in the fighting around, lay on straw and sacking. Apparently it is not enough to wound women and children; it is even necessary to destroy the harbour of refuge into which they have crept. The nuns were doing for them everything that was possible, under conditions of indescribable difficulty. They may not be trained nurses, but in the records of this war the names of the nuns of Belgium ought to be written in gold. Utterly careless of their own lives, absolutely without fear, they have cared for the sick, the wounded, and the dying, and they have faced any hardship and any danger rather than abandon those who turned to them for help.

The nuns led us upstairs to the wards where the shell had burst. The dead had been removed, but the scene that morning must have been horrible beyond description. In the upper ward six wounded soldiers had been killed, and in the lower two old women. As we stood in the upper ward, it was difficult to believe that so much damage could have been caused by a single shell. It had struck almost vertically on the tiled roof, and, exploding in the attic, had blown in the ceiling into the upper ward. I had not realized before the explosion of a large shell is not absolutely instantaneous, but, in consequence of the speed of the shell, is spread over a certain distance. Here the shell had continued to explode as it passed down through the building, blowing the floor of the upper ward down into the ward below. A great oak beam, a foot square, was cut clean in two, the walls of both wards were pitted and pierced by fragments, and the tiled floor of the lower ward was broken up. The beds lay as they were when the dead were taken from them, the mattresses riddled with fragments and soaked with blood. Obviously no living thing could have survived in that awful hail. When the shell came the soldiers were eating walnuts, and on the bed of one lay a walnut half opened and the little penknife he was using, and both were stained. We turned away sickened at the sight, and retraced the passage with the nuns. As we walked along, they pointed out to us marks we had not noticed before—red finger-marks and splashes of blood on the pale blue distemper of the wall. All down the passage and the staircase we could trace them, and even in the hall below. Four men had been standing in the doorway of the upper ward. Two were killed; the others, bleeding and blinded by the explosion, had groped their way along that wall and down the stair. I have seen many terrible sights, but for utter and concentrated horror I have never seen anything to equal those finger-marks, the very sign- manual of Death. When I think of them, I see, in the dim light of the early autumn morning, the four men talking; I hear the wild shriek of the shell and the deafening crash of its explosion; and then silence, and two bleeding men groping in darkness and terror for the air.



IX. A Pause



The life of a hospital at the front is a curious mixture of excitement and dullness. One week cases will be pouring in, the operating theatre will be working day and night, and everyone will have to do their utmost to keep abreast of the rush; next week there will be nothing to do, and everyone will mope about the building, and wonder why they were ever so foolish as to embark on such a futile undertaking. For it is all emergency work, and there is none of the dull routine of the ordinary hospital waiting list, which we are always trying to clear off, but which is in reality the backbone of the hospital's work.

When we first started in Antwerp, the rush of cases was so great as to be positively overwhelming. For more than twenty-four hours the surgeons in the theatre were doing double work, two tables being kept going at the same time. During that time a hundred and fifty wounded were admitted, all of them serious cases, and the hospital was full to overflowing. For the next ten days we were kept busy, but then our patients began to recover, and many of them had to go away to military convalescent hospitals. The wards began to look deserted, and yet no more patients arrived. We began to think that it was all a mistake that we had come, that there would be no more fighting round Antwerp, and that we were not wanted. Indeed, we canvassed the possibilities of work in other directions, and in the meantime we drew up elaborate arrangements to occupy our time. There were to be courses of lectures and demonstrations in the wards, and supplies of books and papers were to be obtained. Alas for the vanity of human schemes, the wounded began to pour in again, and not a lecture was given.

During that slack week we took the opportunity to see a certain amount of Antwerp, and to call on many officials and the many friends who did so much to make our work there a success and our stay a pleasure. To one lady we can never be sufficiently grateful. She placed at our disposal her magnificent house, a perfect palace in the finest quarter of the city. Several of our nurses lived there, we had a standing invitation to dinner, and, what we valued still more, there were five bathrooms ready for our use at any hour of the day. Their drawing-room had been converted into a ward for wounded officers, and held about twenty beds. One of the daughters had trained as a nurse, and under her charge it was being run in thoroughly up-to-date style. The superb tapestries with which the walls were decorated had been covered with linen, and but for the gilded panelling it might have been a ward in a particularly finished hospital. I often wonder what has happened to that house. The family had to fly to England, and unless it was destroyed by the shells, it is occupied by the Germans.

Calling in Antwerp on our professional brethren was very delightful for one's mind, but not a little trying for one's body. Their ideas of entertainment were so lavish, and it was so difficult to refuse their generosity, that it was a decided mistake to attempt two calls in the same afternoon. To be greeted at one house with claret of a rare vintage, and at the next with sweet champagne, especially when it is plain that your host will be deeply pained if a drop is left, is rather trying to a tea-drinking Briton. They were very good to us, and we owed a great deal to their help. Most of all we owed to Dr. Morlet, for he had taken radiographs of all our fractures, and of many others of our cases. We went to see him one Sunday afternoon at his beautiful house in the Avenue Plantin. He also had partly converted his house into a hospital for the wounded, and we saw twenty or thirty of them in a large drawing-room. The rest of the house was given up to the most magnificent electro-therapeutical equipment I have ever seen or heard of. We wandered through room after room filled with superb apparatus for X-ray examinations, X-ray treatment, diathermy, and electrical treatment of every known kind. It was not merely that apparatus for all these methods was there. Whole rooms full of apparatus were given up to each subject. It was the home of a genius and an enthusiast, who thought no sum too great if it were to advance his science. Little did we think that ten days later we should pick its owner up upon the road from Antwerp, a homeless wanderer, struggling along with his wife and his family, leaving behind everything he possessed in the world, in the hope that he might save them from the Germans. We heard from him not long ago that they had carried off to Germany all the wonderful machinery on which he had spent his life.

The very next morning, while we were still at breakfast, the wounded began to arrive, and we never had another day in Antwerp that was not crowded with incident. The wounded almost always came in large batches, and the reason of this was the method of distribution adopted by the authorities. All the injured out at the front were collected as far as possible to one centre, where a train was waiting to receive them. There they remained until the train was sufficiently filled, when it brought them into the Central Station of Antwerp. At this point was established the distributing station, with a staff of medical officers, who arranged the destination of each man. Antwerp has a very complete system of electric trams, scarcely a street being without one, and of these full use was made for the transport of the wounded. Those who could sit went in ordinary cars, but for the stretcher cases there were cars specially fitted to take ordinary stretchers. A car was filled up with cases for one hospital, and in most cases it could deposit them at the door. It was an admirable method of dealing with them, simple and expeditious, and it involved far less pain and injury to the men than a long journey on an ambulance. In fact, we were only allowed in exceptional circumstances to bring in wounded on our cars, and it is obvious that it was a wise plan, for endless confusion would have been the result if anyone could have picked up the wounded and carried them off where they liked. Our cars were limited for the most part to carrying the injured to the various dressing- stations and to the train, and for these purposes they were always welcomed. They were soon well known at the trenches, and wherever the fighting was heaviest you might be sure to find one of them. Many were the hairbreadth escapes of which they had to tell, for if there were wounded they brought them out of danger, shells or no shells. And it says as much for the coolness of the drivers as for their good luck that no one was ever injured; for danger is halved by cool judgment, and a bold driver will come safely through where timidity would fail.



X. The Siege



It is difficult to say exactly when the Siege of Antwerp began. For weeks we heard the distant boom of the guns steadily drawing nearer day by day, and all night the sky was lit up by distant flashes. But so peculiar was the position of Antwerp that it was not till the last ten days that our life was seriously affected, and not till the very end that communication with our friends and the getting of supplies became difficult. Our first real domestic tragedy was the destruction of the waterworks on the 30th of September. They lay just behind Waelhem, some six miles south of Antwerp, and into them the Germans poured from the other side of Malines a stream of 28-centimetre shells, with the result that the great reservoir burst. Until one has had to do without a water-supply in a large city it is impossible to realize to what a degree we are dependent upon it. In Antwerp, fortunately, a water- supply has been regarded as somewhat of an innovation, and almost every house, in the better class quarters at least, has its own wells and pumps. It was, however, the end of the summer, and the wells were low; our own pumps would give us barely enough water for drinking purposes. The authorities did all they could, and pumped up water from the Scheldt for a few hours each day, enabling us, with considerable difficulty, to keep the drainage system clear. But this water was tidal and brackish, whilst as to the number of bacteria it contained it was better not to inquire. We boiled and drank it when we could get nothing else, but of all the nauseous draughts I have ever consumed, not excluding certain hospital mixtures of high repute, tea made with really salt water is the worst. Coffee was a little better, though not much, and upon that we chiefly relied. But I really think that that was one of the most unpleasant of our experiences. A more serious matter from the point of view of our work was the absence of water in the operating theatre. We stored it as well as we could in jugs, but in a rush that was inadequate, and we began to realize what the difficulties were with which surgeons had to contend in South Africa.

We were really driven out of Antwerp at a very fortunate moment, and I have often wondered what we should have done if we had stopped there for another week. Such a very large proportion of the inhabitants of Antwerp had already disappeared that there was never any great shortage of supplies. Milk and butter were the first things to go, and fresh vegetables followed soon after. It was always a mystery to me that with the country in such a condition they went on for as long as they did. The peasants must have worked their farms until they were absolutely driven out, and indeed in our expeditions into the country we often saw fields being ploughed and cattle being fed when shells were falling only a few fields away. However, margarine and condensed milk are not bad substitutes for the real articles, and the supply of bread held out to the very end. A greater difficulty was with our kitchen staff of Belgian women, for a good many of them took fright and left us, and it was not at all easy to get their places filled. As the week went on the pressure of the enemy became steadily greater. On Tuesday, the 29th of September, the great fortress of Wavre St. Catherine fell, blown up, it is believed, by the accidental explosion of a shell inside the galleries. It had been seriously battered by the big German howitzers, and it could not in any case have held out for another day. But the results of the explosion were terrible. Many of the wounded came to us, and they were the worst cases we had so far seen.

On Thursday Fort Waelhem succumbed after a magnificent resistance. The garrison held it until it was a mere heap of ruins, and, indeed, they had the greatest difficulty in making their way out. I think that there is very little doubt that the Germans were using against these forts their largest guns, the great 42-centimetre howitzers. It is known that two of these were brought northwards past Brussels after the fall of Maubeuge, and a fragment which was given to us was almost conclusive. It was brought to us one morning as an offering by a grateful patient, and it came from the neighbourhood of Fort Waelhem. It was a mass of polished steel two feet long, a foot wide, and three inches thick, and it weighed about fifty pounds. It was very irregular in shape, with edges sharp as razors, without a particle of rust upon it. It had been picked up where it fell still hot, and it was by far the finest fragment of shell I have ever seen. Alas we had to leave it behind, and it lies buried in a back-garden beside our hospital. Some day it will be dug up, and will be exhibited as conclusive evidence that the Germans did use their big guns in shelling the town.

The destruction produced by such a shell is almost past belief. I have seen a large house struck by a single shell of a much smaller size than this, and it simply crumpled up like a pack of cards. As a house it disappeared, and all that was left was a heap of bricks and mortar. When one considers that these guns have a range of some ten miles, giving Mont Blanc considerable clearance on the way, and that one of them out at Harrow could drop shells neatly into Charing Cross, some idea of their power can be obtained.

Every day we had visits from the enemy's aeroplanes, dropping bombs or literature, or merely giving the range of hospitals and other suitable objectives to the German gunners. From the roof of the hospital one could get a magnificent view of their evolutions, and a few kindred spirits always made a rush for a door on to the roof, the secret of which was carefully preserved, as the accommodation was limited. It was a very pretty sight to watch the Taube soaring overhead, followed by the puffs of smoke from the explosion of shells fired from the forts. The puffs would come nearer and nearer as the gunners found the range, until one felt that the next must bring the Taube down. Then suddenly the airman would turn his machine off in another direction, and the shells would fall wider than ever. One's feelings were torn between admiration for the airman's daring and an unholy desire to see him fall.

It was evident that Antwerp could not withstand much longer the pressure of the enemy's guns, and we were not surprised when on Friday we received an official notice from the British Consul-General, Sir Cecil Herstlet, that the Government were about to leave for Ostend, and advising all British subjects to leave by a boat which had been provided for them on Saturday. On Saturday morning came an order from the Belgian Army Medical Service instructing us to place on tramcars all our wounded, and to send them to the railway station. It appeared evident that Antwerp was to be evacuated, and we took the order to clear out our wounded as an intimation that our services would be no longer required. We got all our men ready for transport, and proceeded to pack up the hospital. The tramcars arrived, and we bade good-bye to our patients, and saw them off, some in ordinary trams and some in specially equipped stretcher-cars. It was a dismal scene.

The hall of the hospital was still covered with stretchers on which lay patients waiting their turn for the cars to take them, and the whole hospital was in process of being dismantled, when tramcars began to arrive back from the station with the patients we had just packed off. They told us that the whole of Antwerp was covered with tramloads of wounded soldiers, that there were five thousand in the square in front of the railway station, and that two trains had been provided to take them away! It was evident that some extraordinary blunder had been made; and while we were in doubt as to what to do, a second order came to us cancelling entirely the evacuation order which we and all the other hospitals in Antwerp had received a few hours before. It was all so perplexing that we felt that the only satisfactory plan was to go round to the British Consul and find out what it all meant. We came back with the great news that British Marines were coming to hold Antwerp. That was good enough for us. In less than an hour the hospital was in working order again, and the patients were back in their beds, and a more jubilant set of patients I have never seen. It was the most joyful day in the history of the hospital, and if we had had a case of champagne, it should have been opened. As it was, we had to be content with salt coffee.

But there was one dreadful tragedy. Some of our patients had not returned. In the confusion at the station one tramcar loaded with our patients had been sent off to another hospital by mistake. And the worst of it was that some of these were our favourite patients. There was nothing for it but to start next morning and make a tour of the hospitals in search of them. We were not long in finding them, for most of them were in a large hospital close by. I do not think we shall ever forget the reception we got when we found them. They had left us on stretchers, but they tried to get out of bed to come away with us, and one of them was a septic factured thigh with a hole in his leg into which you could put your fist, and another had recently had a serious abdominal operation.

They seized our hands and would scarcely let us go until we had promised that as soon as we had arranged with the authorities they should come back to our hospital. It was managed after a little diplomacy, and they all came back next day, and we were again a united family.



XI. Contich



Sunday, the 4th of October, dawned with an extraordinary feeling of relief and expectancy in the air. The invincible British had arrived, huge guns were on their way, a vast body of French and British troops was advancing by forced marches, and would attack our besiegers in the rear, and beyond all possibility of doubt crush them utterly. But perhaps the most convincing proof of all was the round head of the First Lord of the Admiralty calmly having his lunch in the Hotel St. Antoine. Surely nothing can inspire such confidence as the sight of an Englishman eating. It is one of the most substantial phenomena in nature, and certainly on this occasion I found the sight more convincing than a political speech. Obviously we were saved, and one felt a momentary pang of pity for the misguided Germans who had taken on such an impossible task. The sight of British troops in the streets and of three armoured cars carrying machine guns settled the question, and we went home to spread the good news and to follow the noble example of the First Lord.

In the afternoon three of us went off in one of the motors for a short run, partly to see if we could be of any use at the front with the wounded, and partly to see, if possible, the British troops. We took a stretcher with us, in case there should be any wounded to bring in from outlying posts. Everywhere we found signs of the confidence which the British had brought. It was visible in the face of every Belgian soldier, and even the children cheered our khaki uniforms as we passed. Everywhere there were signs of a new activity and of a new hope. The trenches and wire entanglements around the town, already very extensive, were being perfected, and to our eyes they looked impregnable. We did not then realize how useless it is to attempt to defend a town, and, unfortunately, our ignorance was not limited to civilians. It is a curious freak of modern war that a ploughed field should be stronger than any citadel. But, as I say, these things were hidden from us, and our allies gave the finishing touches to their trenches, to the high entertainment of the Angels, as Stevenson would have told us. If only those miles of trench and acres of barbed wire had been placed ten miles away, and backed by British guns, the story of Antwerp might have been a very different one.

The road to Boom is like all the main roads of Belgium. The central causeway was becoming worn by the constant passage of heavy motor lorries tearing backwards and forwards at racing speed. The sides were deep in dust, for there had been little rain. On each side rose poplars in ordered succession, and the long, straight stretches of the road were framed in the endless vista of their tall trunks. And in that frame moved a picture too utterly piteous for any words to describe—a whole country fleeing before the Huns. The huge unwieldy carts of the Belgian farmer crept slowly along, drawn by great Flemish horses. In front walked the men, plodding along beside the splendid animals, with whose help they had ploughed their fields —fields they would never see again. In the carts was piled up all that they possessed in the world, all that they could carry of their homes wrecked and blasted by the Vandals, a tawdry ornament or a child's toy looking out pitifully from the heap of clothes and bedding. And seated on the top of the heap were the woman and the children.

But these were the well-to-do. There were other little groups who had no cart and no horse. The father and a son would walk in front carrying all that a man could lift on their strong backs; then came the children, boys and girls, each with a little white bundle over their shoulder done up in a towel or a pillowslip, tiny mites of four or five doing all they could to save the home; and last came the mother with a baby at her breast, trudging wearily through the dust. They came in an endless stream, over and over again, for mile after mile, always in the same pathetic little groups, going away, only going away.

At last, with a sigh of relief, we reached Boom, and the end of the lines of refugees, for the Germans themselves were not far beyond. At the Croix Rouge we asked for instructions as to where we were likely to be useful. Boom had been shelled in the morning, but it was now quiet, and there was no fighting in the neighbourhood. We could hear the roar of guns in the distance on the east, and we were told that severe fighting was in progress in that direction. The British had reinforced the Belgian troops in the trenches at Duffel, and the Germans were attacking the position in force. Taking the road to the left, we passed the great brick-fields which provide one of the chief industries of Boom, and we drove through the poorer portion of the town which lies amongst them. It was utterly deserted. It was in this part of the town that the shelling had been most severe, but a large number of the shells must have fallen harmlessly in the brickfields, as only a house here and there was damaged. If, however, the object of the Germans was to clear the town of inhabitants, they had certainly succeeded, for there was not a man, woman, or child to be seen anywhere. It is a strange and uncanny thing to drive through a deserted town. Only a few days before we had driven the same way, and we had to go quite slowly to avoid the crowd in the streets. This time we crept along slowly, but for a very different reason. We distrusted those empty houses. We never knew what might be hiding round the next corner, but we did know that a false turning would take us straight into the German lines. It was the only way by which we could reach our destination, but we were beyond the main Belgian lines, and our road was only held by a few isolated outposts. After a mile or so we came upon a small outpost, and they told us that we should be safe as far as Rumps, about three miles farther, where their main outpost was placed. An occasional shell sailed over our heads to reassure us, some from our own batteries, and some from the enemy's. We only hoped that neither side would fire short.

At Rumps we found the headquarters of the regiment, and several hundred troops. At the sight of our khaki uniforms they at once raised a cheer, and we had quite an ovation as we passed down the street. At the Etat Majeur the Colonel himself came out to see us, and his officers crowded round as he asked us anxiously about the British arrivals. He pulled out his orders for the day, and told us the general disposition of the British and Belgian troops. He told us that the road to Duffel was too dangerous, and that we must turn northwards to Contich, but that there might be some wounded in the Croix Rouge station there. He and his men were typical of the Belgian Army— brave, simple men, defending their country as best they could, without fuss or show. I hope they have come to no harm. If only that army had been trained and equipped like ours, the Germans would have had a hard struggle to get through Belgium.

We turned away from the German lines northwards towards Contich. Our road lay across the open country, between the farms which mean so much of Belgium's wealth. In one field a man was ploughing with three big horses. He was too old to fight, but he could do this much for his country. Surely that man deserves a place in his country's Roll of Honour. Shells were falling not four fields away, but he never even looked up. It must take more nerve to plough a straight furrow when the shells are falling than to aim a gun. I like to think of that man, and I hope that he will be left to reap his harvest in peace. A little farther on we came upon the objective of the German shells—a battery so skilfully concealed that it was only when we were close to it that we realized where it was. The ammunition-carts were drawn up in a long line behind a hedge, while the guns themselves were buried in piles of brushwood. They must have been invisible from the captive balloon which hung over the German lines in the distance. They were not firing when we passed, and we were not sorry, as we had no desire to be there when the replies came. An occasional shell gives a certain spice to the situation, but in quantity they are better avoided.

As we approached Contich a soldier came running up and told us that two people had just been injured by a shell, and begged us to come to see them. He stood on the step of the car, and directed us to a little row of cottages half a mile farther on. At the roadside was a large hole in the ground where a shell had fallen some minutes before, and beside it an unfortunate cow with its hind-quarters shattered. In the garden of the first cottage a poor woman lay on her back. She was dead, and her worn hands were already cold. As I rose from my knees a young soldier flung himself down beside her, sobbing as though his heart would break. She was his mother.

Behind the cottage we found a soldier with his left leg torn to fragments. He had lost a great deal of blood, and he was still bleeding from a large artery, in spite of the efforts of a number of soldiers round who were applying tourniquets without much success. The ordinary tourniquet is probably the most inefficient instrument that the mind of man could devise—at least, for dealing with wounds of the thigh out in the field. It might stop haemorrhage in an infant, but for a burly soldier it is absurd. I tried two of the most approved patterns, and both broke in my hands. In the end I managed to stop it with a handkerchief and a stick. I would suggest the elimination of all tourniquets, and the substitution of the humble pocket-handkerchief. It, at least, does not pretend to be what it is not. Between shock and loss of blood our soldier was pretty bad, and we did not lose much time in transferring him to our car on a stretcher. The Croix Rouge dressing-station was more than a mile farther on, established in a large villa in its own grounds. We carried our man in, and laid him on a table with the object of dressing his leg properly, and of getting the man himself into such condition as would enable him to stand the journey back to Antwerp.

Alas! the dressing-station was destitute of any of the most elementary appliances for the treatment of a seriously wounded man. There was not even a fire, and the room was icy cold. There was no hot water, no brandy, no morphia, no splints, and only a minute quantity of dressing material. A cupboard with some prehistoric instruments in it was the only evidence of surgery that we could find. The Belgian doctor in charge was doing the best he could, but what he could be expected to do in such surroundings I do not know. He seemed greatly relieved to hear that I was a surgeon, and he was most kind in trying to find me everything for which I asked. From somewhere we managed to raise some brandy and hot water, and a couple of blankets, and with the dressings we had brought with us we made the best of a bad job, and started for home with our patient. Antwerp was eight miles away. It was a bitterly cold evening, and darkness was coming on. It seemed improbable that we could get our patient home alive, but it was perfectly certain that he would die if we left him where he was. It seemed such a pity that a little more forethought and common sense could not have been expended on that dressing- station, and yet we found that with rare exceptions this was the regular state of affairs, whether in. Belgium or France. It seems to be impossible for our professional brethren on the Continent to imagine any treatment apart from a completely equipped hospital. Their one idea seems to be to get the wounded back to a base hospital, and if they die on the way it cannot be helped. The dressing-stations are mere offices for their redirection, where they are carefully ticketed, but where little else is done. Of course, it is true that the combatant forces are the first consideration, and that from their point of view the wounded are simply in the way, and the sooner they are carried beyond the region of the fighting the better; but if this argument were carried to its logical conclusion, there should be no medical services at the front at all, except what might be absolutely necessary for the actual transport of the wounded. I am glad to say that our later experiences showed that the British influence was beginning to make itself felt, and that the idea of the wounded as a mere useless encumbrance was being modified by more humanitarian considerations. And in a long war it must be obvious to the most hardened militarist that by the early treatment of a wound many of its more severe consequences may be averted, and that many a man may thus be saved for further service. In a war of exhaustion, the ultimate result might well depend on how the wounded were treated in the field.

The road was crowded with traffic, and it was quite dark before we reached Antwerp. Our patient did not seem much the worse for his journey, though that is perhaps faint praise. We soon had him in our theatre, which was always warm and ready for cases such as this. With energetic treatment his condition rapidly improved, and when we left him to go to dinner we felt that our afternoon had not been entirely wasted.



XII. The Bombardment—Night



We had had plenty of notice that we might expect a bombardment. On Saturday a boat had left with most of the English Colony. On Tuesday morning the Germans sent in official notice that they intended to bombard the city, and in the evening the Government and the Legations left by boat with the remainder of our countrymen who lived in Antwerp. We had faced the prospect and made every preparation for it, and yet when it did come it came upon us as a surprise. It is sometimes fortunate that our capacities for anticipation are so limited.

It was almost midnight on Wednesday, the 7th of October, and two of us were sitting in the office writing despatches home. The whole building was in absolute silence, and lit only by the subdued light of an occasional candle. In the distance we could hear the dull booming of the guns. Suddenly above our heads sounded a soft whistle, which was not the wind, followed by a dull thud in the distance. We looked at one another.

Again it came, this time a little louder. We ran up to the roof and stood there for some moments, fascinated by the scene. From the dull grey sky came just sufficient light to show the city laying in darkness around us, its tall spires outlined as dim shadows against the clouds. Not a sound arose from streets and houses around, but every few seconds there came from the south-east a distant boom, followed by the whistle of a shell overhead and the dull thud of its explosion. The whole scene was eerie and uncanny in the extreme. The whistle changed to a shriek and the dull thud to a crash close at hand, followed by the clatter of falling bricks cutting sharply into the stillness of the night. Plainly this was going to be a serious business, and we must take instant measures for the safety of our patients. At any moment a shell might enter one of the wards, and—well, we had seen the hospital at Lierre. We ran downstairs and told the night nurses to get the patients ready for removal, whilst we went across to the gymnasium to arouse those of the staff who slept there. We collected all our stretchers, and began the methodical removal of all our patients to the basement. In a few minutes there was a clang at the front-door bell, and our nurses and assistants who lived outside began to arrive. Two of the dressers had to come half a mile along the Malines road, where the shells were falling thickest, and every few yards they had had to shelter in doorways from the flying shrapnel. The bombardment had begun in earnest now, and shells were fairly pouring over our heads. We started with the top floor, helping down those patients who could walk, and carrying the rest on stretchers. When that was cleared we took the second, and I think we all breathed a sigh of relief when we heard that the top floor was empty. We were fortunate in having a basement large enough to accommodate all our patients, and wide staircases down which the stretchers could be carried without difficulty; but the patients were all full-grown men, and as most of them had to be carried it was hard work.

I shall never forget the scene on the great staircase, crowded with a long train of nurses, doctors, and dressers carrying the wounded down as gently and as carefully as if they were in a London hospital. I saw no sign of fear in any face, only smiles and laughter. And yet overhead was a large glass roof, and there was no one there who did not realize that a shell might come through that roof at any moment, and that it would not leave a single living person beneath it. It made one proud to have English blood running in one's veins. We had 113 wounded, and within an hour they were all in places of safety; mattresses and blankets were brought, and they were all made as comfortable as possible for the night. Four were grave intestinal cases. Seven had terrible fractures of the thigh, but fortunately five of these had been already repaired with steel plates, and their transport was easy; in fact, I met one of them on the staircase, walking with the support of a dresser's arm, a week after the operation! Some of the patients must have suffered excruciating pain in being moved, but one never heard a murmur, and if a groan could not be kept back, it was passed over with a jest for fear we should notice it. It was a magnificent basement, with heavy arched roofs everywhere, and practically shell-proof. The long passages and the large kitchens were all tiled and painted white, and as the electric light was still running and the whole building was well warmed, it would have been difficult to find a more cheerful and comfortable place. Coffee was provided for everyone, and when I took a last look round the night nurses were taking charge as if nothing had happened, and the whole place was in the regular routine of an ordinary everyday hospital.

Upstairs there was an improvised meal in progress in the office, and after our two hours' hard work we were glad of it. It is really wonderful how cheerful a thing a meal is in the middle of the night, with plenty of hot coffee and a borrowed cake. It is one of the compensations of our life in hospital, and even shells are powerless to disturb it. After that, as we knew we should have a heavy day before us, we all settled down in the safest corners we could find to get what rest we could. The staircase leading up to the entrance hall was probably the safest spot in the building, covered as it was by a heavy arch, and it was soon packed with people in attitudes more or less restful. A ward with a comfortable bed seemed to me quite safe enough, and I spent the night with three equally hedonistic companions. At first we lay listening to the shells as they passed overhead, sometimes with the soft whistle of distance, and sometimes with the angry shriek of a shell passing near. Occasionally the shriek would drop to a low howl, the note of a steam siren as it stops, and then a deafening crash and the clatter of falling bricks and glass would warn us that we had only escaped by a few yards. But even listening to shells becomes monotonous, and my eyes gradually glued together, and I fell asleep.

When I awoke it was early morning, and daylight had just come. The shells were still arriving, but not so fast, and mostly at a much greater distance. But another sound came at intervals, and we had much discussion as to what it might mean. Every three and a half minutes exactly there came two distant booms, but louder than usual, and then two terrific shrieks one after the other, exactly like the tearing of a giant sheet of calico, reminding us strongly of the famous scene in "Peter Pan." Away they went in the distance, and if we ever heard the explosion it was a long way off. They certainly sounded like shells fired over our heads from quite close, and at a very low elevation, and we soon evolved the comforting theory that they were from a pair of big British guns planted up the river, and firing over the town at the German trenches beyond. We even saw a British gunboat lying in the Scheldt, and unlimited reinforcements pouring up the river. Alas! it was only a couple of big German guns shelling the harbour and the arsenal; at least, that is the conclusion at which we have since arrived. But for some hours those shells were a source of great satisfaction and comfort. One can lie in bed with great contentment, I find, when it is the other people who are being shelled.



XIII. The Bombardment—Day



We were up early in the morning, and our first business was to go round to the British Headquarters to find out what they intended to do, and what they expected of us as a British base hospital. If they intended to stay, and wished us to do likewise, we were quite prepared to do so, but we did not feel equal to the responsibility of keeping more than a hundred wounded in a position so obviously perilous. From shrapnel they were fairly safe in the basement, but from large shells or from incendiary bombs there is no protection. It is not much use being in a cellar if the house is burnt down over your head. So two of us started off in our motor to get news.

The Headquarters were in the Hotel St. Antoine, at the corner of the Place Verte opposite to the Cathedral, so we had to go right across the town. We went by the Rue d'Argile and the Rue Leopold, and we had a fair opportunity of estimating the results of the night's bombardment. In the streets through which we passed it was really astonishingly small. Cornices had been knocked off, and the fragments lay in the streets; a good many windows were broken, and in a few cases a shell had entered an attic and blown up the roof. Plainly only small shells had been used. We did not realize that many of the houses we passed were just beginning to get comfortably alight, and that there was no one to put out the fires that had only begun so far to smoulder. A few people were about, evidently on their way out of Antwerp, but the vast bulk of the population had already gone. It is said that the population of half a million numbered by the evening only a few hundreds. We passed a small fox terrier lying on the pavement dead, and somehow it has remained in my mind as a most pathetic sight. He had evidently been killed by a piece of shrapnel, and it seemed very unfair. But probably his people had left him, and he was better out of it.

We turned into the Marche aux Souliers, and drew up at the Hotel St. Antoine, and as we stepped down from the car a shell passed close to us with a shriek, and exploded with a terrific crash in the house opposite across the narrow street. We dived into the door of the hotel to escape the falling debris. So far the shells had been whistling comfortably over our heads, but it was evident that the Germans were aiming at the British Headquarters, and that we had put our heads into the thick of it, for it was now positively raining shells all round us. But we scarcely noticed them in our consternation at what we found, for the British Staff had disappeared. We wandered through the deserted rooms which had been so crowded a few days before, but there was not a soul to be seen. They had gone, and left no address. At last an elderly man appeared, whom I took to be the proprietor, and all he could tell us was that there was no one but himself in the building. Of all the desolate spots in the world I think that an empty hotel is the most desolate, and when you have very fair reason to believe that a considerable number of guns are having a competition as to which can drop a shell into it first, it becomes positively depressing. We got into our car and drove down the Place de Meir to the Belgian Croix Rouge, where we hoped to get news of our countrymen, and there we were told that they had gone to the Belgian Etat Majeur near by. We had a few minutes' conversation with the President of the Croix Rouge, a very good friend of ours, tall and of striking appearance, with a heavy grey moustache. We asked him what the Croix Rouge would do. "Ah," he said, "we will stay to the last!" At that very moment a shell exploded with a deafening crash just outside in the Place de Meir. I looked at the President, and he threw up his hands in despair and led the way out of the building. The Belgian Red Cross had finished its work.

At last at the Etat Majeur we found our Headquarters, and I sincerely hope that wherever General Paris, Colonel Bridges, and Colonel Seely go, they will always find people as pleased to see them as we were. They very kindly told us something of the situation, and said that, though they had every intention of holding Antwerp, they advised us to clear out, and they placed at our disposal four motor omnibuses for the transport of the wounded. So off we drove back to the hospital to make arrangements for evacuating. It was a lively drive, for I suppose that the Germans had had breakfast and had got to work again; at any rate, shells were coming in pretty freely, and we were happier when we could run along under the lee of the houses. However, we got back to the hospital safely enough, and there we held a council of war.

It was in the office, of course—the most risky room we could have chosen, I suppose—but somehow that did not seem to occur to anyone. It is curious how soon one grows accustomed to shells. At that moment a barrel-organ would have caused us far more annoyance. We sat round the table and discussed the situation. It was by no means straightforward. In the first place several members of the community did not wish to leave at all; in the second, we could not leave any of our wounded behind unattended; and in the third, it seemed unlikely that we could get them all on to four buses. After a long discussion we decided to go again and see General Paris, to ask for absolute instructions as a hospital under his control, and if he told us to go, to get sufficient transport. And then arose a scene which will always live in my mind. We had impressed into consultation a retired officer of distinction to whose help we owed much, and now owe far more, and whom I shall call our Friend. Perhaps he wished to give us confidence—I have always suspected that he had an ulterior motive —but he concluded the discussion by saying that he felt hungry and would have something to eat before he started, and from his haversack he produced an enormous German sausage and a large loaf of bread, which he offered to us all round, and he said he would like a cup of tea! The shells could do what they liked outside, and if one of them was rude enough to intrude, it could not be helped. We must show them that we could pay no attention to anything so vulgar and noisy. At any rate, the effect on us was electrical. The contrast between the German shells and the German sausage was too much for us, and the meeting broke up in positive confusion. Alas that sausage, the unparalleled trophy of an incomparable moment, was left behind on the table, and I fear the Germans got it.

General Paris had been obliged to shift his headquarters to the Pilotage, on the docks and at the farthest end of the city from us. He was very considerate, and after some discussion said that we had better leave Antwerp, and sent Colonel Farquharson with us to get six buses. The Pilotage is at the extreme north end of the Avenue des Arts, which extends the whole length of Antwerp, and the buses were on the quay by the Arsenal at the extreme south end, so that we had to drive the whole length of this, the most magnificent street of Antwerp, and a distance of about three miles. It was an extraordinary drive. In the whole length of that Avenue I do not think that we passed a single individual. It was utterly deserted. All around were signs of the bombardment—tops of houses blown off, and scattered about the street, trees knocked down, holes in the roadway where shells had struck. On the left stood the great Palais de Justice, with most of its windows broken and part of the roof blown away, and just beyond this three houses in a row blazing from cellar to chimney, the front wall gone, and all that remained of the rooms exposed. As I said, only small shells had been used, and the damage was nothing at all to that which we afterwards saw at Ypres; but it gave one an impression of dreariness and utter desolation that could scarcely be surpassed. Think of driving from Hyde Park Corner down the Strand to the Bank, not meeting a soul on the way, passing a few clubs in Piccadilly burning comfortably, the Cecil a blazing furnace, and the Law Courts lying in little bits about the street, and you will get some idea of what it looked like. The scream of the shells and the crash when they fell near by formed quite a suitable if somewhat Futurist accompaniment.

But the climax of the entertainment, the bonne bouche of the afternoon, was reserved for the end of our drive, when we reached the wharf by the Arsenal, where the British stores and transport were collected. Here was a long row of motor-buses, about sixty of them, all drawn up in line along the river. Beside them was a long row of heavily loaded ammunition lorries, and on the other side of the road was the Arsenal, on our left, blazing away, with a vast column of smoke towering up to the sky. "It may blow up any minute," said Colonel Farquharson cheerily, "I had better move that ammunition." I have never seen an arsenal blow up, and I imagine it is a phenomenon requiring distance to get it into proper perspective; but I have some recollection of an arsenal blowing up in Antwerp a few years ago and taking a considerable part of the town with it. However, it was not our arsenal, so we waited and enjoyed the view till the ammunition had been moved, and the Colonel had done his best to get us the motor-buses. He could only get us four, so we had to make the best of a bad job. But. meanwhile the Germans had evidently determined to give us a really good show while they were about it, for while we waited a Taube came overhead and hovered for a moment, apparently uncertain as to whether a bomb or a shell would look better just there. A flash of tinsel falling in the sunlight showed us that she had made up her mind and was giving the range. But we could not stay, and were a quarter of a mile away when we looked back and saw the first shells falling close to where we had been two minutes before. They had come six miles.

The bombardment was increasing in violence, and large numbers of incendiary shells were being used, whilst in addition the houses set on fire during the night were now beginning to blaze. As we drove back we passed several houses in flames, and the passage of the narrow streets we traversed was by no means free from risk. At last we turned into our own street, the Boulevard Leopold, and there we met a sight which our eyes could scarcely credit. Three motor-buses stood before our door and patients were being crowded into them. Those buses and our own lives we owe to the kindness of Major Gordon. Without them some at least must have remained behind. The three were already well filled, for our friends thought that we had certainly been killed and that they must act for themselves. We sent them off under the escort of one of our cars, as it seemed foolish to keep them waiting in a position of danger. On our own four we packed all our remaining patients and all the hospital equipment we could remove. One does not waste time when one packs under shell fire, and at the end of three-quarters of an hour there was not a patient and very little of value in the hospital. I took charge of the theatre as I knew where the things went, and I think the British working man would have been rather astonished to see how fast the big sterilizers fell apart and the operating-tables slid into their cases. The windows faced shellwards, and I must confess that once or twice when one of them seemed to be coming unpleasantly near I took the opportunity to remove my parcels outside. How the patients were got ready and carried out and into the buses in that time is beyond my comprehension. But somehow it was managed. I took a last look round and drove out the last nurse who was trying to rescue some last "hospital comfort" for a patient, and in the end I was myself driven out by two indignant dressers who caught me trying to save the instrument sterilizer. The buses were a wonderful sight. Inside were some sixty patients, our share of the whole hundred and thirteen, and on top about thirty of our staff, and the strangest collection of equipment imaginable. The largest steam sterilizer mounted guard in front, hoisted there by two sailormen of huge strength, who turned up from somewhere. Great bundles of blankets, crockery, and instruments were wedged in everywhere, with the luggage of the staff. At the door of each bus was seated a nurse, like a conductor, to give what little attention was possible to the patients. It was a marvellous sight, but no cheerier crowd of medical students ever left the doors of a hospital for a Cup-tie.



XIV. The Night Journey



There was only one way out—by the bridge of boats across the Scheldt. It was a narrow plank road, and as vehicles had to go across in single file at some distance apart, the pressure can be imagined. For an hour and a half we stood in the densely packed Cathedral square watching the hands of the great clock go round and wondering when a shell would drop among us. We had seen enough of churches to know what an irresistible attraction they have for German artillery, and we knew that, whatever may be the state of affairs in Scotland, here at any rate the nearer the church the nearer was heaven. But no shells fell near, we only heard them whistling overhead.

The scene around us was extraordinary, and indeed these were the remains of the entire population of Antwerp. The whole city had emptied itself either by this road or by the road northwards into Holland. Crowds of people of every class—the poor in their working- clothes, the well-to-do in their Sunday best—all carrying in bundles all they could carry away of their property, and wedged in amongst them every kind of vehicle imaginable, from a luxurious limousine to coster's carts and wheelbarrows. In front of us lay the Scheldt, and pouring down towards it was on the left an endless stream of fugitives, crossing by the ferry-boats, and on the right an interminable train of artillery and troops, crossing by the only bridge. At last there was a movement forwards; we crept down the slope and on to the bridge, and slowly moved over to the other side. Perhaps we should not have felt quite so happy about it had we known that two men had just been caught on the point of blowing up the boats in the centre, and that very shortly after the Germans were to get the range and drop a shell on to the bridge. At five o'clock we were across the bridge and on the road to Ghent.

Of all the pitiful sights I have ever seen, that road was the most utterly pitiful. We moved on slowly through a dense throng of fugitives— men, women, and little children—all with bundles over their shoulders, in which was all that they possessed. A woman with three babies clinging to her skirts, a small boy wheeling his grandmother in a wheelbarrow, family after family, all moving away from the horror that lay behind to the misery that lay in front. We had heard of Louvain, and we had seen Termonde, and we understood. As darkness came down we lit our lamps, and there along the roadside sat rows of fugitives, resting before recommencing their long journey through the night. There was one row of little children which will live for ever in my memory, tiny mites sitting together on a bank by the roadside. We only saw them for an instant as our lights fell on them, and they disappeared in the darkness. Germany will have to pay for Louvain and Termonde. It is not with man that she will have to settle for that row of little children.

We had a few vacant seats when we left Antwerp, but they were soon filled by fugitives whom we picked up on the road. Strangely enough, we picked up two of our friends in Antwerp with their families. One was the doctor who had taken all our radiographs for us, and to whom we owed a great deal in many ways. He had left his beautiful house, with X-ray apparatus on which he had spent his fortune, incomparably superior to any other that I have ever seen, and here he was trudging along the road, with his wife, his two children, and their nurse. They were going to St. Nicholas, on their way to Holland, and were delighted to get a lift. Unfortunately, by some mistake, the nurse and children left the bus at Zwyndrecht, a few miles from Antwerp, the doctor came on to St. Nicholas, and his wife went right through with us to Ghent. It took him three days to find the children, and when we last heard from him he was in Holland, having lost everything he had in the world, and after two months he had not yet found his wife. And this is only an instance of what has happened all over Belgium.

We reached St. Nicholas about eight o'clock, having covered thirteen miles in three hours. It was quite dark, and as we had a long night before us we decided to stop and get some food for ourselves and our patients. There was not much to be had, but, considering the stream of fugitives, it was wonderful that there was anything. We hoped now to be able to push on faster, and to reach Ghent before midnight, for it is only a little over twenty miles by the direct road. To our dismay, we found that Lokeren, half-way to Ghent, was in the hands of the Germans, and that we must make a detour, taking us close to the Dutch border, and nearly doubling the distance. Without a guide, and in the dark, we could never have reached our destination; but we were fortunate enough to get a guide, and we set out on our long drive through the night. Twenty minutes later a German scouting party entered St. Nicholas. It was a narrow margin, but it was sufficient.

We were rather a downhearted party when we set out northwards towards the Dutch frontier, for we had been told that the three buses we had sent on in advance had gone straight on to Lokeren, and had undoubtedly fallen into the hands of the Germans, who had made certain of holding the road by destroying the bridge. We hoped that they might have discovered this in time, and turned back, but we could not wait to find out. We knew that the enemy were quite close. At first we used our lights, but a shrapnel whistling overhead warned us that we were seen, and for the remainder of the night we travelled in darkness. These were minor roads, with a narrow paved causeway in the centre, and loose sand on each side. Long avenues of trees kept us in inky darkness, and how the drivers succeeded in keeping on the causeway I really do not know. Every now and then one of the buses would get into the sand; then all the men would collect, dig the wheels clear, and by sheer brute force drag the bus back to safety. Twice it seemed absolutely hopeless. The wheels were in the loose sand within a foot of a deep ditch, and the least thing would have sent the bus flying over on to its side into the field beyond; and on both occasions, while we looked at one another in despair, a team of huge Flemish horses appeared from nowhere in the darkness and dragged us clear. Think of an inky night, the Germans close at hand, and every half-hour or so a desperate struggle to shoulder a heavily loaded London bus out of a ditch, and you may have some faint idea of the nightmare we passed through.

As we crept along the dark avenues, the sky behind us was lit by an ever-increasing glare. Away to the south-east, at no great distance, a village was blazing, but behind us was a vast column of flame and smoke towering up to heaven. It was in the direction of Antwerp, and at first we thought that the vandals had fired the town; but though the sky was lit by many blazing houses, that tall pillar came from the great oil-tanks, set on fire by the Belgians lest they should fall into German hands. A more awful and terrifying spectacle it is hard to conceive. The sky was lit up as if by the sunrise of the day of doom, and thirty miles away our road was lighted by the lurid glare. Our way led through woods, and amongst the trees we could hear the crack and see the flash of rifle-fire. More than once the whiz of a bullet urged us to hurry on.

At Selsaete, only a mile from the Dutch frontier, we turned southwards towards Ghent, and for an interminable distance we followed the bank of a large canal. A few miles from Ghent we met Commander Samson, of the Flying Corps, and three of his armoured cars. The blaze of their headlights quite blinded us after the darkness in which we had travelled, but the sight of the British uniforms and the machine guns was a great encouragement. The road was so narrow that they had to turn their cars into a field to let us pass. We had just come up with a number of farm waggons, and the clumsy Flemish carts, with their huge horses, the grey armoured cars, with their blazing headlights, and our four red motor-buses, made a strange scene in the darkness of the night. At last we reached Ghent utterly tired out, though personally I had slept a sort of nightmare sleep on the top step of a bus which boldly announced its destination as Hendon. It was five o'clock, and day was breaking as we got our patients out of the buses and deposited them in the various hospitals as we could find room for them. To our unspeakable relief, we found that the rest of our party had come through by much the same road as we had taken ourselves, but they had reached Ghent quite early the night before. Their earlier start had given them the advantage of clearer roads and daylight. With good fortune little short of miraculous, we had all come so far in safety, and we hoped that our troubles were over. Alas, we were told that though Germans were expected to enter Ghent that very day, and that all British wounded must be removed from the hospitals before ten o'clock. There was nothing for it but to collect them again, and to take them on to Ostend. One had died in the night, and two were too ill to be moved. We left them behind in skilled hands, and the others we re-embarked on our buses en route for Bruges and Ostend.

The First Act in the story of the British Field Hospital for Belgium was drawing to an end. Our hospital, to which we had given so much labour, was gone, and the patients, for whom we had grown to care, were scattered. Yet there was in our hearts only a deep gratitude that we had come unharmed, almost by a miracle, through so many dangers, and a firm confidence that in some other place we should find a home for our hospital, where we could again help the brave soldiers whose cause had become so much our own.



XV. Furnes



A week after we had reached London, we were off again to the front. This time our objective was Furnes, a little town fifteen miles east of Dunkirk, and about five miles from the fighting-line. The line of the Belgian trenches ran in a circle, following the course of the River Yser, the little stream which has proved such an insuperable barrier to the German advance. Furnes lies at the centre of the circle, and is thus an ideal position for an advanced base, such as we intended to establish. It is easy of access from Dunkirk by a fine main road which runs alongside an important canal, and as Dunkirk was our port, and the only source of our supplies, this was a great consideration. From Furnes a number of roads lead in various directions to Ypres, Dixmude, Nieuport, and the coast, making it a convenient centre for an organization such as ours, requiring, as we did, ready means of reaching the front in any direction, and open communication with our base of supplies.

We crossed from Dover in the Government transport, and arrived at Dunkirk about ten o'clock on Tuesday morning. There we met Dr. Munro's party, the famous Flying Ambulance Corps, with whom we were to enter on our new venture. They had not come over to England at all, but had come down the coast in their cars, and had spent the last few days in Malo, the seaside suburb of Dunkirk. The Belgian Government very kindly lent us a couple of big motor-lorries in which to take out our stores, and with our own motors we made quite a procession as we started off from the wharf of Dunkirk on our fifteen-mile drive to Furnes. It was late in the afternoon when we reached our new home. It was a large school, partly occupied by the priests connected with it, partly by officers quartered there, and one of the larger classrooms had been used as a dressing-station by some Belgian doctors in Furnes. For ourselves, the only accommodation consisted of a few empty classrooms and a huge dormitory divided into cubicles, but otherwise destitute of the necessaries for sleep. Several hours' hard work made some change in the scene, mattresses and blankets being hauled up to the dormitory, where the nursing staff was accommodated, while straw laid down in one of the classrooms made comfortable if somewhat primitive beds for the male members. Meanwhile, in the kitchen department miracles had been accomplished, and we all sat down to dinner with an appetite such as one rarely feels at home, and for which many of our patients over in England would be willing to pay quite large sums. The large room was lit by two candles and a melancholy lamp, there was no tablecloth, the spoons were of pewter, with the bowls half gone, and the knives were in their dotage. But the scales had fallen from our eyes, and we realized what trifles these things are. Madame, the genius who presided over our domestic affairs, and many other affairs as well, and her assistants, had produced from somewhere food, good food, and plenty of it; and what in the world can a hungry man want more? Truly there are many people who require a moral operation for cataract, that they might see how good is the world in which they live.

Next day we proceeded to unpack our stores, and to try to make a hospital out of these empty rooms, and then only did we discover that an overwhelming misfortune had overtaken us. By some extraordinary circumstance which has never been explained, we had lost practically the whole of the surgical instruments which we had brought out of Antwerp with such trouble and risk. They were tied up in sheets, and my own impression is that they were stolen. However that may be, here we were in as ludicrous a position as it is possible for even a hospital to occupy, for not only had we none of the ordinary instruments, but, as if Fate meant to have a good laugh at us, we had a whole series of rare and expensive tools. We had no knives, and no artery forceps, and not a stitch of catgut; but we had an oesophagoscope, and the very latest possible pattern of cystoscope, and a marvellous set of tools for plating fractures. It reminded one of the costume of an African savage—a silk hat, and nothing else. Some Belgian doctors who had been working there lent us a little case of elementary instruments, and that was absolutely all we had.

Scarcely had we made this terrible discovery, when an ambulance arrived with two wounded officers, and asked if we were ready to admit patients. We said, "No," and I almost think that we were justified. The men in charge of the ambulance seemed very disappointed, and said that in that case there was nothing for it but to leave the wounded men on their stretchers till an ambulance train should come to take them to Calais, which they might ultimately reach in two or three days' time. They were badly wounded, and we thought that at least we could do better than that; so we made up a couple of beds in one of the empty rooms, and took them in. Little did we dream of what we were in for. An hour later another ambulance arrived, and as we had started, we thought that we might as well fill up the ward we had begun. That did it. The sluice-gates were opened, and the wounded poured in. In four days we admitted three hundred and fifty patients, all of them with injuries of the most terrible nature. The cases we had seen at Antwerp were nothing to these. Arms and legs were torn right off or hanging by the merest shreds, ghastly wounds of the head left the brain exposed. Many of the poor fellows were taken from the ambulances dead, and of the others at least half must have died.

For four days and four nights the operating theatre was at work continuously, till one sickened at the sight of blood and at the thought of an operation. Three operating tables were in almost continuous use, and often three major operations were going on at the same time; and all the instruments we had were two scalpels, six artery forceps, two dissecting forceps, and a finger- saw. Think of doing amputations through the thigh with that equipment! There was nothing else for it. Either the work had to be done or the patients had to die. And there was certainly no one else to do it. The rapid advance of the Germans had swept away all the admirable arrangements which the Belgian Army had made for dealing with its wounded. The splendid hospitals of Ghent and Ostend were now in German hands, and there had not yet been time to get new ones established. The cases could be sent to Calais, it was true, but there the accommodation was so far totally inadequate, and skilled surgical assistance was not to be obtained. For the moment our hospital, with its ludicrous equipment, was the only hope of the badly wounded. By the mercy of Heaven, we had plenty of chloroform and morphia, and a fair supply of dressings, and we knew by experience that at this stage it is safer to be content with the minimum of actual operative work, so that I think it was we, rather than our patients, who suffered from the want of the ordinary aids of surgery. In the wards there was a shortage, almost as serious, of all the ordinary equipment of nursing, for much of this had been too cumbrous to bring from Antwerp; and though we had brought out a fair supply of ordinary requirements, we had never dreamt of having to deal with such a rush as this. Ward equipment cannot be got at a moment's notice, and the bulk of it had not yet arrived. We only possessed a dozen folding beds, in which some of the worst cases were placed. The others had to lie on straw on the floor, and so closely were they packed that it was only with the greatest care that one could thread one's way across the ward. How the nurses ever managed to look after their patients is beyond my comprehension, but they were magnificent. They rose to the emergency as only Englishwomen can, and there is not one of those unfortunate men who will not remember with gratitude their sympathy and their skill.

During these first days a terrific fight was going on around Dixmude and Nieuport, and it was a very doubtful question how long it would be possible for the Belgian and French troops to withstand the tremendous attacks to which they were being subjected. The matter was so doubtful that we had to hold ourselves in readiness to clear out from the hospital at two hours' notice, whilst our wounded were taken away as fast as we could get them into what one can only describe as a portable condition. It was a physical impossibility for our wards to hold more than a hundred and fifty patients, even when packed close together side by side on the floor, and as I have said, three hundred and fifty were dealt with in the first four days. This meant that most of them spent only twenty-four hours in the hospital, and as we were only sent cases which could not, as they stood, survive the long train journey to Calais, this meant that they were often taken on almost immediately after serious operations. Several amputations of the thigh, for example, were taken away next day, and many of them must have spent the next twenty-four hours in the train, for the trains were very tardy in reaching their destination. It is not good treatment, but good surgery is not the primary object of war. The fighting troops are the first consideration, and the surgeon has to manage the best way he can.

One of the most extraordinary cases we took in was that of the editor of a well-known sporting journal in England. He had shown his appreciation of the true sporting instinct by going out to Belgium and joining the army as a mitrailleuse man. If there is one place where one may hope for excitement, it is in an armoured car with a mitrailleuse. The mitrailleuse men are picked dare-devils, and their work takes them constantly into situations which require a trained taste for their enjoyment. Our friend the editor was out with his car, and had got out to reconnoitre, when suddenly some Germans in hiding opened fire. Their first shot went through both his legs, fracturing both tibiae, and he fell down, of course absolutely incapable of standing, just behind the armoured car. Owing to some mistake, an officer in the car gave the order to start, and away went the car. He would have been left to his fate, but suddenly realizing how desperate his position was, he threw up his hand and caught hold of one of the rear springs. Lying on his back and holding on to the spring, he was dragged along the ground, with both his legs broken, for a distance of about half a mile.

The car was going at about twenty-five miles an hour, and how he ever maintained his hold Heaven only knows. At last they pulled up, and there they found him, practically unconscious, his clothes torn to ribbons, his back a mass of bruises, but still holding on. It was one of the most splendid examples of real British grit of which I have ever heard. They brought him to the hospital, and we fixed him up as well as we could. One would have thought that he might have been a little downhearted, but not a bit of it. He arrived in the operating theatre smiling and smoking a cigar, and gave us a vivid account of his experiences. We sent him over to England, and I heard that he was doing well. There is one sporting paper in England which is edited by a real sportsman. May he long live to inspire in others the courage of which he has given such a splendid example!



XVI. Poperinghe



For a long week the roar of guns had echoed incessantly in our corridors and wards, and a continuous stream of motor-lorries, guns, and ammunition waggons had rumbled past our doors; whilst at night the flash of the guns lit up the horizon with an angry glare. The flood of wounded had abated, and we were just beginning to get the hospital into some sort of shape when the order came to evacuate.

It had been no easy task transforming bare rooms into comfortable wards, arranging for supplies of food and stores, and fitting a large staff into a cubic space totally inadequate to hold them. But wonderful things can be accomplished when everyone is anxious to do their share, and the most hopeless sybarite will welcome shelter however humble, and roll himself up in a blanket in any corner, when he is dead tired. For the first few days the rush of wounded had been so tremendous that all we could do was to try to keep our heads above water and not be drowned by the flood.

But towards the end of the week the numbers diminished, not because there were not as many wounded, but because the situation was so critical that the Belgian authorities did not dare to leave any large number of wounded in Furnes. Supplies were coming out from England in response to urgent telegrams, and, through the kind offices of the Queen of the Belgians, we had been able to obtain a number of beds from the town, in addition to twenty which she had generously given to us herself. So that we were gradually beginning to take on the appearance of an ordinary hospital, and work was settling down into a regular routine. The sleepy little town of Furnes had been for some weeks in a state of feverish activity. After the evacuation of Antwerp and the retirement of the Belgian Army from Ostend, it had become the advanced base of the Belgian troops, and it was very gay with Staff officers, and of course packed with soldiers. The immense Grand Place lined with buildings, in many cases bearing unmistakable signs of a birth in Spanish times, was a permanent garage of gigantic dimensions, and the streets were thronged day and night with hurrying cars. We in the hospital hoped that the passage of the Yser would prove too much for the Germans, and that we should be left in peace, for we could not bear to think that all our labour could be thrown to the winds, and that we might have to start afresh in some other place. But one of the massed attacks which have formed such a prominent feature of this terrible war had temporarily rolled back the defence in the Dixmude district, and it was deemed unwise to submit the hospital to the risk of possible disaster.

We were fortunate in having Dr. Munro's ambulance at our disposal, and in rather over two hours more than a hundred wounded had been transferred to the Red Cross train which lay at the station waiting to take them to Calais. An evacuation is always a sad business, for the relations between a hospital and its patients are far more than professional. But with us it was tragic, for we knew that for many of our patients the long journey could have only one conclusion. Only the worst cases were ever brought to us, in fact only those whose condition rendered the long journey to Calais a dangerous proceeding, and we felt that for many of them the evacuation order was a death warrant, and that we should never see them again. They were brave fellows, and made the best of it as they shook hands with smiling faces and wished us "Au revoir," for though they might die on the way they preferred that to the danger of falling into the hands of the Germans. And they were right. They knew as well as we did that we are not fighting against a civilized nation, but against a gang of organized savages.

Three hours later we were mingling with the crowds who thronged the road, wondering with them where our heads would rest that night, and filled with pity at the terrible tragedy which surrounded us. Carts, wheelbarrows, perambulators, and in fact any vehicle which could be rolled along, were piled to overflowing with household goods. Little children and old men and women struggled along under loads almost beyond their powers, none of them knowing whither they went or what the curtain of fate would reveal when next it was drawn aside. It was a blind flight into the darkness of the unknown.

Our orders were to make for Poperinghe, a little town lying about fifteen miles due south of Furnes, in the direction of Ypres. For the first ten miles we travelled along the main road to Ypres, a fine avenue running between glorious trees, and one of the chief thoroughfares of Belgium. Here we made our first acquaintance with the African troops, who added a touch of colour in their bright robes to the otherwise grey surroundings. They were encamped in the fields by the side of the road, and seemed to be lazily enjoying themselves seated round their camp-fires. At Oostvleteren we parted company with the main road and its fine surface, and for the next six miles we bumped and jolted along on a bad cross-road till our very bones rattled and groaned.

There was no suggestion now of the horrors of war. Peaceful villages as sleepy as any in our own country districts appeared at frequent intervals, and easy prosperity was the obvious keynote of the well-wooded and undulating countryside. We were in one of the great hop districts, and the contrast with the flat and unprotected country round Furnes was striking. One might Almost have been in the sheltered hopfields of Kent. Little children looked up from their games in astonishment as we rolled by, and our response to their greetings was mingled with a silent prayer that they might be spared the terrible fate which had befallen their brothers and sisters in far-off Lou vain. The contrasts of war are amazing. Here were the children playing by the roadside, and the cattle slowly wending their way home, and ten miles away we could hear the roar of the guns, and knew that on those wasted fields men were struggling with savage fury in one of the bloodiest battles of the war.

In the great square of Poperinghe the scene was brilliant in the extreme. Uniforms of every conceivable cut and colour rubbed shoulder to shoulder; ambulance waggons, guns, ammunition trains, and picketed horses all seemed to be mixed in inextricable confusion; while a squadron of French cavalry in their bright blue and silver uniforms was drawn up on one side of the square, waiting patiently for the orders which would permit them to go to the help of their hard-pressed comrades. It seemed impossible that we could find shelter here, for obviously every corner must have been filled by the throng of soldiers who crowded in the square. But we were quite happy, for had we not got Madame with us, and had her genius ever been known to fail, especially in the face of the impossible? Others might go without a roof, but not we, and others might go to bed supperless, but in some miraculous way we knew that we should sit down to a hot dinner. We were not deceived. The whole nursing staff was soon comfortably housed in a girls' school, while the men were allotted the outhouse of a convent, and there, rolled up in our blankets and with our bags for pillows, we slept that night as soundly as we should have done in our own comfortable beds in England.

There was ample room in the courtyard for our heavily laden ambulances, for we had brought all our stores with us; and a big pump was a welcome sight, for grime had accumulated during the preceding twelve hours. By the side of the friendly pump, in a railed-off recess, a life-size image of Our Lady of Lourdes, resplendent in blue and gold, looked down with a pitying smile on a group of pilgrims, one of whom bore a little child in her arms; whilst a well-worn stone step spoke of the number of suppliants who had sought her aid.

We had fasted for many hours, and while we were doing our part in unpacking the small store of food which we had brought with us, Madame, with her usual genius, had discovered on the outskirts of Poperinghe an obscure cafe, where for a small sum the proprietor allowed us to use his kitchen. There we were presently all seated round three tables, drinking coffee such as we had rarely tasted, and eating a curiously nondescript, but altogether delightful, meal. There were two little rooms, one containing a bar and a stove, the other only a table. Over the stove presided a lady whose novels we have all read, cooking bacon, and when I say that she writes novels as well as she cooks bacon it is very high praise indeed—at least we thought so at the time. Some genius had discovered a naval store in the town, and had persuaded the officer in charge to give us cheese and jam and a whole side of bacon, so that we fed like the gods. There was one cloud over the scene, for the terrible discovery was made that we had left behind in Furnes a large box of sausages, over the fate of which it is well to draw a veil; but Madame was not to be defeated even by that, and a wonderful salad made of biscuits and vinegar and oil went far to console us. And that reminds me of a curious episode in Furnes. For several days the huge store bottle of castor oil was lost. It was ultimately discovered in the kitchen, where, as the label was in English, it had done duty for days as salad oil! What is there in a name after all?

We had not been able to bring with us all our stores, and as some of these were wanted two of us started back to Furnes late at night to fetch them. It was a glorious night, and one had the advantage of a clear road. We were driving northwards, and the sky was lit up by the flashes of the guns at Nieuport and Dixmude, whilst we could hear their dull roar in the distance. All along the road were encamped the Turcos, and their camp- fires, with the dark forms huddled around them, gave a picturesque touch to the scene. Half-way to Furnes the road was lit up by a motor-car which had caught fire, and which stood blazing in the middle of the road. We had some little difficulty in passing it, but when we returned it was only a mass of twisted iron by the roadside. There was no moon, but the stars shone out all the more brilliantly as we spun along on the great Ypres road. It was long after midnight when we reached the hospital, and it was not a little uncanny groping through its wards in the darkness. There is some influence which seems to haunt the empty places where men once lived, but it broods in redoubled force over the places where men have died. In those wards, now so dark and silent, we had worked for all the past days amid sights which human eyes should never have seen, and the groans of suffering we had heard seemed to echo through the darkness. We were glad when we had collected the stores we required and were again in the car on our way back to Poperinghe.

Next morning we called at the Hotel de Ville in Poperinghe, and there we learnt that the Queen, with her usual thoughtfulness, was interesting herself on our behalf to find us a building in which we could make a fresh start. She had sent the Viscomtesse de S. to tell us that she hoped to shortly place at our disposal either a school or a convent. On the following day, however, we heard that the situation had somewhat settled, and an order came from General Mellis, the Chief of the Medical Staff, instructing us to return to Furnes. A few hours later found us hard at work again, putting in order our old home.

There was one rather pathetic incident of our expedition to Poperinghe. Five nuns who had fled from Eastern Belgium— they had come, I think, from a convent near Louvain—had taken refuge in the school in Furnes in which we were established. When we were ordered to go to Poperinghe, they begged to be allowed to accompany us, and we took them with us in the ambulances. On our return they were so grateful that they asked to be allowed to show their gratitude by working for us in the kitchen, and for all the time we were at Furnes they were our devoted helpers. They only made one request, that if we left Furnes we would take them with us, and we promised that we would never desert them.



XVII. Furnes Again



The position of the hospital at Furnes was very different from that which it had held at Antwerp. There we were in a modern city, with a water-supply and modern sanitary arrangements. Here we were in an old Continental country town, or, in other words, in medieval times, as far as water and sanitation were concerned. For it is only where the English tourist has penetrated that one can possibly expect such luxuries. One does not usually regard him as an apostle of civilization, but he ought certainly to be canonized as the patron saint of continental sanitary engineering. As a matter of fact, in a country as flat as Belgium the science must be fraught with extraordinary difficulties, and they certainly seem to thrive very well without it. We were established in the Episcopal College of St. Joseph, a large boys' school, and not badly adapted to the needs of a hospital but for the exceptions I have mentioned. Our water-supply came, on a truly hygienic plan, from wells beneath the building, whilst we were entirely free from any worry about drains. There were none. However, it did not seem to affect either ourselves or our patients, and we all had the best of health, though we took the precaution of sterilizing our water.

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