A WOMAN’S QUEST
THE LIFE OF MARIE E. ZAKRZEWSKA, M.D.
EDITED BY
AGNES C. VIETOR, M.D., F.A.C.S.
FORMERLY INSTRUCTOR IN PHYSICAL DIAGNOSIS AND SURGERY, WOMAN’S MEDICAL COLLEGE OF THE NEW YORK INFIRMARY; LATER ASSISTANT SURGEON, NEW ENGLAND HOSPITAL FOR WOMEN AND CHILDREN, BOSTON
D. APPLETON AND COMPANY
NEW YORK :: LONDON :: MCMXXIV
COPYRIGHT, 1924, BY
D. APPLETON AND COMPANY
PRINTED IN THE UNITED STATES OF AMERICA
Marie E. Zakrzewska, M.D.
(From a photograph thought to have been taken some time in the ’60’s.)
MARIE E. ZAKRZEWSKA, M.D. (1829-1902)
Accoucheuse en chef, Royal Hospital Charité, Berlin, Prussia; First Resident Physician, New York Infirmary for Women and Children, New York; Professor of Obstetrics and Diseases of Women and Children, and Founder and Attending Physician of the Clinical Department (Hospital), New England Female Medical College, Boston; Founder and First Attending Physician, New England Hospital for Women and Children, Boston.
DEDICATED TO
THE DEAR MEMORY OF A FRIEND
ELIZABETH BIGELOW CONANT
FOREWORD
Viewed impersonally, this story of Marie E. Zakrzewska (Zak-shef’ska) is one more document testifying to the Humanity of Woman. The fact that the individual urge for the expression of this humanity found vent along the line of Medicine, is a detail. It is also a detail that the story is interwoven with an interesting transitional period in American history and with the evolution of the American woman physician.
The essential interest lies in the fundamental human instinct asserting itself through the individual woman, dominating her and driving her to reach out into the world until, after migrations over thousands of miles and through various phases of civilization, she at last found an environment favorable for the development which her spirit so ardently demanded.
Eventually stretching across the Atlantic Ocean, this Polish-German branch of the Human Tree pushed through first one crevice and then another, with here and there a struggling blossoming and leafage, to find at last its best efflorescence and fruitage in the favoring sun and air of America.
Transplanted here, as are all the nations of mankind, her life finally found fulfillment through the creation of the New England Hospital for Women and Children, and though the influence which she exerted upon the lives of the numbers of women medical students, women physicians, women surgeons, and women nurses who have there, in turn, been helped to develop and to express their Humanity.
Stopping on her way to help in the birth of the first true “Woman’s Hospital” in the history of the world (the New York Infirmary for Women and Children), to develop the short-lived second (Clinical Department of the New England Female Medical College), and to assist in the conception of the third (the Woman’s Hospital of Philadelphia), her life reached its fullest expression in the evolution of the fourth (the New England Hospital for Women and Children).
Thus in no ordinary sense do the life and personality of Doctor Zakrzewska endure in America, and especially in Boston. Thence the inspiration of her life has extended throughout New England; throughout the United States; back across the Atlantic to Europe; and across the Pacific to the Orient.
Is there, then, any part of the earth reached by educated medical women where her living spirit does not penetrate, that unconquerable spirit made manifest through her unchanging ideal—reasoned human standards for women as for men.
It is a common habit of our people to abbreviate long or unfamiliar words and the American populace so generally declined to apply itself to the complete pronunciation of the word Zakrzewska that the name was characteristically shortened to the first syllable. Hence, “Doctor Zak” became the more familiar title, first of convenience and then of that personal and unceremonious aptitude for appropriation which we as a people display toward those whom we regard with admiration and affection.
The material for this biography was given to the editor by Dr. Zakrzewska to prepare for publication with what might be called one condition, and this has now been fulfilled. Circumstances which the editor could not control, and which it is unnecessary to discuss here, have delayed its appearance until now. The earlier chapters are autobiographical and most of them were written in the form of a letter to Miss Mary L. Booth, of New York, and were published in 1860 by Mrs. Caroline H. Dall under the title of “A Practical Illustration of ‘Woman’s Right to Labor’; or A Letter from Marie E. Zakrzewska, M.D., late of Berlin, Prussia.”
Finally, the editor desires to express her appreciation of the assistance rendered by Miss Anne Sullivan, her secretary and synergetic critic.
Agnes C. Vietor
CONTENTS
PART I
(1829-1862)
| CHAPTER | PAGE | |
|---|---|---|
| Berlin | ||
| Foreword | [ix-xi] | |
| [I.] | Some recollections of childhood | [3-7] |
| [II.] | School life begins | [8-15] |
| [III.] | First knowledge of hospitals and reading of medical books | [16-19] |
| [IV.] | School life ends | [20-25] |
| [V.] | Learns all details of household work; then spends most of her time reading in her father’s library; drifts into assisting her mother, who has become a trained midwife | [26-34] |
| [VI.] | After regular course receives diploma from School for Midwives and becomes assistant teacher in the Royal Hospital Charité | [35-45] |
| [VII.] | Is appointed Accoucheuse en chef and succeeds Dr. Schmidt as teacher of midwifery | [46-54] |
| [VIII.] | Resigns her position | [55-65] |
| [IX.] | Decides to go to America to help establish a woman’s hospital, her thoughts turned to Philadelphia | [66-72] |
| New York | ||
| [X.] | Impressions and experiences on landing—Unable to go to Philadelphia or to establish a practice in New York, she builds up a business in fancy goods | [73-91] |
| [XI.] | Social relations | [92-98] |
| [XII.] | Meets Dr. Elizabeth Blackwell | [99-106] |
| [XIII.] | Goes to Cleveland Medical School to acquire the title of M.D. | [107-119] |
| Cleveland | ||
| [XIV.] | Difficulties encountered by women medical students in Cleveland, Philadelphia, Boston, Edinburgh (Scotland) | [120-131] |
| [XV.] | Dr. Harriot K. Hunt’s attempt to study at Harvard Medical School and her practice in Boston | [132-143] |
| [XVI.] | First visit to Boston—Meets many noted men and women | [144-158] |
| [XVII.] | An interesting week-end near Cleveland—Meets Ralph Waldo Emerson—Receives the degree of M.D. | [159-175] |
| New York | ||
| [XVIII.] | Impossible for a woman physician to rent an office or to be admitted for study to a hospital or dispensary—Visits Boston to ask money to open the New York Infirmary for Women and Children—Visit to Philadelphia determines the building of the Woman’s Hospital there | [176-194] |
| [XIX.] | Frequent guest at the variety of social “circles” then existing in New York | [195-208] |
| [XX.] | Opening of the New York Infirmary wards and dispensary, with Dr. Zakrzewska as resident physician and superintendent—Mobbing of the Infirmary following death of a patient | [209-219] |
| [XXI.] | Incident of Dr. J. Marion Sims—Second mobbing of the Infirmary—First attempt at establishing a training school for nurses | [220-234] |
| Boston | ||
| [XXII.] | Removes to Boston to become professor of obstetrics in the New England Female Medical College and to establish a hospital department | [235-242] |
| [XXIII.] | Meets opposition in her attempts to elevate the standards of the college | [243-258] |
| [XXIV.] | Her “Introductory Lecture” | [259-270] |
| [XXV.] | Refused admission to Massachusetts Medical Society because she is a woman—Militant ostracism of women by Philadelphia County Medical Society, which tries to crush the Woman’s Medical College of Pennsylvania—She insists medical students must be trained practically as well as theoretically—Continuing unable to elevate the standards of the college, she resigns from the faculty and the hospital is discontinued | [271-287] |
PART II
(1862-1902)
| CHAPTER | PAGE | |
|---|---|---|
| [XXVI.] | Founding of the New England Hospital for Women and Children, with Dr. Zakrzewska as first resident and attending physician | [291-298] |
| [XXVII.] | Letters to her first Boston student, Dr. Lucy E. Sewall | [299-313] |
| [XXVIII.] | Two stories illustrating her broad common sense methods of studying and treating patients | [314-327] |
| [XXIX.] | Incident of Dr. Horatio R. Storer, the only man ever appointed on the attending staff—For the first time in America the name of a woman is listed officially as specializing in surgery, Dr. Anita E. Tyng being appointed assistant surgeon | [328-344] |
| [XXX.] | Land bought in Roxbury for new Hospital buildings—Dr. Helen Morton—Sophia Jex-Blake | [345-355] |
| [XXXI.] | New Hospital buildings completed—First general Training School for Nurses in America definitely organized—Dr. Susan Dimock—First Hospital Social Service in America organized in connection with the Maternity | [356-365] |
| [XXXII.] | Dr. Zakrzewska goes to Europe for her first vacation in fifteen years—Dr. C. Annette Buckel | [366-372] |
| [XXXIII.] | Attempts by Dr. Zakrzewska and the other leading pioneer medical women to keep the educational standard for medical women from being lowered—Opening of the Woman’s Medical College of the New York Infirmary—Movement to open to women one of the great medical schools for men, with special reference to Harvard | [373-387] |
| [XXXIV.] | Opening of the Massachusetts Medical Society to women—Dr. Zakrzewska declines to present herself a third time for admission after having been twice refused because she was a woman | [388-397] |
| [XXXV.] | Association for the Advancement of the Medical Education of Women—Dr. Mary Putnam Jacobi—The New England Hospital establishes District Nursing in its out-practice—Dr. Zakrzewska leads another attempt to persuade Harvard to admit women to its medical school | [398-415] |
| [XXXVI.] | Dr. Zakrzewska replies to the question, “Should Women Study Medicine?”—Her Opinion on “What’s in a Name?” | [416-434] |
| [XXXVII.] | Johns Hopkins becomes the first great medical school in America to admit women on the same terms as men—The New England Hospital adds new buildings for the Maternity and for Nurses—Because of misbehavior of men students Columbian University of Georgetown closes its doors to women—Dr. Zakrzewska writes on “The Emancipation of Women: Will It Be a Success?” | [435-446] |
| [XXXVIII.] | Dr. Zakrzewska’s attitude as a critic: her judgment on various details of Hospital policy | [447-456] |
| [XXXIX.] | Her private life; her home; her friends; her ethics—Men physicians who served as consultants at the New England Hospital | [457-467] |
| [XL.] | The New England Hospital adds new buildings for the Dispensary and for the Surgical department—Celebration of Dr. Zakrzewska’s seventieth birthday by a reception and by the naming of the original main building “The Zakrzewska Building”—Her retirement from practice—Her failing health—Her characteristic acceptance of the inevitable—Her death—Her funeral service—Her farewell message | [468-478] |
| [Afterword] | [479-482] | |
| [Notes] | [483-498] | |
| [Bibliography] | [499] | |
| [Index] | [501-514] |
ILLUSTRATIONS
| Portrait of Marie E. Zakrzewska, M.D. (From a photograph thought to have been taken some time in the ’60’s) | [Frontispiece] |
| Second location of the New England Hospital for Women and Children, Boston | [ Page 331] |
| Portrait of Marie E. Zakrzewska, M.D. (From a photograph taken about 1870) | [352] |
| First buildings of the New England Hospital for Women and Children, erected 1872 (third location) | [357] |
| Portrait of Marie E. Zakrzewska, M.D. (From a photograph taken in 1896) | [468] |
PART I
(1829-1862)
CHAPTER I
Her reason for writing autobiography, to encourage average woman to determine and decide for herself to do whatever she can—Polish-German ancestry—Childhood in Berlin—Recollection of experience when nineteen months old—Walks nine miles when twenty-six months old. (Birth to five years of age: 1829-1834.)
I am not a great personage, either through inherited qualifications or through the work that I have to show to the world; yet you may find, in reading this little sketch, that with few talents and very moderate means for developing them, I have accomplished more than many women of genius and education would have done in my place, for the reason that confidence and faith in their own powers were wanting.
And for this reason I know that this story may be of use to others, by encouraging those who timidly shrink from the field of action, though endowed with all that is necessary to enable them to come forth and do their part in life.
The fact that a woman of no extraordinary powers can make her way, by the simple determination that whatever she can do she will do, must inspire those who are fitted to do much, yet who do nothing because they are not accustomed to determine and decide for themselves.
I do not intend to weary you with details of my childhood, as I think that children are generally very uninteresting subjects of conversation to any except their parents, who naturally discover what is beautiful and attractive in them and appreciate what is said that corresponds to their own feelings. I shall therefore tell you only a few facts of this period of my life, which I think absolutely necessary to illustrate my character and nature.
I was born in Berlin, Prussia, on the 6th of September, 1829; and am the eldest of a family of five sisters and one brother.[1]
[1] The figures throughout the text refer to corresponding numbers in Notes, pages [483 to 498].
My early childhood passed happily, though heavy clouds of sorrow and care at times overshadowed our family circle. I was of a cheerful disposition, and was always in good humor, even when sick. I was quiet and gentle in all my amusements. My chief delight consisted in telling stories to my sister, one year younger than myself. She was always glad to listen to these products of my imagination, which were wholly original, for no stories were told me, nor had I any children’s books.
My heroes and heroines were generally distinguished for some mental peculiarity—as kind or cruel, active or indolent—which led them into all sorts of adventures till it suited my caprice to terminate their career.
In all our little affairs I took the lead, planning and directing everything; and my playmates seemed to take it for granted that it was their duty to carry out my commands.
My memory is remarkable in respect to events that occurred at this time, but it always fails to recall dates and names.
When twenty years of age, I asked my father what sort of a festival he took me to once, in company with a friend of his who had only one arm. We walked through meadows where daisies were blossoming in millions and rode in carriages that went round continually until they were wound up.
My father answered, with much surprise, that it was a public festival of the cabinet-makers, which was celebrated in a neighboring village, and that I was, at that time, only nineteen months old. He was so much interested in my story that I related another of my memories.
One dark morning, my mother wakened me and hastened my dressing. After this was accomplished, she handed me a cup of something which I had never tasted before and which was as disagreeable as was asafœtida in later years. This was some coffee which I had to take instead of my usual milk.
Then I went with my father to the large park called “The Thiergarten,” where we saw the sun rise. I began to spring about, looking at the big oaks which seemed to reach into the heavens, or stooping down to pluck a flower. Birds of all kinds were singing in chorus, while the flower-beds surrounding the statue of Flora scented the pure morning air with the sweetest of perfumes.
The sun ascended meanwhile, from the edge of a little pond covered with water-lilies. I was intoxicated with joy. The feeling of that morning is as fresh to-day as when I related this to my father. I know I walked till I got fairly tired, and we reached a solitary house beyond the park.
Probably fatigue took entire possession of me, for I remember nothing more till we were on our way home and the sun was setting. Then I begged for some large yellow plums which I saw in the stores. My father bought some, but gave me only a few. I had a desire for all and stole them secretly from his pockets, so that when we reached home, I had eaten them all.
I was sick after I went to bed, and remember taking some horrible stuff the next morning (probably rhubarb), thus ending the day which had opened so poetically in rather a prosaic manner.
When I repeated this, my parents laughed and said that I was only twenty-six months old when my father’s pride in his oldest child induced him to take me on this visit, and that I walked the whole way—a distance of about nine miles.
These anecdotes are worth preserving only because they indicate an impressionable nature and great muscular endurance.
It is peculiar that between these two events and a third which occurred a year after, everything should be a blank.
A little brother was then born to me, and he lay undressed upon a cushion, while my father cried with sobs. I had just completed my third year and could not understand why, the next day, this little thing was carried off in a black box. From that time I remember almost every day’s life.
I very soon began to manifest the course of my natural tendencies. Like most little girls I was well provided with dolls, and on the day after a new one came into my possession I generally discovered that the dear little thing was ill and needed to be nursed and doctored.
Porridges and teas were accordingly cooked on my little toy stove, and administered to the poor doll until the papier mâché was thoroughly saturated and broken, when she was considered dead and preparations were made for her burial—this ceremony being repeated over and over again.
White dresses were put on for the funeral; a cricket was turned upside down to serve as the coffin; my mother’s flower pots furnished the green leaves for decoration; and I delivered the funeral oration in praise of the little sufferer while placing her in the tomb improvised of chairs.
I hardly ever joined the other children in their plays except upon occasions like these, when I appeared in the characters of doctor, priest and undertaker; generally improving the opportunity to moralize, informing my audience that Ann (the doll) had died in consequence of disobeying her mother by going out before she had recovered from the measles, etc.
Once I remember moving my audience to tears by telling them that little Ann had been killed by her brother who, in amusing himself with picking off the dry skin after she had had the scarlatina, had carelessly torn off the real skin over the heart, as they could see; thus leaving it to beat in the air and causing the little one to die. This happened after we had all had the scarlatina.
CHAPTER II
Begins school life—Her conduct already guided by habits of reasoning and self-government—Conflict between such guidance and the school rule of unquestioning obedience to authority—First friendship with a girl—First contact with an insane person; changes an intractable patient to a docile one—Allowed to assist nurse in hospital in care of blind cousin—Observation of defects in hospital care arouses desire to be some day a head nurse, so as to prevent such defects and have patients treated more kindly. (Five to nine years of age: 1834-1838.)
When five years old, I was sent to a primary school. Here I became a favorite of the teacher of arithmetic, for which study I had quite a fancy. The rest of the teachers disliked me. They called me unruly because I would not obey arbitrary demands without being given some reason, and obstinate because I insisted on following my own will when I knew I was in the right.
I was told that I was not worthy to be with my playmates; and when I reached the highest class in the school, in which alone the boys and the girls were taught separately, I was separated from the latter and placed with the boys by way of punishment, receiving instructions with them from men, while the girls in the other class were taught by women.
Here I found many friends. I joined the boys in all their sports, sliding and snowballing with them in winter, and running and playing ball in summer. With them I was merry, frank and self-possessed, while with the girls I was quiet, shy and awkward. I never made friends with the girls or felt like approaching them.
Once only, when I was eleven years old, a girl in the young ladies’ seminary in which I had been placed when eight years of age won my affection. This was Elizabeth Hohenhorst, a child of twelve, remarkably quiet and disposed to melancholy.
She was a devout Catholic, and knowing that she was fated to become a nun, was fitting herself for that dreary destiny, which rendered her very sentimental. She was full of fanciful visions, but extremely sweet and gentle in her manners. My love for her was unbounded. I went to church in her company, was present at all the religious festivals, and accompanied her to receive religious instruction: in short, I made up my mind to become a Catholic and, if possible, a nun like herself. My parents, who were Rationalists, belonging to no church, gave me full scope to follow out my own inclinations, leaving it to my nature to choose for me a fitting path.
This lasted until Elizabeth went for the first time to the confessional. And when the poor innocent child could find no other sin of which to speak than the friendship which she cherished for a Protestant, the priest forbade her to continue this, until I too had become a Catholic, reminding her of the holiness of her future career. The poor girl conscientiously promised to obey.
When I came the next morning and spoke to her as usual, she turned away from me and burst into tears. Surprised and anxious, I asked what was the matter. In a voice broken with sobs, she told me the whole story and begged me to become a Catholic as soon as I was fourteen years old.
Never in my whole life shall I forget that morning. For a moment, I gazed on her with the deepest emotion, pitying her almost more than myself; then suddenly turned coldly and calmly away without answering a single word. My mind had awakened to the despotism of theology and the church had lost its expected convert. I never went near her again and never exchanged another word with her. This was the only friend I had during eight and a half years of uninterrupted attendance at school.
A visit that I paid to my maternal grandfather when seven or eight years old made a strong impression on my mind.
My grandfather, on his return from the war of 1813-1815 in which he had served, had received from the authorities of Prenzlau (the city in which he lived) a grant of a half-ruined cloister with about a hundred acres of uncultivated land attached, by way of acknowledgment of his services. He removed thither with his family, and, shortly after, invited the widows of some soldiers who lived in the city to occupy the apartments which he did not need. The habitable rooms were soon filled to overflowing with widows and orphans, who went to work with him to cultivate the ground.
It was not long before crippled and invalid soldiers arrived, begging to be allowed to repair the cloister and to find a shelter also within its walls. They were set to work making brick, the material for which my grandfather had discovered on his land: and in about five years an institution was built, the more valuable from the fact that none lived there on charity but all earned what they needed by cultivating the ground; having first built their own dwelling which at this time looked like a palace surrounded by trees, grass and flowers. Here, in the evening, the old soldiers sang martial songs or told stories of the wars to the orphans gathered about them, while resting from the labors of the day.
I tell you of this institution so minutely to prove to you how wrong it is to provide charitable homes for the poor as we provide them, homes in which the charity always humiliates and degrades the individual. Here you have an instance in which poor crippled invalids and destitute women and children established and supported themselves under the guidance of a clear-headed, benevolent man, who said, “Do what you like, but work for what you need.” He succeeded admirably, though he died a very poor man, his younger children becoming inmates of the establishment until they were adopted by their relatives.
When I visited my grandfather, the “convent,” as he insisted on calling it—rejecting any name that would have indicated a charitable institution—contained about a hundred invalid soldiers, a hundred old women and two hundred and fifty orphans. One of the wings of the building was fitted up as a hospital and a few of the rooms were occupied by lunatics.
It was my greatest delight to take my grandfather’s hand at noon as he walked up and down the dining room between the long tables around which were grouped so many cheerful, hearty faces; and I stood before him with an admiration that it is impossible to describe as he prayed, with his black velvet cap in his hand, before and after dinner. Though I could not comprehend why he should thank another person for what had been done, when every one there told me that all that they had they owed to my grandfather.
One afternoon, on returning from the dining room to his study, I spied on his desk a neatly written manuscript. I took it up and began to read. It was a dissertation on immortality, attempting by scientific arguments to prove its impossibility. I became greatly interested, and read on without noticing that my grandfather had left the room or that the large bell had rung to call the family to dinner.
My grandfather, a very punctual man who would never allow lingering, came back to call and to reprimand me; he suddenly started on seeing the paper in my hands and snatching it from me tore it in pieces, exclaiming, “That man is insane, and will make this child so too!” A little frightened, I went to the dinner table, thinking as much about my grandfather’s words as about what I had read, without daring, however, to ask who this man was.
The next day, curiosity mastered fear. I asked my grandfather who had written that paper, and was told in reply that it was poor crazy Jacob. I then begged to see him, but this request my grandfather decidedly refused, saying that he was like a wild beast and lay without clothes upon the straw. I knew nothing of lunatics, and the idea of a wild man stimulated my curiosity to such an extent that from that time I teased my grandfather incessantly to let me see Jacob. He finally yielded to be rid of my importunity and led me to the cell in which he was confined. What a spectacle presented itself in the house that I had looked on as the abode of so much comfort! On a bundle of straw in a corner of the room, with no furniture save its bare walls, sat a man clad only in a shirt, with the left hand chained to the wall and the right foot to the floor. An inkstand stood on the floor by his side, and on his knee was some paper on which he was writing. His hair and beard were uncombed, and his fine eyes glared with fury as we approached him. He tried to rise, ground his teeth, made grimaces, and shook his fist at my grandfather, who tried in vain to draw me out of the room.
But, escaping from his grasp, I stepped towards the lunatic who grew more quiet when he saw me approach, and I tried to lift the chain which had attracted my attention. Then, finding it too heavy for me, I turned to my grandfather and asked, “Does not this hurt the poor man?” I had hardly spoken the words when his fury returned, and he shrieked:
“Have I not always told you that you were cruel to me? Must this child come to convince you of your barbarity? Yes, you have no heart.”
I looked at my grandfather: all my admiration of him was gone, and I said, almost commandingly:
“Take off these chains! It is bad of you to tie this man!”
The man grew calm at once and asked imploringly to be set free, promising to be quiet and tractable if my grandfather would give him a trial. His chains were removed the same day, and Jacob was ever after not only harmless and obedient but a very useful man in the house.
I never afterwards accompanied my grandfather. I had discovered a side in his nature which repelled me. I spent the remainder of my visit in the work rooms and the sick room, always secretly fearing that I should meet with some new cruelty, but no such instance ever came to my view.
On my return from my grandfather’s I found that a cousin had suddenly become blind. She was soon after sent to the ophthalmic hospital, where she remained for more than a year, and, during this time, I was her constant companion after school hours. I was anxious to be useful to her; and being gentler than the nurse, she liked to have me wash out the issues that were made in her back and arms. The nurse, who was very willing to be relieved of this duty, allowed me also to cleanse the eyes of the girl next my cousin; and thus these cares were soon made to depend on my daily visit.
Child as I was, I could not help observing the carelessness of the nurses and their great neglect of cleanliness. One day, when the head nurse had washed the floor and left pools of water standing under the beds, the under nurse found fault with it, and said, “I shall tell the doctor when he comes why it is that the patients always have colds.” “Do,” said the head nurse. “What do men understand of such matters? If they knew anything about them, they would long ago have taken care that the mattress upon which one patient dies should always be changed before another comes in.”
This quarrel impressed itself upon my memory, and the wish rose in my mind that some day I might be a head nurse to prevent such wrongs and to show kindness to poor lunatics.
CHAPTER III
School life continues—Her mother begins training for career of midwife—Because of eye trouble, Marie resides in hospital with her mother, and becomes protégée of Dr. Müller—First real knowledge of medicine as a career—Adventure in morgue and dissecting rooms—Begins to read medical books. (Nine to eleven years of age: 1838-1840.)
At the end of the year, my cousin left the hospital. At the same time, trouble and constant sickness fell upon our family.
My father, who held liberal opinions and was of an impetuous temperament, manifested some revolutionary tendencies, which drew upon him the displeasure of the government and caused his dismissal, with a very small pension, from his position as military officer. This involved us in great pecuniary difficulties, for our family was large and my father’s income too small to supply the most necessary wants, and to obtain other occupation was for the time out of the question.
In this emergency, my mother determined to petition the city government for admission to the school of midwives established in Berlin, in order in this manner to aid in the support of the family. Influential friends of my father secured her the election, and she was admitted to the school in 1839, I being at that time ten years of age.
The education of midwives for Berlin requires a two years’ course of study, during six months of which, they are obliged to reside in the hospital to receive instructions from the professors together with the male students. My mother went there in the summer of 1840. I went to stay at the house of an aunt who wished my company, and the rest of the children were put out together, to board.
In a few weeks my eyes became affected with weakness so that I could neither read nor write, and I begged my mother to let me stay with her in the hospital. She applied for permission to the director and received a favorable answer.
I was placed under the care of one of the physicians (Dr. Müller), who took a great fancy to me and made me go with him wherever he went while engaged in the hospital. My eyes being bandaged, he led me by the hand, calling me his “little blind doctor.” In this way, I was constantly with him, hearing all his questions and directions, which impressed themselves the more strongly on my mind from the fact that I could not see but had to gain all my knowledge through hearing alone.
One afternoon, when I had taken the bandage off my eyes for the first time, Dr. Müller told me that there was a corpse of a young man in the dead-house that had turned completely green in consequence of poison that he had eaten. I went there after my rounds with him, but finding the room filled with relatives who were busily engaged in adorning the body with flowers, I thought that I would not disturb them but would wait until they had gone before I looked at it; meanwhile I went through the adjoining rooms.
These were all freshly painted. The dissecting tables, with the necessary apparatus, stood in the center, while the bodies, clad in white gowns, were ranged on boards along the walls. I examined everything, came back, and looked to my heart’s content at the poisoned young man, without noticing that, not only had the relatives left but the prosector had also gone away, after locking up the whole building.
I then went a second time to the other rooms, and looked again at everything there; and at last, when it became dark and I could not leave the house, sat down upon the floor and went to sleep, after knocking for half an hour at the door in the hope that some passer might hear.
My mother, who knew that I had gone with Dr. Müller, did not trouble herself about me until nine o’clock, when she grew uneasy at my stay; and, thinking that he might have taken me to his rooms, went there in search of me, but found that he was out and that the doors were locked. She then inquired whether the people in the house knew anything about me, and was told that they had last seen me going into the dead-house. Alarmed at this intelligence, my mother hastened to the prosector, who unwillingly went with her to the park in which the dead-house stood, assuring her all the way that I could not possibly be there; but, on opening the door, he saw me sitting close by on the floor fast asleep.
In a few days after this adventure, I recovered the use of my eyes. As it was at this time the summer vacation in which I had no school tasks, I asked Dr. Müller for some books to read. He inquired what kind of books I wanted. I told him, “Books about history,” upon which he gave me two huge volumes, the History of Midwifery and the History of Surgery. Both were so interesting that I read them through during the six weeks of vacation, which occupied me so closely that even my friend Dr. Müller could not lay hold of me when he went his morning and evening rounds.
From this time I date my study of medicine, for though I did not continue to read on the subject, I was instructed in the no less important branch of psychology by a new teacher whom I found on my return to school at the close of the summer vacation.
CHAPTER IV
Takes highest prizes at school—Helpful friendship with one of her men teachers—Begins to understand relation of public opinion to personal conduct—School life ends. (Eleven to fourteen years of age: 1840-1843.)
To explain better how my mind was prepared for such teaching, I must go back to my position in school. In both schools that I attended I was praised for my punctuality, industry and quick perception. Beloved I was in neither. On the contrary, I was made the target for all the impudent jokes of my fellow pupils, ample material for which was furnished in the carelessness with which my hair and dress were usually arranged, these being left to the charge of a servant who troubled herself very little about how I looked, provided I was whole and clean.
The truth was, I often presented a ridiculous appearance; and once I could not help laughing heartily at myself on seeing my own face by accident in a glass, with one braid of hair commencing over the right eye and the other over the left ear. I quietly hung a map over the glass to hide the ludicrous picture and continued my studies, and most likely appeared in the same style the next day.
My face, besides, was neither handsome nor even prepossessing, a large nose overshadowing the undeveloped features; and I was ridiculed for my ugliness both in school and at home, where an aunt of mine who disliked me exceedingly always said in describing plain people, “Almost as ugly as Marie.”
Another cause arose to render my position at school still more intolerable. In consequence of the loss of his position in the army, my father could no longer afford to pay my school bills, and was about to remove me from school, when the principal offered to retain me without pay. She disliked me and did not hesitate to show it, nor to tell me whenever I offended her that she would never keep so ugly and naughty a child without being paid for it, were it not for the sake of so noble a father.
These conditions and harsh judgments made me a philosopher. I heard myself called obstinate and willful, only because I believed myself in the right and persisted in it. I felt that I was not maliciously disposed towards any one but wished well to all, and I offered my services not only willingly, but cheerfully wherever they could be of the least use, and saw them accepted, and even demanded, by those who could not dispense with them, though they shunned and ridiculed me the same as before. I felt that they sought me only when they needed me; this made me shrink still more from their companionship, and, when my sister did not walk home from school with me, I invariably went alone.
The idea that I might not wish to attach myself to playmates of this sort never occurred to any one, but I was constantly reproached with having no friends among my schoolfellows, and was told that no one could love so disagreeable and repelling a child. This was a severe blow to my affectionate nature, but I bore it calmly, consoling myself with the thought that they were wrong, that they did not understand me, and that the time would come when they would learn that a great, warm heart was concealed beneath the so-called repulsive exterior.
But, however soothing all this was for the time, a feeling of bitterness grew up within me. I began to be provoked at my ugliness, which I believed to be excessive. I speculated why parents so kind and good as mine should be deprived of their means of support merely because my father would not consent to endure wrong and imposition. I was indignant at being told that it was only for my father’s sake that I was retained in a school where I tried to do my best and where I always won the highest prizes; and I could not see why, at home, I should be forced to do housework when I wanted to read, while my brother who wished to work was compelled to study. When I complained of this last grievance, I was told that I was a girl and never could learn much, but was only fit to become a housekeeper.
All these things threw me upon my own resources and taught me to make the most of every opportunity, custom and habit to the contrary notwithstanding.
It was at this juncture that I found, on my return to school, the psychologic instructor of whom I have spoken, in a newly engaged teacher of history, geography and arithmetic, all of which were my favorite studies.
With this man I formed a most peculiar friendship, he being twenty years older than myself, and in every respect highly educated; I, a child of twelve, neglected in everything except my common-school education.
He began by calling my attention to the carelessness of my dress and the rudeness of my manners, and was the first one who ever spoke kindly to me on the subject.
I told him all my thoughts; that I did not mean to be disagreeable, but that every one thought that I could not be otherwise; that I was convinced I was good enough at heart; and that I had at last resigned myself to my position as something that could not be helped.
My new friend lectured me on the necessity of attracting others by an agreeable exterior and courteous manners, and proved to me that I had unconsciously repelled them by my carelessness, even when trying the most to please. His words made a deep impression on me. I thanked him for every reproach, and strove to do my best to gain his approbation.
Henceforth, my hair was always carefully combed, my dress nicely arranged, and my collar in its place; and as I always won the first prizes in the school, two of the other teachers soon grew friendly towards me and began to manifest their preference quite strongly.
In a few months, I became a different being. The bitterness that had been growing up within me gradually disappeared, and I began to have confidence in myself and to try to win the companionship of the other children.
But a sudden change took place in my schoolmates, who grew envious of the preference shown me by the teachers. Since they could no longer ridicule me for the carelessness of my dress, they now began to reproach me for my vanity and to call me a coquette who only thought of pleasing through appearances.
This blow was altogether too hard for me to bear. I knew that they were wrong, for with all the care I bestowed on my dress, it was not half so fine as theirs, as I had but two calico dresses which I wore alternately, a week at a time, through the summer. I was again repelled from them; and at noon, when the rest of the scholars went home, I remained with my teacher-friend in the schoolroom, assisting him in correcting the exercises of the pupils.
I took the opportunity to tell him of the curious envy that had taken possession of the girls, upon which he began to explain to me human nature and its fallacies, drawing inferences therefrom for personal application. He found a ready listener in me. My inclination to abstract thought, combined with the unpleasant experience I had had in life, made me an attentive pupil and fitted me to comprehend his reasoning in the broadest sense.
For fifteen months, I thus spent the noon hour with him in the schoolroom, receiving lessons in logic and reasoning upon concrete and abstract matters that have since proved of far more psychologic value to me than ten years of reading on the same subjects.
A strong attachment grew up between us: he became a necessity to me, and I revered him like an oracle. But his health failed, and he left the school at the end of these fifteen months in a consumption.
Shortly after, he sent to the school for me one morning to ask me to visit him on his deathbed. I was not permitted to leave the class until noon; when, just as I was preparing to go, a messenger came to inform the principal that he had died at eleven.
This blow fell so heavily upon me that I wished to leave the school at once. I was forced to stay three weeks longer, until the end of the quarter, when I left the schoolroom on the first of April, 1843, at the age of thirteen years and seven months, and never entered it again.
CHAPTER V
Training in all details of housework—After mastering them, spends most of time reading in father’s library—Gradually begins assisting mother in care of patients—Contact with the heights and depths of human nature, from dens to palaces—Nurses two aunts and keeps house for their family—Dr. Arthur Lutze guides her reading in homeopathy and mesmerism—Attack of “brain fever”—Father burns books from Dr. Lutze—Marie learns French, plain sewing, dressmaking and the management of the household, while continuing to assist in mother’s practice. (Fourteen to eighteen years of age: 1843-1847.)
On the same day that I quitted my school, an aunt with whom I was a favorite was attacked with a violent hemorrhage from the lungs, and wished me to come to stay with her. This suited my taste. I went, and for a fortnight was her sole nurse.
Upon my return home, my father told me that, having quitted school, I must now become a thorough housekeeper of whom he might be proud, as this was the only thing for which girls were intended by nature. I cheerfully entered upon my new apprenticeship, and learned how to sweep, to scrub, to wash and to cook. This work answered very well as long as the novelty lasted, but as soon as this wore off, it became highly burdensome.
Many a forenoon when I was alone, instead of sweeping and dusting, I passed the hours in reading books from my father’s library, until it grew so late that I was afraid that my mother, who had commenced practice, would come home and scold me for not attending to my work, when I would hurry to get through, doing everything so badly that I had to hear daily that I was good for nothing and a nuisance in the world; and that it was not at all surprising that I was not liked in school, for nobody could ever like or be satisfied with me.
Meanwhile, my mother’s practice gradually increased, and her generous and kindly nature won the confidence of hundreds who, wretchedly poor, found in her not only a humane woman but a most skillful practitioner.
The poor are good judges of professional qualifications. Without the aid that money can buy, without the comforts that the wealthy hardly need, and without friends whose advice is prompted by intelligence, they must depend entirely upon the skill and humanity of those to whom they apply. Their life and happiness are placed in the hands of the physician and they jealously regard the one to whom they intrust them.
None but a good practitioner can gain fame and praise in this class, which is thought so easily satisfied. It is often said, “Oh! those people are poor and will be glad of any assistance.” Far from it! There is no class so entirely dependent for their subsistence upon their strength and health. These constitute their sole capital, their stock in trade; and when sick, they anxiously seek out the best physicians, for, if unskillfully attended, they may lose their all, their fortune and their happiness.
My mother went everywhere, both night and day, and it soon came to pass that when she was sent for and was not at home I was deputed to go in search of her. In this way, I gradually became a regular appendage to my mother, going with her in the winter nights from place to place and visiting those whom she could not visit during the day.
I remember that in January, 1845, my mother attended thirty-five women in childbed—the list of names is still in my possession—and visited from sixteen to twenty-five daily, with my assistance. I do not think that, during the month, we were in bed for one whole night. Two thirds of these patients were unable to pay a cent.
During these years, I learned all of life that it was possible for a human being to learn. I saw nobleness in dens, and meanness in palaces; virtue among prostitutes, and vice among so-called respectable women. I learned to judge human nature correctly, to see goodness where the world found nothing but faults, and also to see faults where the world could see nothing but virtue.
The experience thus gained cost me the bloom of youth; yet I would not exchange it for a life of everlasting juvenescence. To keep up appearances is the aim of every one’s life; but to fathom these appearances and to judge correctly of what is beneath them ought to be the aim of those who seek to draw true conclusions from life or to benefit others by real sympathy.
One fact I learned, both at this time and afterwards, namely, that men always sympathize with fallen and wretched women, while women themselves are the first to raise and cast the stone at them.
Why is this? Have not women as much feeling as men? Why, women are said to be made up entirely of feeling. How does it happen then that women condemn where men pity? Do they do this in the consciousness of their own superior virtue? Ah, no! for many of the condemning are no better than the condemned.
The reason is that men know the world, that is, they know the obstacles in the path of life, and they know that they draw lines to exclude women from earning an honest livelihood while they throw opportunities in their way to earn their bread by shame. All men are aware of this; therefore, the good as well as the bad give pity to those who claim it.
It is my honest and earnest conviction that the reason that men are unwilling for women to enter upon public or business life is not so much the fear of competition or the dread lest women should lose their gentleness, and thus deprive society of this peculiar charm, as the fact that they are ashamed of the foulness of life which exists outside of the house and home. The good man knows that it is difficult to purify it; the bad man does not wish to be disturbed in his prey upon society.
If I could but give to all women the tenth part of my experience, they would see that this is true, and would see, besides, that only faith in ourselves and in each other is needed to work out a reformation.
Let woman enter fully into business with its serious responsibilities and duties; let it be made as honorable and as profitable to her as to men; let her have an equal opportunity for earning competence and comfort—and we shall need no other purification of society. Men are no more depraved than women, or rather, the total depravity of mankind is a lie.
From the time of my leaving school until I was fifteen years old, my life was passed as I have described, in doing housework, attending the sick with my mother, and reading a few books of a scientific and literary character. At the end of this time, a letter came from an aunt of my mother’s, who was ill and whose adopted daughter (who was my mother’s sister) was also an invalid, requesting me to visit and nurse them. I went there in the fall.
This was probably the most decisive event of my life. My great-aunt had a cancer that was to be taken out. The other was suffering from a nervous affection which rendered her a confirmed invalid. She was a most peculiar woman, and a clairvoyant and somnambulist of the most decided kind. Though not ill-natured, she was full of caprices that would have exhausted the patience of the most enduring of mortals.
This aunt of mine had been sick in bed for seven years with a nervous derangement which baffled the most skillful physicians who had visited her. Her senses were so acute that one morning she fell into convulsions from the effect of distant music which she heard. None of us could perceive it, and we fully believed that her imagination had produced this result. But she insisted upon it, telling us that the music was like that of the Bohemian miners who played nothing but polkas. I was determined to ascertain the truth, and really found that in a public garden one and a half miles from her house such a troop had played all the afternoon. No public music was permitted in the city because the magistrate had forbidden it on her account.
She never was a Spiritualist, though she frequently went into what is now called a trance. She spoke, wrote, sang and had presentiments of the finest kind while in this condition, far better than I have ever seen here in America in the case of the most celebrated mediums.
She even prescribed for herself with success, yet she was not a Spiritualist. She was a somnambulist, and, though weak enough when awake, threatened several times to pull the house down by her violence while in this condition. She had strength like a lion and no man could manage her. I saw the same thing in the hospital later.
This aunt is now healthy; not cured by her own prescriptions or the magnetic or infinitesimal doses of Dr. Arthur Lutze, but by a strong emotion which took possession of her at the time of my great-aunt’s death. She is not sorry that she has lost all these strange powers, but heartily glad of it.
When she afterwards visited us in Berlin, she could speak calmly and quietly of the perversion to which the nervous system may become subject if managed wrongly; and she could not tell how glad she was to be rid of all the emotions and notions she had been compelled to dream out. Over-care and over-anxiety had brought this about, and the same causes could again bring on a condition which the ancients deemed holy and which the psychologist treats as one bordering on insanity.
The old aunt was extremely suspicious and avaricious. Eight weeks after my arrival, she submitted to an operation. The operating surgeon found me so good an assistant that he intrusted me often with the dressing of the wound.
For six weeks, I was the sole nurse of the two, going from one room to the other both night and day, and attending to the household matters besides, with no other assistant than a woman who came every morning for an hour or two to do the rough work, while an uncle and a boy cousin were continually troubling me with their torn buttons, etc.
I learned in this time to be cheerful and light-hearted under all circumstances, going often into the anteroom to have a healthy, hearty laugh. My surroundings were certainly anything but inspiring. I had the sole responsibility of the two sick women—the one annoying me with her caprices, the other with her avarice. In one room, I heard fanciful forebodings; in the other, reproaches for having used a teaspoonful too much sugar. I always had to carry the key of the storeroom to the old aunt in order that she might be sure that I could not go in and eat bread when I chose. At the end of six weeks she died, and I put on mourning for the only time in my life, certainly not through grief.
In connection with the illness of my aunt I have mentioned Dr. Arthur Lutze. He was a disciple of Hahnemann, and I think a doctor of philosophy—certainly not of medicine. Besides being an infinitesimal homeopathist, this man was a devotee of mesmerism. He became very friendly towards me and supplied me with books, telling me that I would not only make a good homeopathic physician but also an excellent medium for mesmerism, magnetism, etc.
At all events, I was glad to get the books, which I read industriously, and he constantly supplied me with new ones so that I had quite a library when he left the place, which he did before my return. He, too, lived in Berlin, and inquired my residence, promising to visit me there and to teach me the art he practiced.
I remained with my aunt until late in the spring, when my health failed and I returned home. I was very ill for a time with brain fever, but at last recovered and set to work industriously to search for information in respect to the human body.
Dr. Lutze kept his word: he visited me at my home, gave me more books, and directed my course of reading. But my father, who had become reconciled to my inclination to assist my mother, was opposed to homeopathy and especially opposed to Dr. Arthur Lutze. He even threatened to turn him out of the house if I permitted him to visit me again, and burned all my books except one that I snatched from the flames.
From this time, I was resolved to learn all that I could about the human system. I read all the books that I could get on the subject, and tried besides to educate myself in other branches.
My father was satisfied with this disposition, and was glad to hear me propose to have a French teacher in the house, both for my sake and for that of the other children. I studied in good earnest by myself; at the same time, going through the usual discipline of German girls. I learned plain sewing, dressmaking and the management of the household, but was allowed to use my leisure time as I pleased.
When my sisters went skating, I remained at home to study; when they went to balls and theaters, I was thought the proper person to stay to watch the house. Having become so much older, I was now of great assistance to my mother in her business. No one complained any longer of my ugliness or my rudeness. I was always busy, and, when at liberty, always glad to do what I could for others; and though these years were full of hardships, I consider them among the happiest of my life. I was as free as it was possible for any German girl to be.
CHAPTER VI
Decides to qualify herself as midwife—Meets great difficulties due to being unmarried and too young—Studies privately under Dr. Schmidt—History and organization of the School for Midwives: first school established through Justina Ditrichin (obstetric surgeon and writer about 1735); after her death, owing to the opposition of medical men, educated women withdrew from the profession which then deteriorated; it became legally standardized in 1818 with the present school, and women of the higher classes returned to the profession—Marie being refused for the third time, Dr. Schmidt obtains an order from the King for her admission to the school—Becomes assistant teacher under Dr. Schmidt—Receives diploma of highest degree, and the class which she taught makes the highest known record. (Eighteen to twenty-two years of age: 1847-1851.)
My household duties, however, continued distasteful to me, much to the annoyance of my father who still contended that this was the only sphere for woman. From being so much with my mother, I had lost all taste for domestic life—anything out of doors was preferable to the monotonous routine of the household.
I at length determined to follow my inclinations by studying, in order to fit myself to become a practitioner of midwifery, as is usual in Berlin.
My father was satisfied and pleased with this idea, which opened the way to an independent, respectable livelihood, for he never really wished to have us seek this in marriage.
My mother did not like my resolution at all. She practiced, not because she liked the profession, but because in this way she obtained the means of being independent and of aiding in the education of the children.
I persisted, however, in my resolution, and immediately took measures to carry it into effect by going directly to Dr. Joseph Hermann Schmidt, the Professor of Midwifery in the University and the School for Midwives, and Director of the Royal Hospital Charité; while my father, who for several years held the position of a civil officer, made the application to the city magistrates for me to be admitted as a pupil to the School for Midwives, in which my mother had been educated.
In order to show the importance of this step, it is necessary to explain more fully the history and organization of the school.
About 1735, Justina Ditrichin (the wife of Siegemund, a distinguished civil officer of Prussia) was afflicted with an internal disease which baffled the skill of the midwives, who had pronounced her pregnant, and none of whom could define her disorder. After many months of suffering, she was visited by the wife of a poor soldier, who told her what ailed her; in consequence of which, she was cured by her physicians.
This circumstance awakened in the mind of the lady an intense desire to study midwifery, which she did; and afterwards practiced it with such success that, in consequence of her extensive practice, she was obliged to confine herself solely to irregular cases. She performed all kinds of operations with masterly skill and wrote the first book on the subject ever published in Germany by a woman. She was sent for from all parts of Germany, and was appointed body-physician to the Queen and ladies of the court of Prussia and Mark Brandenburg.
Through her influence, schools were established in which women were instructed in the science and the art of obstetrics. She also taught many herself, and a very successful and respectable practice soon grew up among women. After her death, however, this was discountenanced by the physicians, who brought it into such disrepute by their ridicule that the educated class of women withdrew from the profession. This left it in the hands of ignorant pretenders who continued to practice it until 1818. At this time, public attention was called to the subject and strict laws were enacted by which women were required to call in a male practitioner in every irregular case of confinement, under penalty of from one to twenty years of imprisonment and the forfeiture of the right to practice.
These laws still continue in force. A remarkable case is recorded by Dr. Schmidt of a woman who, feeling her own competence to manage a case committed to her care, did not send for a male physician as the law required. Although it was fully proved that she had done everything that could have been done in the case, her penalty was imprisonment for twenty years. Two other cases are quoted by Dr. Schmidt, in which male practitioners were summoned before a legal tribunal. It was proved that they had not done that which was necessary, yet their penalty was no heavier than that inflicted on the woman who had done exactly what she ought.
At this time (1818), it was also made illegal for any woman to practice who had not been educated. This brought the profession again into repute among women of the higher classes. A school for midwives, supported by the government, was established in Berlin, in which women have since continued to be educated for practice in this city and in other parts of Prussia. Two midwives are elected each year, by a committee, from the applicants, to be educated for practice in Berlin. And as they have to study two years, there are always four of these students in the school, two graduating every year. The remainder of the students are from the provincial districts.
To be admitted to this school is considered a stroke of good fortune, as there are generally more than a hundred applicants, many of whom have to wait eight or ten years before they are elected. There is, besides, a great deal of favoritism, those women being generally chosen who are the widows or wives of civil officers or physicians, to whom this chance of earning a livelihood is given in order that they may not become a burden on the government. Though educated apart from the male students while studying the theory of midwifery, they attend the accouchement ward together, and receive clinical or practical instruction in the same class from the same professor.
The male students of medicine are admitted to the university at the age of eighteen, having first been required to go through a prescribed course of collegiate study and to pass the requisite examination. Here they attend the lectures of various professors, often of four or five upon the same subject, in order to learn how it is treated from different points of view. Then, after having thus studied for a certain length of time, they present themselves for an examination by the professors of the university, which confers upon them the title of M.D., without the right to practice. They are then obliged to prepare for what is called the State’s examination, before a Board of the most distinguished men in the profession appointed to this place by the government; these also constitute the medical court. Of this number, Dr. Schmidt was one.
Dr. Schmidt approved my resolution and expressed himself warmly in favor of it. He also recommended to me a course of reading, to be commenced at once as a kind of preliminary education. And although he had no influence with the committee of the city government who examined and elected the pupils, he promised to call upon some of them and urge my election. But despite his recommendation and my father’s position as civil officer, I received a refusal, on the grounds that I was much too young (being only eighteen) and that I was unmarried.
The latter fault I did not try to remove; the former I corrected daily; and when I was nineteen, I repeated my application and received the same reply.
During this time, Dr. Schmidt became more and more interested in me personally. He promised that he would do all in his power to have me chosen the next year and urged me to read and study as much as possible in order to become fully acquainted with the subject.
As usual, I continued to assist my mother in visiting her patients, and thus had a fine opportunity for explaining to myself many things which the mere study of books left in darkness. In fact, these years of preliminary practical study were more valuable to me than all the lectures that I ever listened to afterwards. Full of zeal and enthusiasm and stimulated by a friend whose position and personal acquirements inspired me with reverence and devotion, I thought of nothing else than how to prepare myself in such a way that I should not disappoint him nor those to whom he had commended me.
Dr. Schmidt was consumptive and almost an invalid, often having to lecture in a reclining position. The author of many valuable medical works and director of the largest hospital in Prussia (the Charité of Berlin), he found a most valuable assistant in his wife—one of the noblest women that ever lived. She was always with him except in the lecture room, and almost all of his works are said to have been written by her from his dictation.
This had inspired him with the highest possible respect for women. He had the utmost faith in their powers when rightly developed, and always declared their intellectual capacity to be the same with that of men. This belief inspired him with the desire to give me an education superior to that of the common midwives; and at the same time, to reform the school of midwives by giving to it a professor of its own sex.
To this position he had in his own mind already elected me. But before I could take it, I had to procure a legitimate election from the city to the school as pupil, and during my attendance, he had to convince the government of the necessity of such a reform, as well as to bring over the medical profession. This last was not so easily done, for many men were already waiting for Dr. Schmidt’s death in order to obtain this very post which was considered valuable.
When I was twenty, I received my third refusal. Dr. Schmidt, whose health was failing rapidly, had exerted himself greatly to secure my admission. The medical part of the committee had promised him that they would give me their vote, but some theological influence was set to work to elect one of the deaconesses in my stead, so that she might be educated for the post of superintendent of the lying-in ward of the hospital which was under Dr. Schmidt’s care. She also was rejected in order not to offend Dr. Schmidt, but for this he would not thank them.
No sooner had I carried him the letter of refusal than he ordered his carriage and, proceeding to the royal palace, obtained an audience with the king, to whom he related the refusal of the committee to elect me on the ground that I was too young and unmarried, and entreated of him a cabinet order which should compel the city to admit me to the school, adding that he saw no reason why Germany as well as France should not have and be proud of a Lachapelle.
The king, who held Dr. Schmidt in high esteem, gave him at once the desired order, and I became legally the student of my friend. His praise, however, procured me intense vexation, for my name was dropped entirely and I was only spoken of as Lachapelle the Second, which would by no means have been unpleasant had I earned the title, but to receive it sneeringly in advance before having been allowed to make my appearance publicly, was indeed unbearable.
On the third day after his visit to the king, Dr. Schmidt received me into the class and introduced me to it as his future assistant teacher. This announcement was as surprising to me as to the class, but I took it quietly, thinking that if Dr. Schmidt did not consider me fit for the place, he would not risk being attacked for it by the profession en masse, by whom he was watched closely.
On the same day, a little incident occurred which I must mention. In the evening, instead of going alone to the class for practical instruction, I accompanied Dr. Schmidt at his request. We entered the hall where his assistant, the chief physician, had already commenced his instructions. Dr. Schmidt introduced me to him as his private pupil to whom he wished him to give particular attention, ending by giving my name. The physician hurriedly came up to me and grasped my hand, exclaiming, “Why, this is my little blind doctor!” I looked at him and recognized the very Dr. Müller with whom I used to make the rounds of the hospital when I was twelve years old, and who had since risen to the position of chief physician. This rencontre and the interest that he manifested afterwards greatly relieved Dr. Schmidt who had feared that he would oppose me instead of giving me any special aid.
During this winter’s study, I spent the most of the time in the hospital, being almost constantly at the side of Dr. Schmidt. I certainly made the most of every opportunity, and I scarcely believe it possible for any student to learn more in so short a time than I did during this winter. I was continually busy, acting even as nurse whenever I could learn anything by it. During the following summer, I was obliged to reside wholly in the hospital, this being a part of the prescribed education. Here I became acquainted with all the different wards and had a fine opportunity to watch the cases by myself.
In the meantime, Dr. Schmidt’s illness increased so rapidly that he feared he might die before his plans in respect to me had been carried out, especially as the state of his health had compelled him to give up his position as Chief Director of the Hospital Charité. His intention was to make me chief accoucheuse in the hospital, and to surrender into my hands his position as professor in the School for Midwives, so that I might have the entire charge of the midwives’ education.
The opposition to this plan was twofold. First, the theological influence that sought to place the deaconess (Sister Catherine) in the position of house-midwife; and, second, the younger part of the profession, many of whom were anxious for the post of professor in the School for Midwives, which never would have been suffered to fall into the hands of Sister Catherine. Dr. Schmidt, however, was determined to yield to neither. Personal pride demanded that he should succeed in his plan, and several of the older and more influential members of the profession took his part, among whom were Johannes Müller, Busch, Müller, Kilian, etc.
During the second winter, his lecturing in the class was only nominal, often nothing more than naming the heads of the subjects while I had to give the real instruction. His idea was to make me feel the full responsibility of such a position, and at the same time to give me a chance to do the work that he had declared me preëminently capable of doing. This was an intrigue, but he would not have it otherwise. He did not intend that I should perform his duty for his benefit, but for my own. He wished to show to the government the fact that I had done the work of a man like himself and had done it well; and that, if he had not told them of his withdrawal, no one would have recognized his absence from the result.
At the close of this term, I was obliged to pass my examination at the same time with the fifty-six students who composed the class. Dr. Schmidt invited some of the most prominent medical men to be present, besides those appointed as the examining committee. He informed me of this on the day before the examination, saying, “I want to convince them that you can do better than half of the young men at their examination.”
The excitement of this day I can hardly describe. I had not only to appear before a body of strangers of whose manner of questioning I had no idea, but also before half a dozen authorities in the profession, assembled especially for criticism.
Picture to yourself my position: standing before the table at which were seated the three physicians composing the examining committee, who questioned in the most perplexing manner, while four other physicians of the highest standing were seated on each side, making eleven in all; Dr. Schmidt, a little way off, anxious that I should prove true all that he had said in praise of me, and the rest of the class in the background, filling up the large hall. It was terrible. The trifling honor of being considered capable was rather dearly purchased.
I went through the whole hour bravely, without missing a single question, until finally the clock struck twelve, when everything suddenly grew black before my eyes, and the last question sounded like a humming noise in my ear. I answered it—how, I know not—and was permitted to sit down and rest for fifteen minutes before I was called to the practical examination on the manikin. I gave satisfaction to all, and received the diploma of the first degree.
This by no means ended the excitement. The students of the year were next examined. This examination continued for a week, after which the diplomas were announced, when it was found that never before had there been so many of the first degree and so few of the third. Dr. Schmidt then made it known that this was the result of my exertions, and I was pronounced a very capable woman.
CHAPTER VII
Dr. Schmidt urges Marie’s appointment as Chief of the School, including the surrender to her of his own position as professor—Violent medical and diplomatic opposition, becoming a controversy over “Woman’s Rights”—Marie’s father refuses his consent and insists that she marry a man she has never even seen—Eventually, Dr. Schmidt wins and Marie receives her appointment—Triumph immediately turned to tragedy by sudden death of Dr. Schmidt on the same day. (Twenty-two years of age: 1851-1852.)
The acknowledgment that I was a very capable woman having been made by the medical men present at the examination, Dr. Schmidt thought it would be an easy matter to get me installed into the position for which I had proved myself capable. But such could not be the case in a government ruled by hypocrisy and intrigue. To acknowledge the capability of a woman did not by any means say that she was at liberty to hold a position in which she could exercise this capability.
German men are educated to be slaves to the government: positive freedom is comprehended only by a few. They generally struggle for a kind of negative freedom, namely, for themselves. For each man, however much he may be inclined to show his subserviency to those superior in rank, thinks himself the lord of creation and, of course, regards woman only as his appendage. How can this lord of creation, being a slave himself, look upon the free development and demand for recognition of his appendage otherwise than as a nonsense or a usurpation of his exclusive rights?
And among these lords of creation, I heartily dislike that class which not only yield to the influence brought to bear upon them by the government but who also possess an infinite amount of narrowness and vanity united to an infinite servility to money and position. There is not ink and paper enough in all the world to write down the contempt I feel for men in whose power it is to be free in thought and noble in action, and who yet act to the contrary to feed their ambition or their purses. I have learned, perhaps, too much of their spirit for my own good.
You can hardly believe what I experienced in respect to intrigue within the few months following my examination. All the members of the medical profession were unwilling that a woman should take her place on a level with them.
All the diplomatists became fearful that Dr. Schmidt intended to advocate the question of “Woman’s Rights”; one of them exclaiming one evening, in the heat of discussion, “For Heaven’s sake! the Berlin women are already wiser than all the men of Prussia: what will become of us if we allow them to manifest it?”
I was almost forgotten in the five months during which the question was debated: it became more than a matter of personal intrigue. The real question at stake was, “How shall women be educated, and what is their true sphere?” And this was discussed with more energy and spirit than ever has been done here in America.
Scores of letters were written by Dr. Schmidt to convince the government that a woman could really be competent to hold the position in question, and that I had been pronounced so by the whole faculty.
The next objection raised was that my father was known as holding revolutionary principles; and to conquer this cost a long discussion, with many interviews of the officials with my father and Dr. Schmidt.
The next thing urged was that I was much too young; that it would be necessary, in the course of my duties, to instruct the young men also, and that there was danger in our thus being thrown together. In fact, this reason, read to me by Dr. Schmidt from one of the letters written at this time (all of which are still carefully preserved), runs thus, “To give this position to Miss M. E. Zakrzewska is dangerous. She is a prepossessing young lady, and from coming in contact with so many gentlemen must necessarily fall in love with some one of them, and thus end her career.” To this, I have only to reply that I am sorry that I could not have found one among them that could have made me follow the suggestion.
This objection, however, seemed for a while the most difficult to be met, for it was well known that, when a student myself, I had stood on the most friendly terms with my fellow students. And that they had often taken my part in little disturbances that naturally came up in an establishment where no one was permitted to enter or to leave without giving a reason. Even my private patients were sometimes sent away at the door because I did not know of their coming and for this reason could not announce to the doorkeeper the name and residence of those who might possibly call.
That this difficulty was finally conquered, I have to thank the students themselves. My relation with these young men was of the pleasantest kind. They never seemed to think that I was not of their sex, but always treated me like one of themselves. I knew of their studies and their amusements; yes, even of the mischievous pranks that they were planning both for college and for social life. They often made me their confidante in their private affairs, and were more anxious for my approval or forgiveness than for that of their relatives. I learned during this time how great is the friendly influence of a woman even upon fast-living and licentious young men; and this has done more to convince me of the necessity that the two sexes should live together from infancy, than all the theories and arguments that are brought to convince the mass of this fact.
As soon as it became known among the students that my youth was the new objection, they treated it in such a manner that the whole thing was transformed into a ridiculous bugbear, growing out of the imagination of the virtuous opposers.
Nothing now seemed left in the way of my attaining to the position, when suddenly it dawned upon the mind of some that I was irreligious, that neither my father nor my mother attended church, and that, under such circumstances, I could not of course be a church-goer.
Fortunately, I had complied with the requirements of the law, and could therefore bring my certificate of confirmation from one of the Protestant churches. By the advice of Dr. Schmidt, I commenced to attend church regularly, and continued until a little incident happened which I must relate here.
One Sunday, just after the sermon was over, I remembered that I had forgotten to give instructions to the nurse in respect to a patient and I left the church without waiting for the end of the service. The next morning, I was summoned to answer to the charge of leaving the church at an improper time. The inquisitor (who was one of those who had accused me of irreligion), being vexed that I contradicted him by going to church regularly, was anxious to make me confess that I did not care for the service. But I saw through his policy as well as his hypocrisy, and simply told him the truth, namely, that I had forgotten important business and therefore thought it excusable to leave as soon as the sermon was over.
Whether he sought to lure me on to further avowals, I know not; but whatever was his motive, he asked me in reply whether I believed that he cared for the humdrum custom of church-going, and whether I thought him imbecile enough to consider this as anything more than the means by which to keep the masses in check, adding that it was the duty of the intelligent to make the affair respectable by setting the example of going themselves, and that he only wished me to act on this principle, when all accusations of irreligion would fall to the ground.
I had always known that this man was not my friend, but when I heard this, I felt disenchanted with the whole world. I had never thought him more than a hypocrite, whereas I now found him the meanest of men both in theory and in practice. I was thoroughly indignant, the more so, since I felt guilty myself in going to church simply to please Dr. Schmidt.
I do not remember what answer I gave, but I know that my manners and words made it evident that I considered him a villain. He never forgave me for this, as all his future acts proved to me. For, in his position of chief director of the hospital, he had it in his power, more than any one else, to annoy me, and that he did so you will presently see.
The constant opposition and attendant excitement, together with the annoyances which my father, as civil officer, had to endure, made him resolve to present a declaration to the government that I should never, with his consent, enter the position. He had become so tired of my efforts to become a public character in my profession that he suddenly conceived the wish to have me married.
Now, take for a moment into consideration the facts that I was but twenty-two years of age, full of sanguine enthusiasm for my vocation, and strong in the friendship of Dr. Schmidt. He had inspired me with the idea of a career different from the common routine of domestic life.
My mother, overcoming her repugnance to my entering my profession, had been my best friend, encouraging me steadily; while my father, yielding to the troubles that it involved, had become disgusted with it, and wished me to abandon my career. He was stern, and would not take back his word. I could do nothing without his consent; while Dr. Schmidt had finally overcome all difficulties and had the prospect of victory if my father would but yield.
A few weeks of this life were sufficient to drive one mad, and I am sure that I was near becoming so. I was resolved to run away from home or to kill myself, while my father was equally resolved to marry me to a man whom I had never seen.
Matters finally came to a crisis through the illness of Dr. Schmidt, whose health failed so rapidly that it was thought dangerous to let him be longer excited by the fear of not realizing his favorite scheme. Some of his medical advisers influenced the government to appeal to my father to withdraw his declaration, which, satisfied with the honor thus done him, he did on the 1st of May, 1852.
On the 15th of May, I received my legal installment to the position for which Dr. Schmidt had designed me. The joy that I felt was great beyond expression. A youthful enthusiast of twenty-two, I stood at the height of my wishes and expectations. I had obtained what others could obtain only after the protracted labor of half a lifetime, and already I saw myself in imagination occupying the place of Dr. Schmidt’s aspirations—that of a German Lachapelle.
No one who has not passed at the same age through the same excitement can comprehend the fullness of my rejoicing, which was not wholly selfish, for I knew that nothing in the world would please Dr. Schmidt so much as this victory. The wildest joy of an accepted suitor is a farce compared to my feelings on the morning of that 15th of May. I was reconciled to my bitterest opponents, I could even have thanked them for their opposition, since it had made the success so much the sweeter.
Not the slightest feeling of triumph was in my heart; all was happiness and rejoicing. And it was in this condition of mind and heart that I put on my bonnet and shawl to carry the good news to Dr. Schmidt. Without waiting to be announced, I hastened to his parlor, where I found him sitting with his wife upon the sofa. I did not walk, but flew, towards them and threw the letter upon the table, exclaiming, “There is the victory!”
Like a conflagration, my joy spread to Dr. Schmidt as well as to his wife, who thought that she saw in these tidings a cup of new life for her husband. I stayed only long enough to accept their congratulations. Dr. Schmidt told me to be sure to come the next morning to enter legally upon my duties at his side. He saw that I needed the open air, and felt that he too must have it to counteract his joy. I went to tell my father and several friends, and spent the day in blissful ignorance of the dreadful event that was transpiring.
The next morning at seven o’clock, I left home to go to my residence in the hospital. I had not slept during the night; the youthful fire of enthusiasm burnt too violently to allow me any rest.
The old doorkeeper opened the door for me, and gazed at me with an air of surprise. “What is the matter?” I asked. “I am astonished to see you so cheerful,” said he. “Why?” I asked with astonishment. “Don’t you know that Dr. Schmidt is dead?” was the answer. Dr. Schmidt dead! I trembled; I staggered; I fell upon a chair.
The beautiful entrance hall, serving also as a greenhouse during the winter, filled in every place with flowers and tropical fruit, faded from my eyes; and in its stead I saw nothing but laughing faces, distorted with scorn and mockery.
A flood of tears cooled the heat of my brain, and a calmness like that of death soon took possession of me. I had fallen from the topmost height of joy and happiness to the profoundest depth of disappointment and despair. If there was nothing else to prove the strength of my mind, the endurance of this sudden change would be sufficient.
I went at once to Dr. Schmidt’s residence in the Hospital Park, where I met him again, not as I had expected an hour before ready to go with me to the hospital department which I was henceforth to superintend, but as a corpse.
After I had left the day before, he had expressed a wish to go into the open air, his excitement nearly equaling mine. Mrs. Schmidt ordered the carriage, and they drove to the large park. He talked constantly and excitedly about the satisfaction he felt in this success until they arrived, when he wished to get out of the carriage and walk with his wife. Mrs. Schmidt consented, but they had taken only a few steps when he sank to the ground, and a gush of blood from his mouth terminated his existence.
CHAPTER VIII
Death of Dr. Schmidt opens doors for hosts of office-seekers and for Marie’s opponents—Hostilities of latter nullified by her methods, and by her continued professional success with patients and with both men and women students—After six months’ struggle with unabated animosities and intrigue, she resigns her position in the hospital. (Twenty-three years of age: 1852.)
I left Dr. Schmidt’s house, and entered alone into the wards, where I felt that I was without friendly encouragement and support. During the three days that intervened before the burial of Dr. Schmidt, I was hardly conscious of anything, but moved about mechanically like an automaton.
The next few days were days of confusion, for the death of Dr. Schmidt had left so many places vacant that some fifty persons were struggling to obtain some one of his offices. The eagerness, servility and meanness which these educated men displayed in striving to conquer their rivals was more than disgusting. The serpents that lie in wait for their prey are endurable, for we know that it is their nature to be cunning and relentless; but to see men of intellect and education sly and snaky, ferocious yet servile to the utmost, makes one almost believe in total depravity. The most of these men got what they deserved, namely, nothing. The places were filled temporarily with others, and everything went on apparently as before.
My position soon became very disagreeable. I had received my installment, not because I was wanted by the directors of the hospital, but because they had been commanded by the government to accept me, in the hope of thus prolonging the life of Dr. Schmidt.
Young and inexperienced in petty intrigue, I had now to work without friendly encouragement and appreciation, in an establishment where three thousand people were constantly at war about each other’s affairs; with no one about me in whom I had a special interest, while every one was regretting that the installment had been given me before Dr. Schmidt’s death which might have happened just as well from some other excitement. I surveyed the whole arena, and saw very well that, unless I practiced meanness and dishonesty as well as the rest, I could not remain there for any length of time, for scores were ready to calumniate me whenever there was the least thing to be gained by it.
I was about to commence a new period of life. I had a solid structure as a foundation, but the superstructure had been built up in so short a time that a change of wind would suffice to cast it down. I resolved, therefore, to tear it down myself and to begin to build another upon the carefully laid basis. I waited only for an opportunity to manifest my intention. This opportunity soon presented itself.
Sister Catherine, the deaconess of whom I have spoken, who had been allowed to attend the School for Midwives after my election, through the influence of her theological friends upon Dr. Schmidt (the city magistrates having refused her because I was already the third accepted pupil), had as yet no position. These friends now sought to make her the second accoucheuse, I having the first position, with the additional title of Chief.
This she would not accept. She, the experienced deaconess, who had been a Florence Nightingale in the typhus epidemic of Silesia, was unwilling to be under the supervision of a woman who had nothing to show but a thorough education, and who was besides eight years younger than herself.
Her refusal made my enemies still more hostile. Why they were so anxious for her services I can only explain by supposing that the directors of the hospital wished to annoy Pastor Fliedner, the originator of the Kaiserswerth Sisterhood. For, in placing Sister Catherine in this position, they robbed him of one of the very best nurses that he had ever had in his institution.
My desire to reconcile the government of the hospital, in order that I might have peace in my position to pursue my development and education so as to realize and manifest to the people the truth of what Dr. Schmidt had affirmed of me, induced me to go to one of the directors and propose that Sister Catherine should be installed on equal terms with me, offering to drop the title of Chief and to consent that the department should be divided into two.
My proposition was accepted nominally, and Sister Catherine was installed but with a third less salary than I received, while I had to give the daily reports, etc., and to take the chief responsibility of the whole. Catherine was quite friendly to me, and I was happy in the thought that there was now one at least who would stand by me should any difficulties occur. How much I was mistaken in the human heart! This pious, sedate woman, towards whom my heart yearned with friendship, was my greatest enemy, though I did not know it until after my arrival in America.
A few weeks afterwards, the city petitioned to have a number of women instructed in the practice of midwifery. These women were all experienced nurses who had taken the liberty to practice this art to a greater or less extent from what they had learned of it while nursing; and to put an end to this unlawful practice, they had been summoned before an examining committee, and the youngest and best educated were chosen to be instructed as the law required. Dr. Müller, the pathologist, was appointed to superintend the theoretical, and Dr. Ebert, the practical, instruction. Dr. Müller, who never had given this kind of instruction before, and who was a special friend of mine, immediately surrendered the whole into my hands; while Dr. Ebert, whose time was almost wholly absorbed in the department of the diseases of children, appointed me as his assistant. Both gentlemen gave me certificates of this when I determined to emigrate to America.
The marked preference for my wards that had always been shown by the male students was shared by these women when they came. Sister Catherine was neither ambitious nor envious, yet she felt that she was the second in place. Drs. Müller and Ebert never addressed themselves to her; neither did they impress the nurses and the servants with the idea that she was anything more than the head nurse. All these things together made her a spy; and though nothing happened for which I could be reproved, all that I said and did was watched and secretly reported.
Under a despotic government, the spy is as necessary as the corporal. The annoyance of this reporting is that the secrecy exists only for the one whom it concerns, while the subaltern officers and servants receive hints that such a person is kept under constant surveillance.
When it was found that no occasion offered to find fault with me, our administrative inspector was removed and a surly old corporal put in his place, with the hint that the government of the hospital thought that the former inspector did not perform his duty rightly, since he never reported disturbance in a ward that had formerly been notorious as being the most disorderly.
[Marie’s method in transforming this ward and consequently its reputation is evidently described in the “Introduction” written by Mrs. Dall for these earlier chapters.
In the autumn of 1856, Marie was addressing a physiological institute in Boston. Mrs. Dall says:
She spoke to them of her experience in the hospital at Berlin, and showed that the most sinning, suffering woman never passed beyond the reach of a woman’s sympathy and help.
Mrs. Dall then quotes from the address:
Soon after I entered the hospital [said Marie], the nurses called me to a ward where sixteen of the most forlorn objects had begun to fight with each other. The inspector and the young physician had been called to them, but dared not enter the mêlée. When I arrived, pillows, chairs, footstools and vessels had deserted their usual places; and one stout little woman, with rolling eyes and tangled hair, had lifted a vessel of slops which she threatened to throw all over me, as she exclaimed, “Don’t dare to come here, you green young thing!”
I went quietly towards her, saying gently, “Be ashamed, my dear woman, of your fury.”
Her hands dropped. Seizing me by the shoulder, she exclaimed, “You don’t mean that you look on me as a woman?”
“How else?” I answered. She retreated to her bed while all the rest stood in the attitudes into which passion had thrown them.
“Arrange your beds,” I said; “and in fifteen minutes, let me return and find everything right.” When I returned, all was as I had desired, every woman standing at her bedside. The short woman was missing, but bending on each a friendly glance I passed through the ward, which never gave me any more trouble.
When, late at night, I entered my room, it was fragrant with violets. A green wreath surrounded an old Bible and a little bouquet rested on it. I did not pause to speculate over this sentimentality, but threw myself weary upon the bed when a light tap at the door startled me. The short woman entered and humbling herself on the floor, since she would not sit in my presence, entreated to be heard.
“You called me a woman,” she said, “and you pity us. Others call us by the name the world gives us. You would help us, if help were possible. All the girls love you and are ashamed before you; and therefore I hated you—no: I will not hate you any longer. There was a time when I might have been saved—I, and Joanna, and Margaret, and Louise. We were not bad. Listen to me. If you say there is any hope, I will yet be an honest woman.”
She had had respectable parents; and, when twenty years old, was deserted by her lover who left her three months pregnant. Otherwise kind, her family perpetually reproached her with her disgrace and threatened to send her away. At last, she fled to Berlin, keeping herself from utter starvation by needlework. In the hospital to which she went for confinement, she took the smallpox. When she came out, with her baby in her arms, her face was covered with red blotches. Not even the lowest refuge was open to her, her appearance was so frightful. With her baby dragging at her empty breast, she wandered through the streets. An old hag took pity on both, and carefully nursed till health returned, her good humor and native wit made those about her forget her ugly face. She was in a brothel, where she soon took the lead. Her child died, and she once more attempted to earn her living as a seamstress. She was saved from starvation only by her employer, who received her as his mistress. Now her luck changed. She suffered all that a woman could, handled poison and the firebrand. “I thought of stealing,” she said, “only as an amusement; it was not exciting enough for a trade.” She found herself in prison, and was amused to be punished for a trifle, when nobody suspected her crime. It was horrible to listen to these details; more horrible to witness her first repentance.
When I thanked her for her violets, she kissed my hands, and promised to be good.
While she remained in the hospital, I took her as my servant and trusted everything to her, and when finally discharged she went out to service. She wished to come with me to America. I could not bring her, but she followed, and when I was in Cleveland, inquired for me in New York.]
The truth was that in my innocence of heart I had been striving to gain the respect and friendship of my enemies by doing my work better than any before me had done. To go to bed at night regularly was a thing unknown to me. Once, I was not undressed for twenty-one days and nights; superintending and giving instructions on six or eight confinement cases in every twenty-four hours; lecturing three hours every afternoon to the class of midwives; giving clinical lectures to them twice a week for an hour in the morning; superintending the case of some twenty infants who were epidemically attacked with purulent ophthalmia; and having, besides, the general supervision of the whole department.
But all this could not overcome the hostility of my enemies, the chief cause of which lay in the mortification at having been vanquished by my appointment.
On the other hand, I was happy in the thought that Mrs. Schmidt continued to take the same interest in me as before, and was glad to hear of my partial success. The students, both male and female, were devoted to me, and manifested their gratitude openly and frankly. This was the greatest compensation that I received for my work.
The women wished to show their appreciation by paying me for the extra labor that I performed in their instruction, not knowing the fact that I did it simply in order that they might pass an examination which should again convince the committee that I was in the right place. I forbade all payment as I had refused it to the male students when they wished to pay me for their extra instruction on the manikin. But in a true womanly way, they managed to learn the date of my birthday, when two or three, instead of attending the lecture, took possession of my room which they decorated with flowers, while on the table they displayed presents to the amount of some hundred and twenty dollars which the fifty-six women of the class had collected among themselves.
This was, of course, a great surprise to me and really made me feel sad, for I did not wish for things of this sort. I wished to prove that unselfishness was the real motive of my work, and thought that I should finally earn the crown of appreciation from my enemies for which I was striving. This gift crossed all my plans. I must accept it, if I would not wound the kindest of hearts, yet I felt that I lost my game by so doing. I quietly packed everything into a basket and put it out of sight under the bed, in order that I might not be reminded of my loss.
Of course, all these things were at once reported. I saw in the faces of many that something was in agitation, and I waited a fortnight in constant expectation of its coming. But these people wished to crush me entirely. They knew well that a blow comes hardest when least expected, and they therefore kept quiet week after week until I really began to ask their pardon in my heart for having done them the wrong to expect them to act meanly about a thing that was natural and allowable.
In a word, I became quiet and happy again in the performance of my duties; then suddenly, six weeks after my birthday, I was summoned to the presence of Director Horn (the same who had reprimanded me for leaving the church). He received me with a face as hard and stern as an avenging judge, and asked me whether I knew that it was against the law to receive any other payment than that given me by the hospital. Upon my avowing that I did, he went on to ask how it was then that I had accepted gifts on my birthday.
This question fell upon me like a thunderbolt, for I had never thought of looking upon these as a payment. If these women had paid me for the instruction that I gave them beyond that which was prescribed, they ought each one to have given me the value of the presents. I told him this in reply and also how disagreeable the acceptance had been to me and how ready I was to return the whole at his command, since it had been my desire to prove not only my capability but my unselfishness in the work.
The man was ashamed—I saw it in his face as he turned it away from me; yet he saw in me a proof that he had been vanquished in intrigue, and he was resolved that the occasion should end in my overthrow.
Much more was said about the presents and their significance, and I soon ceased to be the humble woman and spoke boldly what I thought, in defiance of his authority, as I had done at the time of the religious conversation (by the way, I never attended church again after that interview).
The end was that I declared my readiness to leave the hospital.
He wished to inflict direct punishment on me and forbade me to be present at the examination of the class which was to take place the next day. This was really a hard penalty to which he was forced for his own sake. For if I had been present, I should have told the whole affair to men of a nobler stamp who would have opposed, as they afterwards did, my leaving a place which I filled to their entire satisfaction.
CHAPTER IX
She begins private practice—Mrs. Schmidt and many physicians plan to establish a Maternity Hospital for her—Her father renews his insistence that she should marry—Recollections of a report of the Female Medical College of Pennsylvania, located in Philadelphia, and of Dr. Schmidt’s comment on it, turn her thoughts to America, and she decides to emigrate—She receives official acknowledgment of her work at the Hospital, together with a gift of money—Accompanied by a younger sister, she arrives in New York. (Twenty-four years of age: 1852-1853.)
I made my preparations to leave the hospital on the 15th of November, 1852. What was I to do? I was not made to practice quietly, as is commonly done; my education and aspirations demanded more than this. For the time, I could do nothing more than inform my patients that I intended to practice independently.
My father again wished that I should marry, and I began to ask myself whether marriage is an institution to relieve parents from embarrassment. When troubled about the future of a son, parents are ready to give him to the army; when in fears of the destiny of a daughter, they induce her to become the slave of the marriage bond. I never doubted that it was more unendurable and unworthy to be a wife without love than a soldier without a special calling for that profession, and I never could think of marriage as the means to procure a shelter and bread. I had so many schemes in my head that I would not listen to his words. Among these was especially the wish to emigrate to America.
The Pennsylvania Female Medical College had sent its first report to Dr. Schmidt, who had informed me as well as his colleagues of it and had advocated the justice of such a reform. It was in March, 1852, that he spoke of this, saying to those present, “In America, women will now become physicians, like the men; this shows that only in a republic can it be proved that science has no sex.”
This fact recurred to my memory, and I decided to go to America to join in a work open to womanhood on a larger scale; and for the next two months, I did nothing but speculate how to carry out my design of emigration.
I had lived rather expensively and lavishly, without thinking of laying up any money; and my whole fortune, when I left the Charité, consisted of sixty dollars.
One thing happened in connection with my leaving the hospital which I must relate here. Director Horn was required to justify his conduct to the minister to whom the change had to be reported, and a committee was appointed to hear the accusation and to pass judgment upon the affair. As this was done in secrecy and not before a jury, and as the accuser was a man of high rank, I knew nothing of it until Christmas Eve when I received a document stating that, “as a gratification for my services for the benefit of the city of Berlin” in instructing the class of midwives, a compensation was decreed me of fifty dollars.
This was a large sum for Berlin, such as was given only on rare occasions. I was also informed that Director Horn was instructed to give me, should I ever demand it, a first-class certificate of what my position had been in the hospital, with the title of Chief attached.
For whatever I had suffered from the injustice of my enemies, I was now fully recompensed. I inquired who had taken my part so earnestly against Director Horn as to gain this action, and found that it was Dr. Müller the pathologist, backed by several other physicians. Director Horn, it was said, was greatly humiliated by the decision of Minister von Raumer, who could not see the least justice in his conduct in this matter, and had I not left the hospital so readily, I should never have stood so firmly as after this secret trial.
It was done, however, and I confidently told my mother of my design to emigrate. Between my mother and myself there existed not merely the strongest relation of maternal and filial love, but also a professional sympathy and peculiar friendship, which was the result of two similar minds and hearts, and which made me stand even nearer to her than as a child I possibly could have done. She consented with heart and soul, encouraged me in all my plans and expectations, and asked me at once at what time I would leave.
I next told my father and the rest of the family of my plan. My third sister (Anna), a beautiful, joyous young girl, exclaimed, “And I will go with you!” My father, who would not listen to my going alone, at once consented to our going together. But I thought differently. In going alone, I risked only my own happiness; in going with her, I risked hers too, while I should be constantly restricted in my adventurous undertakings by having her, who knew nothing of the world save the happiness of a tranquil family life, with me.
The next day I told them that I had changed my mind and should not go away, but should establish myself in Berlin. Of course, I received a torrent of gibes on my fickleness, for they did not understand my feelings in respect to the responsibility that I feared to take for my younger sister.
I began to establish myself in practice. Mrs. Schmidt, who was anxious to assist me in my new career, suggested to those physicians who were my friends the establishment of a private hospital which should be under my care. She found them strongly in favor of the plan, and had I not been constantly speculating about leaving for America, this scheme would have been realized.
But Dr. Schmidt’s words after reading the first report of the Philadelphia Female Medical College recurred to me again and again. I had resolved to emigrate, and I took my measures accordingly. I went secretly to Drs. Müller and Ebert and procured certificates attesting my position in respect to them in the hospital. I then obtained the certificate from Director Horn, and I carried them all to the American Chargé d’Affaires (Theodore S. Fay) to have them legalized in English, so that they would be of service to me in America.[2]
When I told Drs. Ebert and Müller and Mrs. Schmidt of my intention to emigrate, they pronounced me insane. They thought that I had the best field of activity open in Berlin and could not comprehend why I should seek greater freedom of person and of action.
Little really is known in Berlin about America, and to go there is considered as great an undertaking as to seek the river Styx in order to go to Hades. The remark that I heard from almost every quarter was, “What! you wish to go to the land of barbarism, where they have negro slavery and where they do not know how to appreciate talent and genius?”
But this could not prevent me from realizing my plans. I had idealized the freedom of America and especially the reform of the position of women, to such an extent that I would not listen to their arguments. After having been several years in America, very probably I would think twice before undertaking again to emigrate, for even the idealized freedom has lost a great deal of its charm when I consider how much better it could be.
Having put everything in order, I told my father of my conclusion to leave. He was surprised to hear of it the second time, but I showed him my papers in readiness for the journey and declared that I should go as soon as the ship was ready to sail, having a hundred dollars, just money enough to pay my passage.
He would not give his consent unless my sister Anna accompanied me, thinking her, I suppose, a counterpoise to any rash undertakings in which I might engage in a foreign land. If I wished to go, therefore, I was forced to have her company, of which I should have been very glad had I not feared the moral care and responsibility.
We decided to go in a fortnight. My father paid her passage and gave her a hundred dollars in cash, just enough to enable us to spend a short time in New York, after which he expected either to send us more money or that we would return; and, in case we did this, an agreement was made with the shipping merchant that payment should be made on our arrival in Hamburg.
On the 13th of March, 1853, we left the paternal roof, to which we should never return. My mother bade us adieu with tears in her eyes, saying, “Au revoir in America!” She was determined to follow us.
Here ends my Berlin and European life, and I can assure you that this was the hardest moment I ever knew. Upon my memory is forever imprinted the street, the house, the window behind which my mother stood waving her handkerchief. Not a tear did I suffer to mount to my eyes in order to make her believe that the departure was an easy one, but a heart beating convulsively within punished me for the restraint.
My father and brothers accompanied us to the depot, where the cars received us for Hamburg. On our arrival there, we found that the ice had not left the Elbe and that the ship could not sail until the river was entirely free. So we were forced to remain three weeks in Hamburg.
We had taken staterooms in the clipper ship Deutschland. Besides ourselves, there were sixteen passengers in the first cabin, people good enough in their way, but not sufficiently attractive to induce us to make their acquaintance. We observed a dead silence as to who we were, where we were going, or what was the motive of our emigrating to America. The only person that we ever spoke to was a Mr. R. from Hamburg, a youth of nineteen, who like ourselves had left a happy home in order to try his strength in a strange land.
The voyage was of forty-seven days’ duration, excessively stormy but otherwise very dull, like all voyages of this kind, and had it not been for the expectations that filled our hearts, we should have died of ennui. As it was, the days passed slowly, made worse by the inevitable seasickness of our fellow-passengers, and we longed for the hour that should bring us in sight of the shores of the New World.
And now commences my life in America.
CHAPTER X
First impressions of New York—Marie takes walk alone the next day—Experience with a white slave agent—Confronted with her ignorance of the English language, she postpones proceeding to Philadelphia—Begins housekeeping in a small apartment with her sister Anna—Astounded by hearing that “female physicians” have no professional standing in New York, she puts out a sign and seeks private practice, as she did in Berlin—While waiting for patients, she builds up a business in making fancy worsted goods, Anna works for a dressmaker, and they soon become self-supporting. (Twenty-four years of age: 1853.)
“Dear Marie, best Marie! make haste to come up on deck to see America! Oh, how pleasant it is to see the green trees again! How brightly the sun is gilding the land you are seeking—the land of freedom!”
With such childlike exclamations of delight, my sister Anna burst into my cabin to hasten my appearance on deck on the morning of the 22nd of May, 1853. The beautiful child of nineteen summers was only conscious of a heart overflowing with pleasure at the sight of the charming landscape that opened before her eyes after a tedious voyage of forty-seven days upon the ocean.
We had reached the quarantine at Staten Island. The captain, the old pilot, every one, gazed at her as she danced joyously about the deck, with a mingled feeling of sadness and curiosity, for our reserve while on shipboard had surrounded us with a sort of mystery which none knew how to unravel.