West Smithfield, EC1A 7BE
Thursday September 1 2016
I had wanted to visit Bart's Museum while
on Jury Service at the Old Bailey but as time-keeping was key I left it to
another day – and with Jo blackberry picking and not keen on medical museums
this was the opportunity to pop in.
The setting is lovely: a tranquil square
complete with benches, some greenery, shelter and in fact not crowded even on a
sunny day. Those enjoying the sunshine clearly included patients and doctors in
dialogue with a few city types on a lunch break – the same was true of the
Museum, staffed by volunteers, though most whistled through rather more quickly
than I did.
The visit starts with a short film
explaining the origins of what is the UK’s oldest still functioning hospital.
Rahere, a courtier monk in Henry I’s entourage, undertakes a pilgrimage to Rome
(travel time =1 month) following the deaths of Queen Matilda and the royal children.
In Rome he succumbs to malaria but following a miraculous recovery and a vision
of St Bartholomew he vows to build a hospital for the sick poor in London. With
the support of the King and the Bishop of London some ‘marshy’ land is
identified outside the city walls (I have crossed Newgate to get here from the
Old Bailey) known then as ?Smoothfield. It is a new mixed (but presumably
separately accommodated) monastic order, with a hospital staffed by a master,
eight brethren and four sisters.
From this short illustrated film you
progress to a series of display cases explaining the artefacts – for these
early days there are documents setting out the foundation and the land deeds.
Little is known of the early patients – medicine had not moved on much since
Roman/Arabic practitioners and by and large the sick who had self-limiting
illnesses when ‘cured’ were often deemed as ‘miracles’. By 1420 the hospital
had separated from the Priory; it continued to take all comers including women
and children born out of wedlock.
Then along came Henry VIII and with all
monasteries dissolved Bart’s was not spared and the Priory went in 1539. In
1546 the hospital was given to the City of London and funded by a complex
system which sounds a bit like the Private/Public Partnership Initiative…. This
included lodging, food and clothing for 100 folk and the establishment of 1
physician, 1 surgeon and 12 women. Several more cases are devoted to the
‘paperwork’ which put the hospital foundation on a firmer footing still – these
include an inventory, valuation and plan with the large chest to hold the records
proving that it is impossible to run something as complex as a hospital without
some concomitant administration and record keeping..
From this point the museum breaks from
a more chronological display to cases devoted to the different ‘specialisms’ that have worked within
and evolved alongside this foundation. Being much older than other medical
museums we have visited the displays contain a wider range of records and
artefacts.
We start with the apothecary – apparently
the word comes from the Greek for ‘storehouse’ or helper which is as good a
description as any. There are plentiful pots of balm and poison to look at –
apparently the first Pharmacopeia to be named as such did not appear until 1618,
though of course there had been listings of ingredients for millennia.
The Physician was no more advanced than the
apothecary, dependent as they were on
Greek and Arabic teachings . Bart’s star physician was of course William Harvey, who
had been to Padua to study and came up with his theory of the circulation of blood.
You can put money on the fact that every
town and community will have a William Harvey clinic or hospital ward somewhere...
and quite right too. The display case contains implements for bleeding and
cupping, a false leg and an early syringe. However a recent visit to the ‘Mary
Rose’ indicated that the ship’s doctor there travelled with syringes, pre-dating
these here.
The statistics relating to the early Bart’s
surgeons are interesting – three were employed on rotation to deal with
accidents more than anything else. As
few as 60 operations per year are recorded with the removal of kidney stones a
frequent and presumably largely successful operation seen as the main ‘planned
interventions’.
There is a case display of the fabric of
the hospital – candlesticks for surgeons to see by, badges for staff, lists for
running the hospital and a bill for the removal of ‘night soil’ – something we
learnt about last week at the Water & Steam Museum. In fact just the kind
of things the current NHS are asked to make ‘savings’ on…
Of course nursing through the ages has its
own proud display from the ‘helpers’ who carried out menial and laundry related
tasks to the later post-Nightingale
more professional nurses. Bart’s matron Manson was key in campaigning for
registration which became statutory in 1919.
– I
say proud as the exam requirements for nurses were apparently harder than the
national ones leading to the claim that Bart’s nurses were ‘second to none’
Nearly 200 years on from Henry’s ‘gift’ to
the City it was time for a rebuild and the hospital employed James Gibbs, a most prolific Scots architect, who came up
with the large quadrangle of four wings: three for patients one for
administration – that is the North Wing where the Museum is now. It was an
inspired design that pleases to this day, though someone in 1937 decided the
South Wing needed replacing.
Bart’s has a long history in training
doctors with John Abernethy in the early 19th century taking the
initiative – in 1900 it became part of the University of London and in 1995
joined with the Royal London (also Westfield and Queen Mary’s) which is the
position today.
The museum traces the rise of specialists
and it is indeed to the key fields of cardiology and cancer research and
treatment that Bart’s owes its survival and current position amongst the London
hospitals.
Somehow, without destroying the Gibbs era
heart of the hospital planners have managed to insert state of the art units on
the Bart’s site. Incidentally there are still the two churches bearing the
apostle’s name and the whole hospital constitutes a parish.
There are photos of students at work and
play – largely rugby and cricket for the latter, which might explain why, when
the head of the Medical School, the eminent James Paget, admitted Elizabeth
Blackwell as the first woman student in 1850 the males protested so much women
did not gain re-entry until 1947. There
is an excellent and spirited account of Elizabeth Blackwell’s views on male
doctors and female patients if you listen via the ‘telephone displays’. Having
worked in a borough with an ‘Elizabeth Blackwell House’ I had no idea that
though born in the UK she was in fact brought up and trained initially as a doctor in the
US.
There is a plaque to Sherlock Holmes and Dr
Watson who met here – the latter being a Bart’s trained doctor and apparently
the latest TV series was filmed here with the staged ‘suicide leaps’ from the rooftops of Bart’s.
From the other door of the museum you can
just peep at Hogarth’s wall mural which goes up the stairs to the Grand Hall –
not accessible unless by accompanied tour Friday PM.
However this, the museum for the UK's oldest still open hospital, is worth visiting in its
own right and warrants more attention than a distraction for patients and their
visitors.
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