Jennifer Worth - Call The Midwife - A True Story Of The East End In The 1950S

“I’m the district nurse, and I have come to see Mrs Jenkins.”

“Throw a stone up a’ ve second floor winder,” was the advice given.

There were plenty of stones lying around, and I felt a perfect fool standing in nurse’s uniform, with my black bag at my feet, throwing stones up at the second floor. “How on earth did the doctor get in?” I wondered.

Eventually, after about twenty stones, some of which missed, the window opened, and a man’s voice called out in a thick foreign accent, “You see old woman? I come.”

Bolts were pulled back, and the man stood well behind the door as it opened so that I could not see him. He pointed along the passage to a door at the end, saying: “She live there.”

Victorian tiles flagged the passageway which passed a staircase with a fine carved oak banister. This was still in beautiful condition, although the stairs were crumbling and looked highly dangerous. I was glad that I did not have to walk up them. The house had obviously been part of a fine old Regency terrace once, but was now in the last stages of decay. It had been classed as “unfit for human habitation” twenty years previously, yet people were still living there, hidden away amongst the rats.

No sound came when I rapped on the door, so I turned the handle and walked in. The room had been the back scullery and wash house of the premises. It was a single storey extension with a stone-flagged floor. A large copper boiler was attached to an outside wall, and next to it was a coke stove with an asbestos flue running up the wall and out of the ceiling through a huge and jagged hole open to the sky. A large wood and iron framed mangle and a stone sink were the only other objects that caught my eye. The room appeared empty and abandoned and smelled powerfully of cats and urine. It was very dark, because the windows were so black with dirt that no light could penetrate. In fact, most of the light in the room came from the hole in the roof.

As my eyes became accustomed to the gloom I discerned a few other things: several saucers lying around on the floor with bits of food and milk in them; a small wooden chair and table with a tin mug and teapot on it; a chamber pot; a wooden cupboard with no door. There was no bed, no sign of a light, nor of gas or electricity.

In the corner furthest away from the hole in the ceiling was a decrepit-looking armchair in which an old woman sat, silent, watchful, her eyes filled with fear. She shrank back in the chair as far as she could go, her old coat pulled tight round her, a woollen scarf over her head and covering half her face. Only her eyes showed, and they penetrated mine as our gaze met.

“Mrs Jenkins, the doctor tells us you are not well and need home nursing. I am the district nurse. Can I have a look at you, please?”

She pulled her coat closer round her chin and stared at me silently.

“Doctor says your heart’s fluttering a bit. Can I feel your pulse, please?”

I put out my hand to feel her wrist pulse, but she pulled the arm away from me with a terrified intake of breath.

I was nonplussed, and felt a bit helpless. I didn’t want to frighten her, but I had a job to do. I went over to the unlit stove to read the notes by the light coming through the ceiling: there had been evidence of a mild attack of angina pectoris when the patient had fallen in the street outside the house, and an unnamed resident had carried her back to her own room. The same man had called a doctor and admitted him. The woman had obviously been in pain, but this seemed to pass fairly quickly. The doctor had been unable to examine the patient, due to her violent resistance, but as her pulse was fairly steady, and her breathing had improved rapidly, the doctor had advised a nursing visit twice a day to monitor the situation, and suggested that the Social Services department might improve the woman’s living conditions. Amyl nitrite had been prescribed in the event of another attack. Rest, warmth, and good food were advised.

I tried again to feel Mrs Jenkins’ pulse, with the same result. I enquired if she’d had any more pain, and got no reply. I asked if she was comfortable, and again there was no reply. I realised that I was getting nowhere, and would have to report back to Sister Evangelina, who was in charge of general district nursing.

I was not too keen on reporting my total failure to Sister Evangelina because she still seemed to think me a bit of a fool. She called me ‘Dolly Daydream’, and spoke to me as though I needed to be directed in the most rudimentary points of nursing procedure, even though she knew I had about five years of nurse’s training and experience behind me. This, of course, made me nervous, and so I dropped or spilled things, and then she called me “butter-fingers”, which made it worse. We did not have to go out together very often, which was a relief, but if I reported, as I would have to, that I could not manage a patient, inevitably she would have to accompany me on the next visit.

Her reaction was predictable. She listened to my report in heavy silence, glancing up at me from time to time from under thick grey eyebrows. When I had finished, she sighed noisily, as though I were the biggest fool ever to carry the black bag.

“This evening I have twenty-one insulin injections, four penicillin, an ear to syringe, bunions to dress, piles to compress, a cannula to drain, and now I suppose I have to show you how to take a pulse?”

I was stung by the injustice. “I know perfectly well how to take a pulse, but the patient wouldn’t let me, and I couldn’t persuade her.”

“Couldn’t persuade her! Couldn’t persuade her! You young girls can’t do anything. Too much bookwork, that’s your trouble. Sitting in classrooms all day, filling your heads with a lot of cods-wallop, and then you can’t do a simple thing like taking a pulse.”

She gave a contemptuous snort and shook her head, spraying the bead of moisture that balanced on the end of her nose all over her desk and patients’ notes that she was writing up. She drew a large man’s handkerchief from beneath her scapular and wiped up the fluid, which caused the ink to smudge, and so she humphed again, “There now, look what you have made me do.”

The further injustice made my blood boil, and I had to bite my lips to prevent a sharp reply, which would only have made things worse.

“Well then, Miss Can’t-take-a-pulse, I suppose I will have to go with you at 4 p.m. We will make it our first evening visit, after which we can both go our separate ways. We will leave here at 3.30 p.m. sharp, and don’t be a minute late. I won’t be kept hanging around, and I shall want my supper at seven o’ clock as usual.”

With that, she pushed her chair back noisily, and stomped out of the office, with another pointed “humph” as she passed me.

Half past three came round all too quickly. We pulled the bicycles out of the shed, and the nun’s silence was more eloquent than her grumbling had been. We reached the house without a word, and knocked. Again no reply. I knew what to do, so told Sister about the man on the second floor.

“Well, get hold of him then, don’t stand around talking, chatterbox.”

I ground my teeth and started throwing stones up at the window in a fury. It was surprising I didn’t break the glass.

The man shouted out, “I come”, and hid behind the door again as we passed. However, he then added “I come no more. You go round back, see? I not answer no more.”

In the dim light of Mrs Jenkins’ room a cat came towards us, mewing. The wind made a curious sound as it hit the hole in the roof. Mrs Jenkins was huddled in her chair, just as I had left her in the morning.

Sister Evangelina called her name. No reply. I was beginning to feel justified - she would see that I had not been exaggerating. Sister walked over to the armchair. She spoke gently, “Come on, mother. This won’t do. Doctor says there’s something up with your ticker. Don’t you believe a word of it. Your heart is as good as mine, but we’ve got to have a look at you. No one’s going to hurt you.”