to his
quickness. Now there are many mental operations where exactly the same
rule holds good with the sick; _coeteris paribus_ their capability of
bearing such operations depends directly on the quickness, _without
hurry_, with which they can be got through.

[14]

[Sidenote: Petty management better understood in institutions than in
private houses.]

So true is this that I could mention two cases of women of very high
position, both of whom died in the same way of the consequences of a
surgical operation. And in both cases, I was told by the highest
authority that the fatal result would not have happened in a London
hospital.

[Sidenote: What institutions are the exception?]

But, as far as regards the art of petty management in hospitals, all the
military hospitals I know must be excluded. Upon my own experience I
stand, and I solemnly declare that I have seen or know of fatal
accidents, such as suicides in _delirium tremens_, bleedings to death,
dying patients dragged out of bed by drunken Medical Staff Corps men,
and many other things less patent and striking, which would not have
happened in London civil hospitals nursed by women. The medical officers
should be absolved from all blame in these accidents. How can a medical
officer mount guard all day and all night over a patient (say) in
_delirium tremens_? The fault lies in there being no organized system of
attendance. Were a trustworthy _man_ in charge of each ward, or set of
wards, not as office clerk, but as head nurse, (and head nurse the best
hospital serjeant, or ward master, is not now and cannot be, from
default of the proper regulations), the thing would not, in all
probability, have happened. But were a trustworthy _woman_ in charge of
the ward, or set of wards, the thing would not, in all certainty, have
happened. In other words, it does not happen where a trustworthy woman
is really in charge. And, in these remarks, I by no means refer only to
exceptional times of great emergency in war hospitals, but also, and
quite as much, to the ordinary run of military hospitals at home, in
time of peace; or to a time in war when our army was actually more
healthy than at home in peace, and the pressure on our hospitals
consequently much less.

[Sidenote: Nursing in Regimental Hospitals.]

It is often said that, in regimental hospitals, patients ought to "nurse
each other," because the number of sick altogether being, say, but
thirty, and out of these