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How the Poor Die
"How the Poor Die" is an essay first published in 1946 in Now by the English author George Orwell. Orwell gives an anecdotal account of his experiences in a French public hospital that triggers a contemplation of hospital literature in the context of 19th-century medicine.
In 1928, Orwell went to Paris for 18 months. In March 1929 he was feeling unwell and spent two weeks in the Hôpital Cochin, rue Faubourg Saint-Jacques, in the 15th arrondissement of Paris. Ill with the flu, he was treated at the hospital from 7 to 22 March 1929. In the hospital, he continued writing, as he gave it as an address to a publisher. Orwell was subject to bronchial conditions throughout his life, but it is not certain whether he was suffering from influenza or pneumonia. In Paris, he was checked for tuberculosis but was found to be unaffected.
In December 1933, while Orwell was teaching in Uxbridge, he developed pneumonia. He was taken to a cottage hospital at Uxbridge, where his life for a time was believed to be in danger. He was kept in hospital over Christmas and the New Year. When he was discharged in January 1934, he returned to Southwold to convalesce and was supported by his parents for several months. He did not return to teaching.
In 1937, Orwell spent some months on the Republican side in the Spanish Civil War. He was twice hospitalised during the war; once with an infection of his hand and again after he was shot in the throat by a sniper.
It is not known precisely when the article was written. Peter Davison, editor of Orwell's Collected Works, has suggested a possible history for its composition that places its writing between 1931 and 1936, while Orwell's work revolved around the unemployed, tramps and beggars, and that he reworked it between summer 1940 and spring 1941, submitted it to Horizon, which rejected it possibly because readers would have been unwilling to read about 'how the poor die' at such a time. Finally, a section was retyped and then published in Now, a magazine established by George Woodcock, in November 1946.
Orwell recounts a tale based on his experiences in a publicly-funded hospital in Paris. The various reception procedures and treatments he receives for pneumonia include bureaucracy, a bath, cupping therapy and a mustard poultice. In the ward, he notes the indifference of the staff to their patients, particularly when they are used as case studies for medical training. The death of numero 57 sets Orwell wondering how lucky it is to die a natural death or rather, as he thinks at the time of writing, and as he thought then, if it is better to die violently and not too old. Orwell sees his experiences in the French hospital and in a Spanish hospital, in stark contrast to the care of that he received in an English cottage hospital.
Orwell gives a historical background of how hospital wards began as casual wards "for lepers and the like to die in" and became places for medical students to learn using the bodies of the poor. In the 19th century, surgery was viewed as a form of sadism, and dissection was possible only with the aid of body-snatchers. Orwell dwells on the literature of medicine in the 19th century, when doctors were given names such as Slasher and Fillgrave, and Orwell particularly recalls In the Children's Hospital: Emmie (1880), a work by Tennyson. All of that accounts for the surviving dread of hospitals among the poor and explains why a sound instinct warns people to keep out of them.
Two slatternly nurses had already got the poultice ready, and they lashed it round my chest as tight as a straitjacket while some men who were wandering about the ward in shirt and trousers began to collect round my bed with half-sympathetic grins. I learned later that watching a patient have a mustard poultice was a favourite pastime in the ward. These things are normally applied for a quarter of an hour and certainly they are funny enough if you don't happen to be the person inside. For the first five minutes the pain is severe, but you believe you can bear it. During the second five minutes this belief evaporates, but the poultice is buckled at the back and you can't get it off. This is the period the onlookers most enjoy. During the last five minutes, I noted a sort of numbness supervenes.
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How the Poor Die
"How the Poor Die" is an essay first published in 1946 in Now by the English author George Orwell. Orwell gives an anecdotal account of his experiences in a French public hospital that triggers a contemplation of hospital literature in the context of 19th-century medicine.
In 1928, Orwell went to Paris for 18 months. In March 1929 he was feeling unwell and spent two weeks in the Hôpital Cochin, rue Faubourg Saint-Jacques, in the 15th arrondissement of Paris. Ill with the flu, he was treated at the hospital from 7 to 22 March 1929. In the hospital, he continued writing, as he gave it as an address to a publisher. Orwell was subject to bronchial conditions throughout his life, but it is not certain whether he was suffering from influenza or pneumonia. In Paris, he was checked for tuberculosis but was found to be unaffected.
In December 1933, while Orwell was teaching in Uxbridge, he developed pneumonia. He was taken to a cottage hospital at Uxbridge, where his life for a time was believed to be in danger. He was kept in hospital over Christmas and the New Year. When he was discharged in January 1934, he returned to Southwold to convalesce and was supported by his parents for several months. He did not return to teaching.
In 1937, Orwell spent some months on the Republican side in the Spanish Civil War. He was twice hospitalised during the war; once with an infection of his hand and again after he was shot in the throat by a sniper.
It is not known precisely when the article was written. Peter Davison, editor of Orwell's Collected Works, has suggested a possible history for its composition that places its writing between 1931 and 1936, while Orwell's work revolved around the unemployed, tramps and beggars, and that he reworked it between summer 1940 and spring 1941, submitted it to Horizon, which rejected it possibly because readers would have been unwilling to read about 'how the poor die' at such a time. Finally, a section was retyped and then published in Now, a magazine established by George Woodcock, in November 1946.
Orwell recounts a tale based on his experiences in a publicly-funded hospital in Paris. The various reception procedures and treatments he receives for pneumonia include bureaucracy, a bath, cupping therapy and a mustard poultice. In the ward, he notes the indifference of the staff to their patients, particularly when they are used as case studies for medical training. The death of numero 57 sets Orwell wondering how lucky it is to die a natural death or rather, as he thinks at the time of writing, and as he thought then, if it is better to die violently and not too old. Orwell sees his experiences in the French hospital and in a Spanish hospital, in stark contrast to the care of that he received in an English cottage hospital.
Orwell gives a historical background of how hospital wards began as casual wards "for lepers and the like to die in" and became places for medical students to learn using the bodies of the poor. In the 19th century, surgery was viewed as a form of sadism, and dissection was possible only with the aid of body-snatchers. Orwell dwells on the literature of medicine in the 19th century, when doctors were given names such as Slasher and Fillgrave, and Orwell particularly recalls In the Children's Hospital: Emmie (1880), a work by Tennyson. All of that accounts for the surviving dread of hospitals among the poor and explains why a sound instinct warns people to keep out of them.
Two slatternly nurses had already got the poultice ready, and they lashed it round my chest as tight as a straitjacket while some men who were wandering about the ward in shirt and trousers began to collect round my bed with half-sympathetic grins. I learned later that watching a patient have a mustard poultice was a favourite pastime in the ward. These things are normally applied for a quarter of an hour and certainly they are funny enough if you don't happen to be the person inside. For the first five minutes the pain is severe, but you believe you can bear it. During the second five minutes this belief evaporates, but the poultice is buckled at the back and you can't get it off. This is the period the onlookers most enjoy. During the last five minutes, I noted a sort of numbness supervenes.