Many, many people wrote books about their
experiences
in the Great War. As a war industry, it was probably out-grossed only by artillery shell production.
In England and North
America ... and other places that took to book-learnin' ... people were
eager to find out the exciting and terrible facts from people who had
been there.
In some cases, letters home were published
posthumously while the war was still on. While letters did not have the same
continuity and flow of an account written at a later date, they did
chronicle the daily experiences, perceptions, and moods of the author.
Mary Dexter was born in 1886 in New Bedford, Massachusetts. Her letters to her mother were edited and
published by her mother - named only as ... 'her mother' (actually Emily Loud Sanford) in October
1918 as "In the Soldier's Service". A few more biographical notes appear at the end of the second page of "Mary Dexter's War" on this website.
"In the Soldier's Service" is divided into the
following chapters: England, Belgium, Psycho-Analysis, France ( ' I'll try "Not A Country" for 1000, Alex ' ) There is
no preface or further writing by Mary Dexter and one wonders to what extent she was involved in the decision to publish.
Dexter took a camera with her and a few of her many photos are included
in the book. She presents a
fresh, articulate, non-military perspective of the war and the people
involved in it. She records an interesting and diverse variety of wartime patient
care environments.
American Women's War Hospital, Paignton, England
On September 17, 1914 almost immediately after the war began, Mary Dexter was
volunteering as meal preparer, then a 'probationer' (assisting nurses)
with the British Red Cross in the
American Women's War Hospital in Paignton, South Devon. The hospital
was located in the Oldway House - the palatial mansion of the Singer
(sewing machine) family which today is preserved and publicly owned.
Paignton is near Torquay on the south coast of England ... to the left on this 1923 map.
After being triaged and receiving some treatment in France,
serious British casualties would be brought by ship from France across the Channel.
In this case, ambulance trains met the hospital ships at Southampton (near Portsmouth) ...
and those destined for Paignton then road the rails west.
This was the first major war in which air power was used.
Before long, Dexter reported German aircraft were crossing the Channel,
and Paignton was one of the targets hit along the coast.
Dexter applied herself to the simple work first assigned to her and
obtained greater responsibility as she demonstrated her abilities. Her
ultimate goal was to care for the
wounded at 'The Front'. In fact ... until she was eventually talked out of
it ... her long-term objective was to work in Serbia where she felt the
need was greatest. She was never paid for her work at the hospital, but
she seemed to have no problem with money. She was often soliciting funds
for patient supplies through her mother.
As her wartime experience developed, she make good use of
'introductions' by the many people she knew, and at one point used the
US Ambassador to France as a reference.
In one letter, she hinted at her family's social status by telling her mother about acquaintances who were 'hard hit' ...
"The T's are hard hit by the war, as is every one. They are closing
three quarters of Old Place, and sending away the cook - the
kitchen-maid is to cook with the scullery-maid to help. Their
menservants are all gone - chauffeur and gardeners as well."
In another case, a patient stated his deductions ...
"Brown is trying to place me. When Sister Vera and I were talking about
going to the front, he was terribly interested whether I had ever put
up with roughing it - said he could not see me traveling three days in
a cattle truck full of wounded. Nevertheless, I said I had
roughed it, and quick as a flash, he said, "How, in a
first-class
carriage?" He ended up by informing me he knew I was a 'pukka' lady.
'Pukka' as I wrote you, means 'real' - the men have picked it up in
India."
Mary Dexter's first Great War work experience was nursing the
enlisted soldiers who were remnants of
Britain's small professional army - as the Indian reference suggests.
Before Kitchener's mass volunteer citizen armies were established, it
was a small professional 'British Expeditionary Force' which helped
the French save Paris. The BEF was 85,000 experienced officers and men
sent over to France within two weeks of war being declared.
The Old Army emphasized regular rifle
marksmanship qualification and the the BEF's stand at Mons and its subsequent southbound fighting retreat was
probably the
last great display of the power of concentrated rifle fire. At this
point, the British military establishment did not really believe in
machine guns - but change would come.
I love what you've done with the place ... converting a mansion into a hospital.
Each room was a separate ward with its own nursing staff - the beds are drawn in.
I am quoting some of Mary Dexter's nursing experiences at length for four reasons:
To quickly introduce Dexter as a motivated
care-giver during the Great War, and to establish her credibility as an
observer.
To consider her excellent historical detail of the Great War conditions
experienced by health care workers and soldiers ... and of the type of care which was given
before antibiotics, plastics and disposables. As an example, in most cases cloth bandages were sterilized and re-used.
To show that some aspects of ward nursing never
change - such as the relative quiet of a night shift, with its morning
rush at the end.
Finally, on the theme of 'battlefield survivors' ...
A good number of any war's 'casualties' - by the military
definition - are survivors
... who are changed forever by war. We solemnly remember
those who 'gave their lives' and imagine their deaths in battle as the
greatest sacrifices possible. Politicians and senior military officers
through history have framed it this way ...
Our War = black and white fight for 'freedom'
Soldier's Sacrifice = 'death'
Simple.
The battlefield survivors (counting
only 'the wounded' of the Great War) greatly outnumber the dead and
defy 'simplicity' when it comes to describing them. Many Canadian world
war
veterans were housed away from public view in special 'nursing home'
hospitals for veterans.
During my own school days in the 1960s, a Grade
5 teacher told us there were veterans seriously disabled by Great War
injuries including poison gas just 'down the road'. However, on Remembrance Day,
it was only the relatively healthy ambulatory veterans who paraded in
the cold. Mary Dexter's account helps us imagine the return to
civilian life of the Great War survivors she describes.
October 1, 1914 - 130 wounded had arrived by ambulance train
" ... some had lain ten days in the trenches, and many had not washed for six or seven weeks ... "
October 5, 1914
" Another terribly bad case is a nice, fair-haired boy whose arm is all
torn away by a shell. He never stops bantering, and keeps the ward in a
roar of laughter while his arm is being dressed, although his lips and
the cords in his neck are twitching incessantly with pain [...] this boy
can't move. He is all day with his arm on pillows and never utters a
complaint."
October 23, 1914
" Last week we got a hundred and forty by ambulance train - very bad
cases. But they were not in the same filthy, exhausted condition as our
first lot of patients ... A bad arm had to be operated on - they did it
in the ward instead of taking him to the operating room - screened in,
of course. I am fond of the boy, and was glad the operation took place
while I was on duty. He is the boy who lay three days in the trenches
with a dead man beside him before he was found, and flies got at his
wound. If I could stand that operation, I could stand anything. I was
holding it and it was all I could bear - the stench was beyond words."
November, 1914
" Mornings, I work especially under Sister Vera in Churchill [Ward], and
she is teaching me a lot. She is one of the nurses from Australia, with
splendid training - is very strict and gives me the real thing and a
liberal supply of pepper which wakens one up! She says I have improved
and gives me a lot to do which probationers are not supposed to do at
all."
November 16, 1914
On the 20hr to 08hr night shift:
" ... there are only two night nurses for the thirty men of our wards.
There is a lovely big coal fire going all night in Burns Ward, which is
named for Mary Burns, the niece, by marriage, of Mr. J. P. Morgan. We
sit before the fire - very cozy - with a small electric lamp, and two
red screens around us to keep the light from the men. There really is
not much sitting, for rounds are made every half-hour. Sister Jeffries
and I have lunch at midnight, separately, of course, for we cannot both
leave the wards at once. During the wee small hours, there is very
little to do, for even our five worst cases sleep fairly well. We have
cocoa and bread and jam at 4 AM and half an hour later the morning rush
begins. You should see Sister Jeffries and me dashing about with bowls
and methylated spirit and powder - we have to begin at that unearthly
hour or else we should not be through in time for their breakfast at 6
AM. Any one who could see the wards at 4:30 or 5 AM, with the electric
lights suddenly on, the men sitting up in bed, washing themselves - and
those who have the wherewithal, shaving themselves - wouldn't think
there was much poetry in 'nursing the wounded' !! "
November 26, 1914
" Eighty more patients came in on Sunday. Among this lot are one or two
cases of bronchitis and pneumonia - from exposure. One of the
bronchitis men told me this morning that he has several times been in
the trenches for seven or eight days, in water up to his waist - with
no chance to get dry.
" We are getting quite used to the rushes now, but we always dread the
first few days. They are in terrible condition, most of them, mentally
as well as physically - they lie for several days without a word or a
smile. They tell us afterwards that it seems like a dream at first just
to lie in bed and eat and sleep. There is a special what we call, 'from
the front' expression on their faces when they arrive, which fades.
They never speak of the horrors they have seen until long after - one
would not ask at first.
" Last night I saw an interesting case - one of the worst which came on
Sunday. He is in Paget Ward, and one of the American nurses took me in
to see him and to help her. He has lost his leg at the knee, and
gangrene has set in. When they operated - at the front - they did not
leave enough flap of skin to cover the stump. His temperature was 104
last night and he is to be operated on today, the leg taken off at the
hip. All last night the Sister had to tightly bandage his leg for
fifteen minutes out of every hour, to prevent gangrene spreading. He
may get all right, but he may die of septic poisoning."
...
" A man in Paget was telling the Sister that he had been once eleven
days without sleep, marching all day and fighting all night. He said he
had to kick men who were about him, to keep them awake to fight. He
heard men in the trenches praying aloud that they might be shot - in
order to be taken to a hospital to get rest. No wonder our men lie like
logs when they first come in! It is terrible to think of."
December 23, 1914
" We got in a new lot of eighty wounded a week ago, and many old ones
have gone out. Sixteen left from Munsey [Ward] this morning, and
tonight at 'breakfast' we heard that a new lot were arriving on the
instant. We got 20 of them here in Munsey. Three were fractured femurs,
all packed in huge wooden splints from shoulder to heel. One man, a
Scotchman of the Black Watch, has been eight weeks in hospital at
Boulogne with both legs fractured - a shocking condition after eight
weeks ... On my side of the ward there is also a nice boy about twenty,
who will never use his right arm again. The shoulder is badly fractured
and they had to take out the top of the humerus, as well as lots of
small bits of bone. He has been very helpless, but much better now. He
has an egg, always scrambled, for his breakfast - I do it and take it
to him myself - he does enjoy it, and I wouldn't miss his smile for
anything. Another pathetic case is a man who was blown fifty feet into
the air, by an exploding shell which killed the two men next to him.
You can imagine what condition his nerves are in. He talks constantly
in his sleep of France and Belgium."
" Boxing Day - there was a Christmas dinner in the evening for the whole nursing staff in the marble hall - seventy-one of us.
It seemed odd to go to a formal dinner in cap and apron!"
January 5, 1915
" Dr. H. made us laugh tonight by his disgust over one of his wards
[i.e. nothing 'interesting'], where out of eight cases new tonight,
seven are frost-bite!"
" Am sitting out in the ward as I write, at the Head Sister's desk,
between two red screens, listening for calls and giving hot milk. The
head case I spoke of is very bad - he is on my side of the ward. He is
quite young - and will probably be blind in both eyes, for the bullet
went in one eye and out behind the other. He suffers terribly and is
completely unstrung. He loves a bit of fussing and begged me to talk
with him this morning. We all baby him a lot. Tonight he broke down
completely and sat up in bed sobbing, and begging to have his bandage
taken off. He kept saying, 'Oh, God, help me to bear my pain.' He had
morphia, the dressing changed, and hot drinks, and I have been waiting
on him all night long. Every few minutes he sits up and calls for me,
and simply clings to one's hand like a baby. It wrings one's heart -
for there is no chance, the doctor tells me, of his ever seeing
daylight again - and only twenty.
[Later, January 15] ... " The boy does not know the danger that he may
never see again, and I dread unspeakably the day when he will have to
be told ... Morphia has very little effect, and they don't like to give
him much ... He has no family and his home in London is with the mother
of his sweetheart, Violet, whose name is tattooed on his arm."
January 21, 1915
" We got a sailor with our last lot of patients - sent to us by mistake!
... He belongs to the little band of seventy - all gunners - chosen
from a man-of-war, to man the naval armored trains in Belgium That is
how a sailor happened to be fighting on land - and it is the first time
it has happened. His cap band is very interesting for that reason -
with the letters HMNAT Jellicoe (His Majesty's Naval Armored Train
Jellicoe). And he has a medal given by the Belgians, with a picture of
the train. Each train is composed of three gun carriages, two powder
magazines, and an engine at each end. They run right up to the firing
line and can accomplish a lot, beside being able to get away quickly.
" Sir William Osler was here yesterday inspecting the hospital and he very kindly inquired for me.
" I asked a big Seaforth Highlander whether he wanted to go back. He said, 'I don't wish to be like those swankers who say they want
to - I'd rather not'; They all ridicule the idea of wanting to go back
- and say no sane man could. In that respect this war is different from
any other there has ever been. The men all say, 'This isn't war - it's murder.' Most of them are very glad if they can be honorably discharged as physically unfit."
January 26, 1915
" One man was hit by a hand grenade. He has sixty-seven wounds - all on
his head, his back, and arms. One arm is terrible - all the flesh gone
- only the two bones left and a hole between. The flesh is slowly
growing in around, but it looks like the pictures of the famine in
India.
" The worst case in Paget - much talked about - is indescribably awful.
The man was shot through the leg - and got the new gas gangrene germ
just discovered at the front, and so rare that they know nothing about
it yet. He is one of the first men back in England who has it. His leg
is in awful condition ... he will probably lose it and they say he may
die at any time. It is dreadful to see how he suffers when moved - he
screams with pain and it takes five of us to change his draw-sheet. The
stench of his dressings fills even this big ward. It is most infectious
and we are more than careful."
Please place any metal objects in the container ... Great War technology ...
"We have a Cameron Highlander and a Gordon Highlander in adjoining beds
- both their wounds were full of colored bits of their kilts which kept
coming out for days. The latter had his operation, and I was again sent
up - the bullet could not be found and he had to be taken to the X-ray
room. It was fascinating to see the doctors' hands X-rayed as they
worked, looking like animated skeletons."
On another occasion, Dexter held and positioned a heavy glass X-ray
plate for about an hour during a procedure in the operating room.
February 15, 1915
"The operation done by Dr. S, just after you left [her mother had come
across the ocean to visit], was most interesting. It was the first time
that the new telephone apparatus for locating bullets and metal
substances has been used here. It is quite a new thing, invented here
in England some years ago, but only just perfected for practical use.
It is simple to look at - a wire attached to the instrument, and the
operating doctor and one other man wear metal head-bands with a sort of
telephone ear-pieces [sic]. When the instrument touches bone there is
no sound, but when it touches metal there is a click. This case which I
saw was a bullet deeply embedded in the bone of a man's shoulder - and
they were able to get it out much sooner, and with a much smaller
incision, than they otherwise could. "
The Depage Hospital, La Panne, Belgium
June to August, 1915
Wanting to get closer to The Front,
Mary Dexter applied to three national Red Cross organizations and
accepted the invitation of the Belgian Red Cross because it was 'at the
front'. She crossed from Folkestone to Calais (there at the right - at
the narrowest part of the channel) with the necessary orders and
permits to get her through France and into the Belgium. She was to be in a military zone under military organization.
Map from 1923
Mary Dexter during the crossing of the Channel
She was the only
woman on the rough crossing and found a hotel to stay at in Calais until the
arrival of the assigned car ... which was to pick her up for the two hour trip to the Belgian
hospital. A convoy of large grey Belgian
ambulances finally arrived at Calais and she rattled around in the back of one
to the 'Ambulance de l'Ocean' at La Panne.
Slightly misprinted, 'la Panne' can be seen at the end of the arrow.
For scale: It is about 60km from Calais to La Panne.
You can see the proximity of The Front (dashed red line), and Ypres and Passchendaele to the south.
Beyond the Front, along the occupied Belgian coast, were some German U-boat bases
which menaced the critical English Channel supply lines.
Some information on La Panne
from "The Little Corner Never Conquered"
an account of the Red Cross in Belgium.
" 'The Hospital of the Queen', 'The
Hospital of Dr. Depage' and the 'Ocean Hospital' were names variously
given to the main hospital of the Belgian Red Cross Society at La Panne
...
" Of the origin Dr. Depage writes as follows:
'Toward
the end of November 1914, after the battle of the Yser, I found myself
in Calais. I had come to organize there the hospital 'Jeanne
d'Arc' with the funds put at my disposal by the Belgian Red Cross. Queen Elisabeth [of Belgium] in
the course of a visit which she had made to our wounded, proposed to me
that we establish at La Panne a new hospital which she desired to see
created nearer the front and upon Belgian territory.
'At the moment, with the exception of the Belgian Field Hospital, which
we owe to the generosity of the English and which was later transferred
to Hoogstade, our only surgical hospital in the zone of the armies was
at Furnes. It was served by religious sisters whose good will could not
supply the lack of professional training. Her Majesty understood the
great advantage that there would be in giving competent surgical
attention to the severely wounded before an evacuation which meant a
long journey by automobile or railway train.
I accepted Her Majesty's proposition with enthusiasm as I was sure that
in realizing her ideals, we would be able to make a noble contribution
to the care of our wounded.'
" The Queen secured for their use the Ocean Hotel property on the
beach. By 1917, there had been added to the original hotel
building at least forty pavilions or barracks, from butchery to chapel,
contributed by various agencies ...
" There was the Institut Marie Depage, and on a lonely sand dune facing
the ocean, there was the grave of Marie Depage who raised money for the
hospital in America in 1915 and lost her life on the Lusitania coming
home. Her body was washed ashore on the coast of Ireland, recovered by
Dr. Depage, her husband, and buried at La Panne along the coast just
above the hospital ...
" ... at one end of the beach the two modest villas of the King and
Queen and their officers, and at the other end toward the trenches -
the Ocean Hospital - yet this was the very heart and soul of
Belgium, - the real capital of the country."
" Antoine Depage was physically and mentally a big man. He was of
humble origin and seemed to have the strength of generations of Vikings
behind him. He had a great frame and an iron will. He knew surgery and
medicine and hospitals and he knew also what other countries had
discovered and the men who were doing things ...
" The King settled in short order the question of the military status
of Belgian Red Cross doctors. The entire Red Cross was taken into the
military establishment, except the contributed funds which were left in
charge of the executive committee.
" The doctors were commissioned in the army. Dr. Depage became a
Colonel. He wore the uniform, and he had the insignia, but he never
thought of himself as anything but Head Surgeon, and this was his
strength and his weakness. He paid scant attention to the spirit of
orders which interfered - he never followed along the paths of army red
tape, he made some of the military men almost froth at the mouth with
rage, and yet he was too big and important and valuable to be taken out
and shot at sunrise. When real tension resulted, there was the little
Queen with some common sense solution, or the King with a suggestion
which Depage, out of both love and loyalty would be quick to accept."
A New York doctor summarized:
" Depage is a great man. Some of them hate him but they can't do
without him. Back him up. He may be extravagant but he is extravagant
to save life and he is able and honest."
* * *
Mary Dexter fills in details of her work ...
June 30, 1915
" The work is very hard here, and most interesting ... Each ward holds
one hundred and twenty beds. I have been given twenty beds of my own to
be responsible for. Also one helps with dressings all over the ward.
" One never stops - there are no chairs, and if there were they would
be utterly superfluous. There is a theatre between the two wards, with
four operating-tables. And it is one ceaseless round of operations -
the brancardiers (orderlies) bringing in one case, fetching him out,
carrying in the next - without stopping - all the mornings and most of
the afternoons. I have already been sent in with several patients. The
four tables are going hard all the time - and such cases! If one sat down and thought it would be unbearable, but one never thinks - it is the only way.
" We are a polyglot crowd - Belgian, French, Danish, English, Scotch,
American, Canadian - and very likely others. This is only my second
day, and I have yet much to discover."
July 7, 1915
" Splendid news - I have received a draft for twenty pounds from the
St. Timothy's Alumnae, voted by them at the meeting at Baltimore. Will
you cash it and send ether
as soon as possible? - we are needing it so much. When your cable came
yesterday afternoon, it was brought to me in the theatre - where I was
holding down a patient, and steeped in blood - I couldn't read it for
ages. I don't describe any wounds, because one just couldn't here -
they are all too awful. I couldn't ever tell what I have seen in the
theatre here."
...
" All the Canadians (whose day is July 1st) and all the Americans (for
the Fourth) were invited two nights ago to the big salon and presented
with flowers by the Belgians - Dr. Depage among the rest. There were
speeches and cheers and so on. Yesterday afternoon Dr. Depage asked all
us Americans to tea at his villa, to celebrate."
Isolation Villa, July 14, 1915
" If I came out here for experience I am certainly getting it! Not
every one could be threatened with a diphtheritic throat and display a
rash which baffled all the doctors, and be carried on a stretcher to
the Isolation Villa in the sand dunes - all within five miles of the
trenches and within sound of the German guns!"
Wimereux, France, July 24, 1915
[Sister Vera, Dexter's Australian mentor at Paignton, was to take
Dexter to England for a rest as soon as she was able to travel.]
" Matron has written from La Panne that she wants Sister Vera and me -
and in that case Vera would probably be head of a ward. Although she is
only my age, she has done nursing for eight or nine years, and has been
a Matron."
Wimereux, July 26, 1915
" Sister Vera is resigning from her hospital and I find that it is on my
account, in order to take me to England. To tell the honest truth, my
case seems to have been rather misunderstood at La Panne. Here the
opinion is that what I really had was something serious - on account of
complications which have since appeared.
" Editor's note: Illness diagnosed later by London physicians as scarlet fever."
Before continuing with the second half of Mary Dexter's war experiences
... here is a quick Canadian connection to this area of Belgium ...
On the wall of the Senate Chamber in the Canadian Parliament Buildings is a painting of this building.
Behind the structure is painted a beautiful blue sky with white clouds
The Cloth Hall at Ypres, Belgium was built between 1260 and 1304 CE, as the
centre of the region's prosperous trade in fabrics and lace.
From a 1908 tour book.
The Ypres Salient ('bulge') was a protective pocket around Ypres
which was fiercely held and defended by the British Expeditionary Force
... and later by Canadian units among others.
Here is that Depage Hospital map again with Ypres at the bottom right edge,
and you can see the Ypres Salient around the eastern side of the city.
(Ypres is about 35 kilometres ... from ... La Panne at the yellow arrow)
The Battle of Passchendaele (a village just to the northeast) is 'officially' known as 'The Third Battle of Ypres'.
Church spires, towers, high ground and aircraft were tactically important in the Great War ...
because the military used them to keep an eye on the enemy, and to provide aiming commands for indirect artillery fire.
Well, wouldn't you know it - something happened to the 600 year old Cloth Hall and its tower
... during the First Battle of Ypres in late October, early November 1914 ...
The Germans had been active up to this point in the shelling and aerial bombing of Belgian cities and towns,
and they were in military control when the ancient library at Louvain, Belgium was burned ...
The British and French were also fighting in the area ...
A French Postcard
During the Great War, Canadian forces spent a lot of time around Ypres in the presence of the Cloth Hall rubble.
The ruins were painted by James Kerr-Lawson in 1919,
and his very large painting, and other similar Great War pieces,
were intended for a special Great War memorial building back in Canada.
The memorial edifice was never built and the paintings ended up in the Senate.