Sketch of a Civil War Hospital Patient

Louisa May Alcott's

Sketch of a Civil War Hospital Patient

Louisa May Alcott, best known for authoring the book Little Women, was born November 29, 1832 in Pennsylvania and raised in Massachusetts. To help her parents and sisters financially, she worked as a teacher and seamstress, and was able to earn a small income after her talent for writing was discovered. In December 1862, Louisa volunteered as a nurse at the Union Hotel Hospital in Washington, D.C., and during the next year wrote Hospital Sketches which told of her care of Union soldiers. With the publication of Little Women in 1868 and the novel's continued success, Miss Alcott's future had been secured for her. But though she enjoyed a prolific and lucrative literary career, while continuing to serve humanity through her efforts as a suffragette, Louisa's health often failed her. During the month she had worked at the army hospital she contracted typhoid, and the lingering effects of mercury poisoning from calomel that had been administered to her for its treatment eventually hastened her death. Miss Alcott died on March 6, 1888 and was buried in Concord, Massachusetts.

A moving excerpt from Hospital Sketches demonstrates the early talent of Louisa May Alcott, and also tells of her brave and compassionate heart.

...[John] came in a day or two after the others; and, one evening, when I entered my "pathetic room," I found a lately emptied bed occupied by a large, fair man, with a fine face, and the serenest eyes I ever met.... [I] watched him for a night or two, before I made friends with him; for, to tell the truth, I was a little afraid of the stately looking man, whose bed had to be lengthened to accommodate his commanding stature; who seldom spoke, uttered no complaint, asked no sympathy, but tranquilly observed what went on about him; and, as he lay high upon his pillows, no picture of dying statesman or warrior was ever fuller of real dignity than this Virginia blacksmith. A most attractive face he had, framed in brown hair and beard, comely featured and full of vigor, as yet unsubdued by pain; thoughtful and often beautifully mild while watching the afflictions of others, as if entirely forgetful of his own. His mouth was grave and firm, with plenty of will and courage in its lines, but a smile could make it as sweet as any woman's; and his eyes were child's eyes, looking one fairly in the face, with a clear, straightforward glance, which promised well for such as placed their faith in him. He seemed to cling to life, as if it were rich in duties and delights, and he had learned the secret of content. The only time I saw his composure disturbed, was when my surgeon brought another to examine John, who scrutinized their faces with an anxious look, asking of the elder: "Do you think I shall pull through, sir?" "I hope so, my man." And, as the two passed on, John's eye still followed them, with an intentness which would have won a truer answer from them, had they seen it. A momentary shadow flitted over his face; then came the usual serenity, as if, in that brief eclipse, he had acknowledged the existence of some hard possibility, and, asking nothing yet hoping all things, left the issue in God's hands, with that submission which is true piety.

The next night, as I went my rounds with Dr. P., I happened to ask which man in the room probably suffered most; and, to my great surprise, he glanced at John:

"Every breath he draws is like a stab; for the ball pierced the left lung, broke a rib, and did no end of damage here and there; so the poor lad can find neither forgetfulness nor ease, because he must lie on his wounded back or suffocate. It will be a hard struggle, and a long one, for he possesses great vitality; but even his temperate life can't save him; I wish it could."

"You don't mean be must die, Doctor?"

"Bless you, there's not the slightest hope for him; and you'd better tell him so before long; women have a way of doing such things comfortably, so I leave it to you. He won't last more than a day or two, at furthest."

I could have sat down on the spot and cried heartily, if I had not learned the wisdom of bottling up one's tears for leisure moments. Such an end seemed very hard for such a man, when half a dozen worn out, worthless bodies round him, were gathering up the remnants of wasted lives, to linger on for years perhaps, burdens to others, daily reproaches to themselves. The army needed men like John, earnest, brave, and faithful; fighting for liberty and justice with both heart and hand, true soldiers of the Lord. I could not give him up so soon, or think with any patience of so excellent a nature robbed of its fulfillment, and blundered into eternity by the rashness or stupidity of those at whose hands so many lives may be required. It was an easy thing for Dr. P. to say: "Tell him he must die," but a cruelly hard thing to do, and by no means as "comfortable" as he politely suggested. I had not the heart to do it then, and privately indulged the hope that some change for the better might take place, in spite of gloomy prophesies; so, rendering my task unnecessary.

A few minutes later, as I came in again, with fresh rollers, I saw John sitting erect, with no one to support him, while the surgeon dressed his back. I had never hitherto seen it done; for, having simpler wounds to attend to, and knowing the fidelity of the attendant, I had left John to him, thinking it might be more agreeable and safe; for both strength and experience were needed in his case. I had forgotten that the strong man might long for the gentle tendance of a woman's hands, the sympathetic magnetism of a woman's presence, as well as the feebler souls about him. The Doctor's words caused me to reproach myself with neglect, not of any real duty perhaps, but of those little cares and kindnesses that solace homesick spirits, and make the heavy hours pass easier. John looked lonely and forsaken just then, as he sat with bent head, hands folded on his knee, and no outward sign of suffering, till, looking nearer, I saw great tears roll down and drop upon the floor. It was a new sight there; for, though I had seen many suffer, some swore, some groaned, most endured silently, but none wept. Yet it did not seem weak, only very touching, and straightway my fear vanished, my heart opened wide and took him in, as, gathering the bent head in my arms, as freely as if he had been a little child, I said, "Let me help you bear it, John."

Never, on any human countenance, have I seen so swift and beautiful a look of gratitude, surprise and comfort, as that which answered me more eloquently than the whispered—

"Thank you, ma'am, this is right good! this is what I wanted!"

"Then why not ask for it before?"

"I didn't like to be a trouble; you seemed so busy, and I could manage to get on alone."

"You shall not want it any more, John."

Nor did he; for now I understood the wistful look that sometimes followed me, as I went out, after a brief pause beside his bed, or merely a passing nod, while busied with those who seemed to need me more than he, because more urgent in their demands. Now I knew that to him, as to so many, I was the poor substitute for mother, wife, or sister, and in his eyes no stranger, but a friend who hitherto had seemed neglectful; for, in his modesty, he had never guessed the truth. This was changed now; and, through the tedious operation of probing, bathing, and dressing his wounds, he leaned against me, holding my hand fast, and, if pain wrung further tears from him, no one saw them fall but me. When he was laid down again, I hovered about him, in a remorseful state of mind that would not let me rest, till I had bathed his face, brushed his bonny brown hair, set all things smooth about him, and laid a knot of heath and heliotrope on his clean pillow. While doing this, he watched me with the satisfied expression I so liked to see; and when I offered the little nosegay, held it carefully in his great hand, smoothed a ruffled leaf or two, surveyed and smelt it with an air of genuine delight, and lay contentedly regarding the glimmer of the sunshine on the green. Although the manliest man among my forty, he said, "Yes, ma'am," like a little boy; received suggestions for his comfort with the quick smile that brightened his whole face; and now and then, as I stood tidying the table by his bed, I felt him softly touch my gown, as if to assure himself that I was there. Anything more natural and frank I never saw, and found this brave John as bashful as brave, yet full of excellencies and fine aspirations, which, having no power to express themselves in words, seemed to have bloomed into his character and made him what he was.

After that night, an hour of each evening that remained to him was devoted to his ease or pleasure. He could not talk much, for breath was precious, and he spoke in whispers; but from occasional conversations, I gleaned scraps of private history which only added to the affection and respect I felt for him. Once he asked me to write a letter, and as I settled pen and paper, I said, with an irrepressible glimmer of feminine curiosity, "Shall it be addressed to wife, or mother, John?"

"Neither, ma'am; I've got no wife, and will write to mother myself when I get better. Did you think I was married because of this?" he asked, touching a plain ring he wore, and often turned thoughtfully on his finger when he lay alone.

"Partly that, but more from a settled sort of look you have; a look which young men seldom get until they marry."

"I didn't know that; but I'm not so very young, ma'am, thirty in May, and have been what you might call settled this ten years. Mother's a widow, I'm the oldest child she has, and it wouldn't do for me to marry until Lizzy has a home of her own, and Jack's learned his trade; for we're not rich, and I must be father to the children and husband to the dear old woman, if l can."

"No doubt but you are both, John; yet how came you to go to war, if you felt so? Wasn't enlisting as bad as marrying?"

"No, ma'am, not as I see it, for one is helping my neighbor, the other pleasing myself. I went because I couldn't help it. I didn't want the glory or the pay; I wanted the right thing done, and people kept saying the men who were in earnest ought to fight. I was in earnest, the Lord knows! but I held off as long as I could, not knowing which was my duty. Mother saw the case, gave me her ring to keep me steady, and said 'Go:' so I went."

A short story and a simple one, but the man and the mother were portrayed better than pages of fine writing could have done it.

"Do you ever regret that you came, when you lie here suffering so much?"

"Never, ma'am; I haven't helped a great deal, but I've shown I was willing to give my life, and perhaps I've got to; but I don't blame anybody, and if it was to do over again, I'd do it. I'm a little sorry I wasn't wounded in front; it looks cowardly to be hit in the back, but I obeyed orders, and it don't matter in the end, I know."

Poor John! it did not matter now, except that a shot in front might have spared the long agony in store for him. He seemed to read the thought that troubled me, as he spoke so hopefully when there was no hope, for he suddenly added:

"This is my first battle; do they think it's going to be my last?"

"I'm afraid they do, John."

It was the hardest question I had ever been called upon to answer; doubly hard with those clear eyes fixed on mine, forcing a truthful answer by their own truth. He seemed a little startled at first, pondered over the fateful fact a moment, then shook his head, with a glance at the broad chest and muscular limbs stretched out before him:

"I'm not afraid, but it's difficult to believe all at once. I'm so strong it don't seem possible for such a little wound to kill me."

Merry Mercutio's dying words glanced through my memory as he spoke: "'Tis not so deep as a well, nor so wide as a church door, but 'tis enough." And John would have said the same could he have seen the ominous black holes between his shoulders; he never had, but, seeing the ghastly sights about him, could not believe his own wound more fatal than these, for all the suffering it caused him.

"Shall I write to your mother, now?" I asked, thinking that these sudden tidings might change all plans and purposes. But they did not; for the man received the order of the Divine Commander to march with the same unquestioning obedience with which the soldier had received that of the human one; doubtless remembering that the first led him to life, and the last to death.

"No, ma'am; to Jack just the same; he'll break it to her best, and I'll add a line to her myself when you get done."

So I wrote the letter which he dictated, finding it better than any I had sent; for, though here and there a little ungrammatical or inelegant, each sentence came to me briefly worded, but most expressive; full of excellent counsel to the boy, tenderly bequeathing "mother and Lizzie" to his care, and bidding him good bye in words the sadder for their simplicity. He added a few lines, with steady hand, and, as I sealed it, said, with a patient sort of sigh, "I hope the answer will come in time for me to see it;" then, turning away his face, laid the flowers against his lips, as if to hide some quiver of emotion at the thought of such a sudden sundering of all the dear home ties.

These things had happened two days before; now John was dying, and the letter had not come. I had been summoned to many death beds in my life, but to none that made my heart ache as it did then, since my mother called me to watch the departure of a spirit akin to this in its gentleness and patient strength. As I went in, John stretched out both hands:

"I knew you'd come! I guess I'm moving on, ma'am."

He was; and so rapidly that, even while he spoke, over his face I saw the grey veil falling that no human hand can lift. I sat down by him, wiped the drops from his forehead, stirred the air about him with the slow wave of a fan, and waited to help him die. He stood in sore need of help—and I could do so little; for, as the doctor had foretold, the strong body rebelled against death, and fought every inch of the way, forcing him to draw each breath with a spasm, and clench his hands with an imploring look, as if he said, "How long must I endure this, and be still!" For hours he suffered dumbly, without a moment's respite, or a moment's murmuring; his limbs grew cold, his face damp, his lips white, and, again and again, he tore the covering off his breast, as if the lightest weight added to his agony; yet through it all, his eyes never lost their perfect serenity, and the man's soul seemed to sit therein, undaunted by the ills that vexed his flesh.

One by one, the men woke, and round the room appeared a circle of pale faces and watchful eyes, full of awe and pity; for, though a stranger, John was beloved by all. Each man there had wondered at his patience, respected his piety, admired his fortitude, and now lamented his hard death; for the influence of an upright nature had made itself deeply felt, even in one little week....

...For a little while, there was no sound in the room but the drip of water, from a stump or two, and John's distressful gasps, as he slowly breathed his life away. I thought him nearly gone, and had just laid down the fan, believing its help to be no longer needed, when suddenly he rose up in his bed, and cried out with a bitter cry that broke the silence, sharply startling every one with its agonized appeal:

"For God's sake, give me air!"

It was the only cry pain or death had wrung from him, the only boon he had asked; and none of us could grant it, for the airs that blew were useless now. Dan flung up the window. The first red streak of dawn was warming the grey east, a herald of the coming sun; John saw it, and with the love of light which lingers in us to the end, seemed to read in it a sign of hope of help, for, over his whole face there broke that mysterious expression, brighter than any smile, which often comes to eyes that look their last. He laid himself gently down; and, stretching out his strong right arm, as if to grasp and bring the blessed air to his lips in a fuller flow, lapsed into a merciful unconsciousness, which assured us that for him suffering was forever past. He died then; for, though the heavy breaths still tore their way up for a little longer, they were but the waves of an ebbing tide that beat against the wreck, which an immortal voyager had deserted with a smile. He never spoke again, but to the end held my hand close, so close that when he was asleep at last, I could not draw it away. Dan helped me, warning me as he did so that it was unsafe for dead and living flesh to lie so long together; but though my hand was strangely cold and four white marks remained across its back, even when warmth and color had returned elsewhere, I could not but be glad that, through its touch, the presence of human sympathy, perhaps, had lightened that hard hour.

When they had made him ready for the grave, John lay in state for half an hour, a thing which seldom happened in that busy place; but a universal sentiment of reverence and affection seemed to fill the hearts of all who had known or heard of him; and when the rumor of his death went through the house, always astir, many came to see him, and I felt a tender sort of pride in my lost patient; for he looked a most heroic figure, lying there stately and still as the statue of some young knight asleep upon his tomb. The lovely expression which so often beautifies dead faces, soon replaced the marks of pain, and I longed for those who loved him best to see him when half an hour's acquaintance with Death had made them friends. As we stood looking at him, the ward master handed me a letter, saying it had been forgotten the night before. It was John's letter, come just an hour too late to gladden the eyes that had longed and looked for it so eagerly! but he had it; for, after I had cut some brown locks for his mother, and taken off the ring to send her, telling how well the talisman had done its work, I kissed this good son for her sake, and laid the letter in his hand, still folded as when I drew my own away, feeling that its place was there, and making myself happy with the thought, that, even in his solitary grave in the "Government Lot," he would not be without some token of love which makes life beautiful and outlives death. Then I left him, glad to have known so genuine a man, and carrying with me an enduring memory of the brave Virginia blacksmith, as he lay serenely waiting for the dawn of that long day which knows no night.

Louisa May Alcott, Hospital Sketches (Massachusetts: Applewood Books, 1993, pp. 48-59). Originally published in Boston by J. Redpath, in 1863. Image of Louisa May Alcott at age 25, courtesy of The Louisa May Alcott Memorial Association.

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